For Standard Pictures to evaluate drooping male chest and male mastopexy start here. Standard Videos to document the Male Chest are even more critical for contour evaluation.
Dr. Bermant evolved a series of standard photographs to better document the contours of the body both at rest and in motion living life. He saw patients from around the world. To minimize travel he developed a Preliminary Remote Package to define and understand patient problems. Specific history forms helped define potential problems needing stabilization before considering surgical options. A telephone discussion was then based on a fairly detailed, specific problem and a specific solution explaining risks benefits and alternate methods of care. The system worked so well that for most, surgery could be scheduled the day after a confirmatory in office examination.
This page represents a standardized method and format for taking pictures for those with scars, adhesions, and deformities needing a more critical look. This Standard Picture Sets then evolved in to a system he used to improve his own surgical technique and educate his patients as to typical bruising, swelling, recovery after surgery, and results. Dr. Bermant instructed his patients to not push healing injured tissues. If taking pain medication, this body feedback is no longer working and not trusted. So these images can also show the degree of return to function.
Male chest standardized photos can also be used to document the path to recovery after injury, progress in medical management, bodybuilding and weight loss. For weight loss, how well skin adapts needs the additional views found in Male Mastopexy Chest Lift for Sagging Standard Pictures. The bending over views show a standard force (gravity) pulling on the excess. Movies are an even better way to see how tissues move. Use his Standard Videos to document the Male Chest orchestration of movement for an even more critical contour analysis.
Check List for Technique Issues - Chest Photos for Gynecomastia
|Fill the image with the breast(s).
It is very difficult to analyze the breast on an image that includes the entire body. Detail is lost if the important information occupies only a small part of the frame. Both breasts should be on the same image unless you are including an additional view of a detail you want to demonstrate.
|If using flash, point the flash so that the shadows do not obscure the important breast outline. This is done by having camera mounted flash on the same side as the breast and the camera towards the body. This is not as great a concern when no flash is used.|
|Focus the camera.
The chest / breast are what should be most in focus. You may need to take the camera off of its automatic setting to get the nipple in focus. Blurred images are difficult to evaluate.
|Do not use a mirror to take the pictures.|
|If cold or stimulation are factors, make sure the room is warm, the areola muscle relaxed, and the puffy nipple problem can be seen.|
|Choose your background carefully.
Pick an uncluttered background with no mirrors. A mirror or glass surface can reflect a flash and make photographs difficult to evaluate. A plain matte background is best. Avoid background clutter. Try to pick a contrasting flat background behind you that does not detract from the chest.
Please check your images before sending them to us. You should be able to clearly see your problem on your images.
For a Preliminary Remote Discussion to be effective, Dr. Bermant needed to see pictures that demonstrate your concerns.
Check List for Standard Images for Dr. Bermant's Revision Gynecomastia Male Chest Surgery (14 Picture Set)
|Frontal Picture||Frontal Arms Over Head Picture|
|Frontal Arms on Hips Pectoral Muscles Relaxed||Frontal Arms on Hips Pectoral Muscles Tense|
|Left Oblique Showing Pectoral Muscles Relaxed Picture||Left Oblique Showing Pectoral Muscles Tightened|
|Right Oblique Showing Pectoral Muscles Relaxed Picture||Right Oblique Showing Pectoral Muscles Tightened|
|Left Lateral (Side) Showing Pectoral Muscles Relaxed Picture||Left Lateral (Side) Showing Pectoral Muscles Tightened|
|Right Lateral (Side)Showing Pectoral Muscles Relaxed Picture||Right Lateral (Side)Showing Pectoral Muscles Tightened|
|Scars Close Up Details Relaxed||Scars Close Up Details Tense|
The photos must include AT LEAST as much as in these images. The view should extend from the neck to the abdomen.
The arms should be at the sides except where indicated to evaluate symmetry (evenness). Holding the camera in one arm makes it impossible to determine any differences between the left and right sides.
For Details about each image, please check the examples below.
If there is something you feel is best demonstrated by a specific different view, please include that detail. We are interested in your concerns.
|Arms over Head View|
The frontal view should have the body parallel to the camera film plane. Side photos should be perpendicular to the camera film plane. Side and oblique views should have the arms at the sides.
|Front Arms on Hips Pectoral Muscles Relaxed|
|Front Arms on Hips Pectoral Muscles Tightened|
Front views with muscles at rest and tense can sometimes show the mass more. The tensing pushes the mass out. This photograph can also show what the muscles contribute to the problem.
|Right Side Picture Pectoral Muscles Relaxed||Right Side Picture Pectoral Muscles Tightened|
|Left Side Picture Pectoral Muscles Relaxed||Left Side Picture Pectoral Muscles Tightened|
|Left Oblique Picture Muscles Relaxed|
|Left Oblique Picture Muscles Tense|
Oblique pictures should be at 45 degrees and half way between the frontal and side photographic views. This view shows the meridian muscle contour along the nipple projection.
|Right Oblique Picture Muscles Relaxed|
|Left Oblique Photograph Muscles Tense|
Close up pictures of specific scar issues can be helpful. What views to take depend on the problem to be documented, but often include the incision site, drain, liposuction access site scars.
Images only show up so much detail and do not replace the in office examination and evaluation. Dr. Bermant preferred to feel and observe the tissue:
- Male Breast Exam: breast mass and nature of this tissue
- Male Nipple Exam
- any excess fat, Body Fat Analysis
- how loose / tight
- how it moves
- how elastic
- possible numb or sensitive areas
Learn more How to Use Before and After Pictures and why just one or two views is just not enough to define problems nor solutions. Check out How to Evaluate a Surgeon's Gynecomastia Pictures. With less shown, what does it look like when flexing muscles or playing sports?