Beverly Hills Breast Augmentation Specialist Dr. Stuart Linder » Gynecomastia

Trends In Gynecomastia Beverly Hills

admin — Tue, 28 Jun 2011 17:28:24 +0000

We see patients weekly in my Beverly Hills practice who present with gynecomastia. Many of these patients in fact are in excellent shape; however, they have significant gynecomastic tissue in the retroareolar region which is very thick glandular tissue which cannot be removed through diet or exercise. Etiologies of gynecomastia can include the use of steroids at a young age as well as possible use of marijuana. It can also be genetic and associated with increased estrogen or estradiol levels in the body. This increased incidence of men presenting for gynecomastia surgery has been significant over the last decade. Below I indicate a preoperative photograph of a typical male chest with significant gynecomastia, although the pectoralis muscle is well-defined.

Notice, there is herniation of glandular tissue into the nipple areolar complex, and a significant amount of retroareolar glandular tissue and fatty tissue along the chest well.

The next photograph shows the actual glandular tissue that is being removed through a partial subcutaneous mastectomy through the periareolar approach.

The next photo will show the actual tissue that has now been removed and will be sent for pathological diagnosis.

Finally, the before and after show the transition, having removed the gynecomastic tissue and the incision has well-healed. Also note that the nipple in the areolar has retracted and has become smaller in size due to less pressure from the herniated tissue beneath the areolar.

GYNECOMASTIA

Stuart A. Linder M.D. — Tue, 22 Sep 2009 18:41:19 +0000

Gynecomastia is a procedure that Dr. Linder enjoys the challenge of performing. Male gynecomastia is associated with increased defeminized tissue usually found retro to the areolar complex as well as fatty tissue that may be increased in volume from the infraclavicular, parasternal, inframammary fold to the anterior axillary line in men.

It can be associated with the use of steroids, marijuana and other medications.

Gynecomastic surgery can be performed in several variances. The mild forms of gynecomastia may only require tumescent liposuction technique, liposuctioning the chest area.

In moderate cases, which we normally see, Dr. Linder performs both a periareolar incision with a retro-periareolar excision of a wafer of glandular tissue removed from behind the nipple areolar complex as well as liposuctioning of the chest area from the anterior axillary line along the lateral pectoralis major muscles from the infraclavicular and along the sternal region.

This combination of liposuction and direct excision of partial subcutaneous mastectomy have led to excellent results for gynecomastic surgery.

Very severe forms of gynecomastia with severe skin laxity may require a form of mastopexy which actually requires scars as similarly seen on women that have breast lift procedures. (Please see the above example of gynecomastic surgery where tissue has been removed from behind the nipple areolar complex both through direct excision as well as liposuctioning of the chest.)