Severe Gynecomastia-A Two Stage Procedure to Minimize Scarring
San Francisco, California – For moderate to severe gynecomastia, it may be recommended for the patient to have a 2 stage surgical procedure. This is due to excessive skin. This could be due to considerable weight changes or a severe case of gynecomastia like in the above photo. The goal is to reduce the skin, fat and gland content without a large mastectomy scar across the chest. A scar of this nature can be as devastating as the gynecomastia and disfiguring.
Patient on the O.R. table after gland excision, liposuction, superior crescent lift and external lift sutures. He is seen, below, 6 month later.
The first stage gynecomastia surgery is aggressive gland excision and liposuction. A superior crescent breast lift is often done to advance the nipple-areolar complex upward and reduce the breast fold. This was done in this case. Sometimes this superior crescent lift can avoid the second stage altogether. After six months the blood flow will re-establish itself to the nipple areolar complex and the second stage lift also known as a peri-areolar lift can be performed. The procedure consists of an incision around the nipple-areolar complex where the skin is excised with a purse string closure.
Miguel Delgado ,MD is a San Francisco gynecomastia specialist in male breast reduction. Dr. Delgado is world renowned plastic surgeon and an expert in gynecomastia surgery. His specialized website has critical information and over 500 before and after photos. Visit his website www.GynecomastiaSpecialist.com 4158984161 Dr. Delgado has served the Sacramento, California area since 1988