Friday, October 25, 2013

Severe Gynecomastia a Two Stage Surgical Treatment - San Jose, California

Severe Male Breast Gynecomastia   -Two Stage Surgical Treatment

San Jose, California - This is a 28 year old male from Sacramento, California who seeks treatment for his severe gynecomastia. This is a very complicated gynecomastia case, in which, most doctors would perform a mastectomy for the removal of the skin, fat and breast tissue. The surgery may  be a successful  but would cause  large scars across lower  chest region.  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.

severe gynecomastia
Severe Gynecomastia
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.

Severe Gynecomastia and Male Breast Enlargement
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.

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.
gynecomastia severe two stage procedure
3 weeks after stage 2 peri-areola lift

gynecomastia severe two stage procedure
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. Visit his cosmetic surgery website for a list of full service procedures.   We have offices in Marin County and San Francisco. Call today 415-898-4161 or email for a in office or virtual consultation.


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