Gynecomastia (male breasts) that persists into adulthood can cause significant body dysmorphia. The goal of every gynecomastia surgery is to restore a natural masculine chest. This means comfort and confidence to be shirtless, be at the pool or beach, play sports, feel secure with friends, or in an intimate setting.
Gynecomastia (grade 4) will always require removal of glandular and fatty tissue and skin. Usually, the nipple will need to be relocated. The challenge is where to hide the scars.
First the periglandular area is treated with ultrasound-assisted liposuction. Next, the excess skin is de-epithelialized. The surface layer of the skin is removed so the skin can be tucked under the adjacent skin. The nipple is moved cephalad while preserving its sensation and blood supply. Through the lower portion of the scar (4-8 o’clock position), the glandular tissue is removed. The donut sized opening (nipple is the center) is closed with a purse-string permanent stitch. The limitation is that only a certain amount of excess skin can be removed.
Renuvion is a scarless skin tightening technique that combines radio-frequency heat energy with helium plasma. By tightening the collagen under the skin, the skin can tighten across the chest. For some patients, Renuvion alone would not have been sufficient to address the skin excess. However, surgical options alone would leave a transverse scar across his chest. By combining the Renuvion skin tightening with the circumareolar technique, Dr. Ditesheim can restore a normal chest with hidden scars. There are no transverse chest scars.
The goal of any gynecomastia surgery is always to restore a natural male chest and hide the scars. Dr. Ditesheim uses innovative, safe technologies, like Renuvion to design the best operation for each patient. Schedule a consultation by calling our office or contacting us online to learn more.