Gynecomastia is a very sensitive issue for men to deal with, especially if they have lost a lot of weight but still have “man boobs.” Men who have lost weight and are seeking male breast reduction surgery will find that the traditional procedure will not remove enough skin and tissue. Alternative measures will need to be taken. It is imperative for men to be sure that their Board Certified Plastic Surgeon has extensive training in gynecomastia for this complicated condition.
Depending on the individual’s situation, some men may be candidates for what is known as the 2 stage procedure. For this surgery, the surgeon will excise redundant skin, tissue, and fat in a doughnut shape from around the areola and close the incision with purse-string sutures. Once healed, stage 2 which removes the breast crease, can be done as an office procedure under local anesthetic.
If the 2 stage procedure is not an option, it may be necessary to go with a mastectomy type incision that goes around the areola, vertically to the breast crease making what is known as the anchor or inverted T incision. This incision is not hidden but usually heals well, and the patient understands that in order to reduce the male chest.
Fortunately today there are very good scar treatments, Dr. Miguel Delgado, M.D. uses silicone sheeting over the incisions once they have healed, this will keep them hydrated. For incisions that may heal and form a keloid, or raised scar, there are steroid injections, and massaging the scar can also prove helpful. Additionally, there is laser treatment such as the Palomar Laser that Dr. Delgado has available for his patients. The laser not only treats scars but wrinkles and various other skin conditions. And finally, scars can be minimized by scar revision surgery.
Call now (415) 898-4161 for a consultation with Dr. Delgado to discuss any gynecomastia issues you may be having.