Monday, September 30, 2013

Severe Gynecomastia Male Breast and the Two Stage Surgical Treatment

Severe Gynecomastia Male Breast and the Two Stage Surgical Treatment


Sacramento, California - This is a 28 year old male from Sacramento, California who seeks treatment for his severe gynecomastia. This is a very difficult case, in which, many surgeons would advise to perform a mastectomy for the removal of this vast amount of skin and breast tissue. The treatment would be a successful  but would result in large scars across his chest.  This would defeat the purpose of the this young man wanting to take of his shirt and go swimming or other events with his family.



Sacramento, California Gynecomastia surgery
Severe Gynecomastia


Sacramento, California Gynecomastia surgery

Severe Gynecomastia Breasts

The first stage is done under general anesthesia.  Dr. Delgado will remove the breast gland perform liposuction for both the chest and the axilla region.  A breast lift will be performed with an incision above the areola and a crescent  or half moon shape of skin excised above.  This will lift the skin to further reduce the breast fold. 


This photo is after the first stage in which the breast tissue has been removed and the superior crescent lift  has been performed.  Tacking sutures have been placed  above the areola to help maintain the skin's position.
  
Dr. Delgado has developed a two-stage procedure for these difficult cases.  It is not successful in all cases like morbid obesity but may be useful in many other cases of severe gynecomastia.



Gynecomastia surgery after the first stage at 3 months

 You will notice that after the first stage, the mass of breast tissue and fat has been removed but the lax skin remains.  The second stage will be performed after the blood supply has re-established itself  to the nipple-areola area after 4 to 5 months.


The above is the patient laying down and we are looking at his right chest 5 months after the first stage. The outline is the peri-areolar lift with the doughnut shape skin in the center to be excised and the outer circle being closed to the inner circle as a purse-string closure.

3 weeks after stage 2 peri-areola lift

3 weeks after stage 2 peri-areola lift
The above photos show him at week 4 after the periareolar lift.  The skin puckering will improve over time.
 Dr. Delgado specializes in the surgical treatment of this medical condition.  This blog gives up to date changes in the industry and technical issues. Dr. Delgado has a specialized gynecomastia website which has over 500 before and after photos or visit our main cosmetic surgery website. Offices in Marin County and San Francisco. Call today 415-898-4161.