Gynecomastia Surgery and the Dynamic Approach
Gynecomastia surgery be performed in many ways. A variety of factors go into the technique that a surgeon selects. It may depend on the anatomy of the patient, the severity of the gynecomastia, the patient's desires and the surgeons experience and skill.
A concern that I hear from men are the change in the nipple region when the arms are raise above the head or the muscle is flexed. Eventhough it looks great in the normal arms down position, the other postion look somewhat abnormal. This is due to scar tissue which results from surgery and the removal of the breast and fat tissue.
The "dynamic approach" will remove the glandular tissue which results in a crater, then the fat tissue on either side is sewn together which closes the space. This results in a more normal look when the arms are raised and less of a abnormal look with muscle contraction. This procedure can be performed through a small incision. This dynamic technique can not be done for all patients. The photos below show an intra operative case.
|Pull Through with small incision|
|Profile of Dynamic Procedure|
|After Dynamic Procedure|
The gynecomastia treatment with the emphasis on dynamics must be discussed with in advance. This is a very good procedure and with high patient satisfaction.
Dr. Delgado is a gynecomastia specialist and has offices in San Francisco and Marin County. Call Today 415-898-4161 or email for a in office or virtual consultation.