Gynecomastia repair refers to the correction of undesirable contour changes that result in the male breast appearing more feminine. These feminine changes include rounding out of the breast mound contour secondary to increased growth of mammary glands (typically a small disc-like mass under the nipple and areola) and excess fat build-up throughout the breast mound. These changes can be observed in gynecomastia before and after results below.
Men that display gynecomastia will complain of being self-conscious about going to the pool or about taking off their shirts. Gynecomastia repair entails removal of both the glandular tissue from underneath the nipple and areola as well as the fat throughout the breast periphery. Typically, the glandular tissue requires direct excision using a small incision that is hidden under the areola. If the glandular tissue is small it may be amenable to liposuction.
Finally, the fat from the breast periphery is removed using liposuction alone. What makes gynecomastia repair technically challenging is gauging the degree of glandular excision such that this areas has a smooth transition to the rest of the breast mound that has only been liposuctioned. When not done appropriately, a crater deformity can result. Only with surgical experience and an artistic eye, can superior gynecomastia results can be consistently achieved as shown in gynecomastia before and after results below.
A consultation with Dr. Mowlavi will help you appreciate the nuances involved with achieving aesthetically superior masculine chest appearance that is natural and non-operated looking.