Gynecomastia Reduction – Male Breast Reduction | San Francisco Bay Area

Posted November 11, 2019 in Breast Reduction, Breast Reduction (Men), Home, Liposuction

Between men and women, the breasts are an area with significant aesthetic differences. For both sexes, shape trumps size. However, size is particularly important for the masculine chest. Male breast enlargement is a source of embarrassment and a common reason that men both young and old seek plastic surgery.

Gynecomastia Reduction - before and after pictures

Gynecomastia Reduction Before and After Pictures – The before picture on the left is of an adolescent male who experienced sudden and severe gynecomastia development while still attending high school. He was more comfortable and happy in the after photo on the right.

Gynecomastia Reduction Surgery is a relatively short outpatient surgical procedure. Also known as Male Breast Reduction, it is often performed for men whose breast tissue has grown too large, making them unhappy with the appearance of their chest.

The Ideal Male Chest

Gynecomastia Reduction before and after photos - Male Bodybuilder

Gynecomastia Reduction before and after photos – The above Male Bodybuilder has spent a lot of time developing and contouring his chest. Unfortunately, he had a small amount of gynecomastia causing puffiness behind his nipples, left greater than right. Gynecomastia reduction improved his symmetry and put the icing on this beefcake.

While a man’s chest is generally flatter than a woman’s, it is not flat. A certain amount of projection and curvature is masculine. On the other hand, too much projection is feminizing. This applies to both the chest mound and the nipples. The lateral aspect of the ideal masculine chest ends at the edge of the pectoralis major muscle. Unlike a woman’s breasts, the masculine chest does not have “side-boob”, and male nipples are smaller and flatter.

Gynecomastia Reduction before and after photos - body builder side view

Gynecomastia Reduction before and after photos – This is the same body builder seen above. On the side view, his puffy nipples due to gynecomastia are more easily seen. The after photos shows his improved appearance.

What Is Gynecomastia?

Gynecomastia is overdeveloped breast tissue in men. It can be a source of embarrassment both in and out of clothing. Even in clothing, an overdeveloped male chest can be hard to disguise. The majority of the breast tissue in a man is behind the nipple. Excess fullness in this area causes the areolae (the circles of colored skin around the nipple) to over project, making the nipples stick out. The more prominent the tissue, the harder it may be to participate in normal activities such as going to the beach or swimming. This is often referred to as “puffy nipples”.

What Is Gynecomastia Reduction?

Gynecomastia Reduction is an outpatient surgical procedure which removes disproportionate breast tissue and fat from the male chest. It is the most effective way to remove gynecomastia and masculinize the chest. Male Breast Reduction, whether for body builders and regular Joes, is one of the most satisfying services I provide every week as a Cosmetic Plastic SurgeonWalnut Creek Plastic Surgery practice.

Gynecomastia reduction with liposuction and direct excision - before and after photos

Gynecomastia reduction before and after photos: Even this hairy chest looked feminine in a shirt. A combination of Liposuction and direct excision was used to remove the excess breast tissue and masculinize this patient’s chest.

Gynecomastia Reduction is usually performed with a combination of Liposuction and direct excision of the excess breast tissue. This two-pronged approach allows for the removal of excess fat via small incisions in the armpits and removal of the firm, rubbery breast tissue from beneath the nipples via periareolar incisions. The incisions are usually discreet, but the results are clearly evident and very satisfying.

Gynecomastia Consultations

Gynecomastia Reduction Consultations should be sought from an experienced, Board Certified Plastic Surgeon. In the San Francisco Bay Area, call (925) 943-6353 for your private and personal consultation appointment. More details about the procedure are available here, on the San Francisco Plastic Surgery Blog, but for the best information, there is no substitute for an in-person evaluation.

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Skin Tightening After Massive Weight Loss Video

Posted October 15, 2019 in Arm Lift (Brachioplasty), Breast Augmentation, Breast Augmentation Lift, Breast Lift (Mastopexy), Breast Reduction, Breast Reduction (Men), Breast Reduction (Women), Butt Lifts, Home, Lower Body Lift (Belt Lipectomy), Mommy Makeover, Post-Bariatric Surgery (After Weight Loss), Thigh Lifts (Thighplasty), Tummy Tuck (Abdominoplasty), Videos

Bariatric Surgery has made massive weight loss commonplace. If you have ever watched My 600-lb Life you know what I am talking about. The show also airs in Colombia under a more appropriate title: Kilos Mortales. The title translates to Deadly Kilos, putting the emphasis on the fact that excess weight is deadly.

Massive Weight

Tummy Tuck after weight loss before and after pictures

Tummy Tuck after weight loss before and after pictures – The pounds and inches are gone, but the skin that used to cover them persists. A Tummy Tuck (Abdominoplasty) tightens the abdominal muscles and removes the excess skin and fat that remain after massive weight loss.

Morbid Obesity is no joke. It is associated with multiple health problems including heart disease, high blood pressure, strokes, high cholesterol and diabetes. Moreover, it makes taking care of oneself challenging. An individual is considered morbidly obese if he or she is 100 pounds over their ideal body weight, has a BMI of 40 or more, or 35 or more and experiencing obesity-related health conditions, such as high blood pressure or diabetes.

Achieving Massive Weight Loss

Chest Reduction (Male Breast Reduction) before and after pictures

Chest Reduction (Male Breast Reduction) before and after pictures – the chest can be left with excess skin too. In this case, gynecomastia reduction was combined with a skin reduction procedure to reveal a more masculine chest. The scar is in the inframammary folds under the breasts.

Before Weight Loss Surgery, losing weight depended solely on lifestyle modifications including diet and exercise. While effective, the process is slow and requires daily compliance. Today, weight loss surgery, also known as Bariatric Surgery, is an option that can significantly augment weight loss efforts. The availability of Bariatric Surgery has made massive weight loss attainable for more people.

Individuals meeting the criteria for surgical intervention have an option to help them meet their weight loss goals. Bariatric Surgery helps with weight loss in two ways. The first is mechanical and the second effects absorption. The mechanical aspect of weight loss surgery reduces intake. By making one feel full more quickly, negative feedback is provided for overindulgence. The result is that less food is consumed.

The second mechanism is decreasing the absorption of the food that is eaten. Internal bypasses are created surgically to shorten the gut and route the food past areas where it is better absorbed. By allowing food to pass through incompletely digested, the number of calories absorbed is reduced. Overall, less food is consumed and fewer calories are absorbed after Bariatric Surgery.

The Health Benefits Of Weight Loss

There are many Health Benefits associated with weight loss. Blood pressure can return to normal allowing the dose of antihypertensive medications to be decreased and sometimes even stopped. Elevated glucose levels can also decrease, which may mean stopping supplemental insulin and oral diabetes medications. As high blood pressure and diabetes come under control, the complications and mortality associated with them also decrease.

Where Did All This Skin Come From?

For many, the weight loss journey doesn’t end when the pounds disappear. When we gain weight our skin expands. The tension placed on the skin causes it to grow to cover the additional girth. Unfortunately, when we lose weight, the excess skin is not absorbed and often it does not recoil.

Mommy Makeover before and after photos

Mommy Makeover before and after photos – weight loss, like pregnancy, can lead to deflated breasts and loose bellies. The Mommy Makeover, originally designed to repair the damages of pregnancy, is modified for weight loss to provide enhancement of the breast and abdomen and create a more feminine physique.

The Excess Skin that remains after weight loss can be problematic and bothersome for Bariatric Surgery patients. Often, the residual skin becomes lax and folds upon itself causing pain, rashes and infections. Additionally, excess skin makes it challenging to find comfortable clothing and difficult to perform many activities of daily living.

Massive Tummy Tuck before and after pictures

Massive Tummy Tuck before and after pictures – This tummy tuck has been “super-sized” to address over stretching of the abdominal muscles and generous amounts of excess, redundant skin.

Excess skin of the arms, neck, chest, abdomen, back and thighs is common after massive weight loss and the reason many Bariatric Patients seek Post Bariatric Plastic Surgery to complete their transformation.

Post Bariatric Plastic Surgery

Arm lift before and after pictures

Arm lift before and after pictures – The weight is gone, but the arms still don’t fit in a sleeve. An Arm Lift (Brachioplasty) removes the excess skin and slims the arms allowing them to better fit into a sleeve.

Post Bariatric Plastic Surgery is a specialized branch of Plastic Surgery that deals with the extra skin left after weight loss. It is often referred to as skin removal surgery. Many of the procedures are similar to those used for normal amounts of weight loss or after pregnancy, but often they are modified (super-sized) to treat the enormous skin excesses seen after massive weight loss.

Post Bariatric Plastic Surgery Video

Today’s video is from KRON 4’s Body Beautiful and includes many of the commonly performed Post Bariatric Plastic Surgery Procedures. I perform many including: Tummy Tucks, Body Lifts, Arm Lifts, Breast Reduction, Chest Reduction, Breast Augmentation, Breast Lifts, Thigh Lifts, Buttock Lifts, Neck Lifts and Face Lifts. These procedures are highlighted on my web site’s Post Bariatric Plastic Surgery Page and on each procedure’s specific page.

Post Bariatric Plastic Surgery Consultations

The American Society of Bariatric Plastic Surgeons

Dr. Mele is an active member of the American Society of Bariatric Plastic Surgeons, a professional society of board certified plastic surgeons specializing in skin removal surgery after massive weight loss.

If you have lost a massive amount of weight and are unhappy with excess skin, call (925) 943-6353 today to schedule a personalized consultation appointment. As a member of the American Society of Bariatric Plastic Surgeons, I am and experienced specialist in these types of plastic surgery procedures, and would be happy to guide you through the process.

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Breast Reduction for Men (Gynecomastia Reduction) SF Bay Area

Posted August 19, 2019 in Breast Reduction, Breast Reduction (Men), Home

The medical term for Man Boobs is Gynecomastia. Since most men prefer to have a flat, masculine chest, Gynecomastia is usually problematic and a source of embarrassment. There are several methods of Gynecomastia Reduction, because gynecomastia presents in different ways.

What Is Gynecomastia?

Chest Reduction Before and After Pictures (Men)

Gynecomastia Reduction provides a more masculine contour both in and out of tight shirts.

Gynecomastia is the development of excessive, but normal breast tissue on the male chest. It is benign, firm and almost rubbery to the touch. It can be sensitive or painless, and it is located behind the nipple areolar complex. Development is usually bilateral and often asymmetrical.

Although rare, men account for 1% of all breast cancer patients, so hard, unilateral breast lumps need to be removed and sent to pathology for diagnosis.

How Is Gynecomastia Treated?

Male Breast Reduction Before and After Photos

For this adolescent male, gynecomastia reduction was a life changer. Male breast reduction surgery provided him with the mascline chest he desired.

Since Gynecomastia is benign, it does not have to be treated, but elective treatment is common, and the result is very satisfying. The typical reasons for treatment include discomfort and embarrassment due to obvious breast fullness both in and out of clothing.

Gynecomastia Treatment is surgical. Wearing compression shirts can help disguise male breast fullness in clothing, but they are hot, uncomfortable and minimally effective. There are no medications to shrink breast tissue, although some medications can cause male breast enlargement.

Gynecomastia Reduction Surgical Options

Gynecomastia Reduction for Puffy Nipples Before and After Pictures

Sometimes, gynecomastia reduction is all about the nipples. In this case, his puffy nipples are prominent and very noticeable even in clothing. Gynecomastia surgery allows the skin to tuck up against the muscle, relieving a source of embarrassment that had been present for this patient since puberty.

There are two main surgical options for reducing the male chest: Liposuction and Glandular Excision.

Liposuction is best for soft, global breast enlargement caused primarily by fatty tissue. The advantage of liposuction is small discrete scars that can be placed off the breasts. Excision, however, is required in the majority of Gynecomastia Cases.

Glandular Excision is performed to remove the firm, glandular tissue located beneath the nipples. Incisions are made along the lower aspect of the areolae for direct access to the surgical site.

Gynecomastia Reduction Consultations

Gynecomastia Reduction is one of the most common procedures I perform. If you are concerned with the appearance of your chest and would like to learn more about your options, call (925) 943-6353 today, to schedule a private and informative consultation appointment in my San Francisco Bay Area Plastic Surgery office.

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Male Breast Reduction for Gynecomastia Video | SF Bay Area

Posted June 20, 2019 in Breast Asymmetry, Breast Reduction, Breast Reduction (Men), Home, Liposuction, Nipple Reduction, Tubular Breasts, Videos

Gynecomastia Reduction for male breast enlargement before and after pictures

Gynecomastia Reduction is performed for male breast enlargement. These before and after pictures show a reduction in breast projection on the oblique view.

Gynecomastia is the growth of excess breast tissue in the male chest. The resulting mass causes fullness, embarrassment and often tenderness, for men who develop what is colloquially known as “man boobs.” Gynecomastia Reduction removes the excess breast tissue and restores the masculine physique. This Gynecomastia Reduction Video illustrates and narrates several typical cases.

The Gynecomastia Reduction Before and After Pictures shown above and below are of the same patient. The oblique views (above) show the reduction in projection that Male Breast Reduction can achieve. The front view (below) reveals that more tissue was removed from the larger left side. The Gynecomastia Reduction improved his breast symmetry by equalizing his breast volume, reducing the size of his areolae and elevating the position of the left nipple. Areola Reduction and Nipple Reduction are separate procedures used to reduce the size of the areolae and nipples. In this case, these ancillary procedures were not necessary.

Before and after pictures of Gynecomastia Reduction for male breast enlargement.

Gynecomastia Reduction is performed for male breast enlargement. These before and after pictures show improved symmetry and reduction in breast and areolar size.

Gynecomastia Reduction Video

The following Gynecomastia Reduction Video reviews several typical Male Breast Reduction Surgeries, and narrates the indications, procedure and recovery. This video originally aired on the San Francisco Bay Area’s News Station, KRON 4.

Gynecomastia Reduction for Tubular Breasts

Tubular Breasts can occur in both men and women. For women, the goal of Tubular Breast Surgery is the creation of normally shaped and symmetrical breasts, For men, the goal is the same as with all Gynecomastia Reduction Surgery: the reduction and flattening of the chest.

Gynecomastia Reduction for Tubular Breasts before and after photos.

These before and after photos show how Gynecomastia Reduction can improve the appearance of Tubular Breasts for men.

Gynecomastia Reduction for Bodybuilders

Gynecomastia Reduction is particularly useful for the reduction of breast buds in bodybuilders. As they lean out for competition, the fat flattens; however, the gland does not. This causes increased projection of the nipple-areolar complex. These buds are distracting, and they lead to penalties during competition. Since Gynecomastia can occur with steroid use, removing the mass removes the stigmata.

Gynecomastia Reduction for Body Builders before and after photos

These Gynecomastia Reduction before and after photos show reduction of the glandular tissue under the nipples for a Bodybuilder.

Gynecomastia Reduction for Asymmetry

Most breasts are asymmetrical. For men this is usually subtle, but when Gynecomastia forms, the asymmetry can become quite pronounced. In the case below, the left breast is significantly larger than the right. Even in a dress shirt, the left breast protruded and was a source of embarrassment for my patient. Gynecomastia Reduction was performed on both sides, and more tissue was removed from the left to provide a flattened, masculine chest.

Before and after photos of Gynecomastia Reduction for the asymmetrical male chest.

Sometimes Gynecomastia occurs primarily on one side of the male chest. These before and after photos show the improvement of breast symmetry after Gynecomastia Reduction.

Consultations For Male Breast Reduction

If you are among the one-third of men who have persistent Gynecomastia after puberty, and would like to learn exactly what treatment options are available for you, call (925) 943-6353 today, and schedule a private consultation appointment in my San Francisco Bay Area Plastic Surgery office.

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Mommy Makeovers After Children (Video) | SF Bay Area

Posted April 08, 2019 in Breast Augmentation, Breast Lift (Mastopexy), Breast Reduction, Home, Liposuction, Mini Tummy Tuck (Mini Abdominoplasty), Mommy Makeover, Tummy Tuck (Abdominoplasty), Videos

Mommy Makeovers include breast and belly enhancement in one surgery.

Mommy Makeovers include breast and belly enhancement in one surgery.

No matter what shape you are in before childbirth, the postpartum physique is rarely an improvement. Pregnancy can wreak havoc on a woman’s body. Cosmetic Surgery Repairs after having children are done so frequently, there’s a name for it: Mommy Makeover. Today’s video is all about the Mommy Makeover, and its many variations.

Breast Augmentation and Tummy Tuck Video (Mommy Makeover)

This Mommy Makeover Video is from my Body Beautiful television show broadcasted on the San Francisco Bay Area’s News Station, KRON 4. It reviews the techniques and options available for different types of Mommy Makeovers.

What Is A Mommy Makeover?

The Mommy Makeover has two goals: to enhance the shape of the breasts and to flatten the belly. With pregnancy, the breasts enlarge and then often shrink and collapse. Breast Augmentation and Breast Lifting are used to enlarge and lift the breasts. On the other hand, if the breast remain too large after pregnancy, a Breast Reduction can be substituted to improve breast and body proportions. The differences and options for Breast Augmentation and Breast Lifts are discussed further here: Breast Augmentation or Breast Lift?

For the belly, a Tummy Tuck is the workhorse that dramatically improves the appearance of the abdomen by tightening the abdominal muscles and skin, and by removing excess fat. When abdominal laxity is confined to the area below the belly button, a Mini Tummy Tuck may be the procedure of choice to restore a pre-baby toned belly. Lastly, if the skin and muscle tone are good, but disproportionate fat is bothersome, Liposuction alone may be the answer. The differences between the procedures are discussed here: Liposuction or Tummy Tuck?

Mommy Makeover Consultations

If you are considering a Mommy Makeover, or its component cosmetic procedures, Breast Augmentation or Tummy Tuck, be certain to consult with an experienced, Board Certified Plastic Surgeon. In the San Francisco Bay Area, call (925) 943-6353, and schedule a personal and private consultation appointment today.

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Mommy Makeovers – Breast and Belly Rejuvenation

Posted March 04, 2019 in Breast Asymmetry, Breast Augmentation, Breast Augmentation Lift, Breast Implant Revision Surgery, Breast Lift (Mastopexy), Breast Reduction, Breast Reduction (Women), Home, Liposuction, Mommy Makeover, Tummy Tuck (Abdominoplasty)

Mommy Makeovers may include Breast Augmentation, Breast Lifts or Breast Reduction combined with a Tummy Tuck, Mini Tummy Tuck or just Liposuction, depending on the areas that need improvement and the patient’s wishes.

Mommy Makeovers may include Breast Augmentation, Breast Lifts or Breast Reduction combined with a Tummy Tuck, Mini Tummy Tuck or just Liposuction, depending on the areas that need improvement and the patient’s wishes.

There is no denying that breasts and bellies take a hit with pregnancy. Fortunately, there is a solution. Mommy Makeovers rejuvenate both the breasts and the belly, to help restore your pre-pregnancy body.

Mommy Makeover Options

The term Mommy Makeover comes from the frequently requested combination of cosmetic plastic surgery procedures used to restore a woman’s body after childbirth. The most common combination is Breast Augmentation with a Tummy Tuck, but variations are available when indicated.

Mommy Makeover Breast Options

The motivation for having a Mommy Makeover is the desire to restore the breasts and belly to their pre-pregnancy shape. For breast enhancement, the best procedure depends on how the breasts have changed:

  • Smaller Breast may benefit from Breast Augmentation.
  • Larger Breast may benefit from Breast Reduction.
  • Sagging breast may benefit from a Breast Lift.
  • Changes to the nipples and areolae can also be reversed.

Mommy Makeover Before and After Pictures

This Mommy Makeover included Breast Augmentation and a Tummy Tuck, the most common combination for restoring the body after childbirth.

This Mommy Makeover included Breast Augmentation and a Tummy Tuck, the most common combination for restoring the body after childbirth.

Mommy Makeover Belly Options

Just like with the breasts, there options are available for treating the belly, depending on each patient’s needs. While the most common surgery to restore a pre-baby belly is the Tummy Tuck, sometimes a smaller operation is the better choice. Regardless of the procedure used, the best results are obtained when your weight is optimal.

Common scenarios and treatment options include:

  • Loose abdominal skin and muscle laxity are treated with a Tummy Tuck (Abdominoplasty)
  • Loose skin and muscle laxity confined to the lower abdomen may respond to a Mini Tummy Tuck.
  • If the muscle and skin are tight, but disproportionate fat is present, Liposuction might be the best solution.
  • The abdominal fat, which is removed during the Mommy Makeover, is sometimes repurposed to enhance an atrophied bootie. Fat from the abdomen can often be transplanted to the buttocks as part of a Brazilian Buttocks Lift.

This Mommy Makeover combined a Breast Augmentation Lift with a Tummy Tuck and Liposuction.

This Mommy Makeover combined a Breast Augmentation Lift with a Tummy Tuck and Liposuction.

Mommy makeover Consultations

There are many treatment options for Mommy Makeovers, so it is necessary to have an experienced professional to guide your decision making. The Internet can give you an idea of what is possible; however, there is no substitute for an in-person consultation with an experienced Board Certified Plastic Surgeon.

If you have Mommy Makeover questions, call me at (925) 943-6353, and schedule a private consultation appointment. Your options will be discussed and your questions will be answered in a manner specific to your needs.

Coming Soon to a Station Near You

Stay tuned to the Bay Area’s News Station, KRON 4. Later this month, I will be starting my television show Body Beautiful with a segment dedicated exclusively to the Mommy Makeover, and more before and after pictures will be revealed.

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Massive Gynecomastia Reductions – SF Bay Area

Posted January 14, 2019 in Areolar Reduction, Breast Asymmetry, Breast Lift (Mastopexy), Breast Reconstruction, Breast Reduction, Breast Reduction (Men), Daddy Makeover, Home, Post-Bariatric Surgery (After Weight Loss), Tummy Tuck (Abdominoplasty), Videos

Gynecomastia Reduction is one of the most frequently performed cosmetic plastic surgery procedures for men. Over the last 20 years, the number of Gynecomastia Reductions performed has increased 50% – from twenty-thousand in the year 2000 to thirty-thousand procedures last year. However, the examples I am sharing today are not your typical gynecomastia reductions.

Gynecomastia Reduction after Massive Weight Loss is a different operation than the typical gynecomastia reduction. The large amount of excess skin and extremely low nipple position require special attention to detail and appropriate treatment to achieve a great result. This patient had chest skin reduction (a male breast lift), reduction and repositioning of his nipples along with a tummy tuck to restore his physique after impressive weight loss.

Gynecomastia Reduction after Massive Weight Loss is a different operation than the typical gynecomastia reduction. The large amount of excess skin and extremely low nipple position require special attention to detail and appropriate treatment to achieve a great result. This patient had chest skin reduction (a male breast lift), reduction and repositioning of his nipples along with a tummy tuck to restore his physique after impressive weight loss.

Types of Gynecomastia Reductions

Male Breast Reduction techniques vary depending on the amount of tissue that needs to be removed. Small lumps of firm glandular tissue located beneath the nipple/areola complex (NAC) can be excised directly via a small incision around the edge of the areolae. Large reductions may also require liposuction to remove excess fat (aka pseudogynecomastia). Gynecomastia reduction associated with loose skin, or sagging nipples, is more challenging and is the topic of today’s Massive Gynecomastia Reduction Video. This situation is most commonly seen after large weight loss from either Bariatric Surgery or a change in lifestyle resulting in massive weight loss.

Massive Gynecomastia Reduction Video

The following Plastic Surgery Video Presentation shows several methods of Extreme Gynecomastia Reduction. These are common Post-Bariatric Plastic Surgery techniques, but are not the most common methods used for routine Male Breast Reduction. This segment is taken from my TV show Body Beautiful which airs on the San Francisco Bay Area’s News Station, KRON 4.

Post-Bariatric Male Chest Reduction with Tummy Tuck

The goal of Bariatric Surgery is weight loss and the health improvements that come along with it. The improvement, and sometimes the resolution, of diabetes and high blood pressure are frequently seen after weight loss.

On the other hand, massive weight loss also usually leaves behind a large amount of excess skin, and this continues to makes it difficult for patients to feel comfortable. Even with the loss of mass, redundant skin makes finding clothes that are flattering and which fit well difficult.

A massive amount of excess skin is apparent on the trunk of the patient below. His chest is deflated and overhangs laterally, and even in clothes, it looks like he has breasts. His abdominal skin excess is uncomfortable and a nuisance, especially at the belt-line.

Body Lift after massive weight loss including: chest reduction (massive gynecomastia reduction), areolar reduction, breast lift and abdominoplasty (tummy tuck). The early scars are more noticeable in the first several weeks to months after surgery, but will continue to improve and fade during the year or two after surgery.

Body Lift after massive weight loss including: chest reduction (massive gynecomastia reduction), areolar reduction, breast lift and abdominoplasty (tummy tuck). The early scars are more noticeable in the first several weeks to months after surgery, but will continue to improve and fade during the year or two after surgery.

A combination of Gynecomastia Reduction with skin excision and a Tummy Tuck was used to redefine his trunk. The scars beneath his chest are still healing and will fade with time. There is another scar running below the belt-line which allowed for the tightening of his abdominal muscles and removal of his skin laxity. When loose skin extends all the way around the waist, a Lower Body Lift is often the procedure of choice.

Gynecomastia Reduction Revision Surgery

Gynecomastia Reduction Revision Surgery is perhaps the most challenging of all Gynecomastia surgery. In the case below, the patient complained of still having breast fullness after a previous Male Breast Reduction. He had bottoming out of his chest skin resulting in the appearance of breasts in clothing. Paradoxically, he also has severe indentation of his nipples from the previous resection. This can happen when a large amount of breast tissue is removed.

The patient shown below was treated with skin excision and restoration of volume beneath his nipples to smooth his contour both in and out of clothing. Like the patient above, he has scars located beneath the breasts, but these have faded over time.

This patient had gynecomastia surgery prior to presenting to my office. Revision gynecomastia surgery was performed including restoration of volume beneath the nipples (left > right) and resection of the excess skin that remained along the lower chest. His scars have had time to heal and are less noticeable; however, individual results will vary.

This patient had gynecomastia surgery prior to presenting to my office. Revision gynecomastia surgery was performed including restoration of volume beneath the nipples (left > right) and resection of the excess skin that remained along the lower chest. His scars have had time to heal and are less noticeable; however, individual results will vary.

Gynecomastia surgery can be rewarding and build self confidence. Prior to surgery, his sunburn was confined to the open collar area of his chest. After surgery, he was confident in his appearance and went shirtless. The unfortunate result was a burn to his entire chest. He got the sunscreen lecture, but I was also happy that he finally felt comfortable in his own skin.

You have heard it before and will hear it here again on the San Francisco Plastic Surgery Blog. Use of appropriate sun protection is recommended to help prevent skin cancer and premature aging of the skin. In the postoperative period, sun protection is especially important to help prevent the scars from tanning, turning dark and becoming more noticeable.

Breast Reduction for Men Consultations

As mentioned previously, the type of Male Breast Reduction shown above is usually only necessary after massive weight loss. There are exceptions, however, and I have had to perform this surgical variation for men after hormone therapy for prostate cancer and also for a gentleman whose breast enlarged massively with CoolSculpting®. Though rare, Paradoxical Adipose Hyperplasia (PAH) after CoolSculpting® is definitely not cool.

If you count yourself among the 33% of men who continue to have Gynecomastia after puberty, and you would like to learn exactly what treatment options are available for you, call (925) 943-6353 today, to schedule a private consultation appointment. You can also submit your questions via the contact form on this page.

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Breast Reduction Video – Reduction Mammoplasty SF Bay Area

Posted December 31, 2018 in Breast Reduction, Breast Reduction (Women), Home, Videos

The above Breast Reduction Before and After Side View Photos show improvement in breast shape, size and nipple position after Reduction Mammoplasty Surgery.

The above Breast Reduction Before and After Side View Photos show improvement in breast shape, size and nipple position after Reduction Mammoplasty Surgery.

Today, I am posting the latest episode of KRON 4’s Body Beautiful. This video segment continues where the last post left off, discussing Breast Reduction for Women. This new Breast Reduction Video Presentation contains:

  • Information about Reduction Mammoplasty
  • Reduction Mammoplasty Before and After Pictures
  • Descriptions of how Breast Reduction is performed
  • Several options for Breast Reduction
  • Recovery information and tips for after Reduction Mammoplasty
  • Narration of specific examples of Breast Reduction

Breast Reduction Video Presentation

You Are Not Alone

The above Breast Reduction Video is intended to provide general information about the procedure. However, there is no substitute for an in-person consultation with and experienced Board Certified Plastic Surgeon. Years of learning, practice and experience have shaped how I perform Breast Reduction. Many thousands of women have breast reduction surgery annually, but each case is different. Your plastic surgeon is here to guide you through each option and help you achieve the best possible results.

The Best Breast Reduction for You

There are several methods of Breast Reduction which may or may not apply to your specific needs. I tailor my approach to each individual patient, by choosing the option that will achieve the best result in the safest and most predictable manner.

These Breast Reduction before and after pictures demonstrate the amount of reduction and enormous lift possible with the inverted T-technique. You will notice that the breast hangs well below the level of the mole visible anterior to the crook of her elbow in the before photo, while in the after photo, the base of the breast is well above it.

These Breast Reduction before and after pictures demonstrate the amount of reduction and enormous lift possible with the inverted T-technique. You will notice that the breast hangs well below the level of the mole visible anterior to the crook of her elbow in the before photo, while in the after photo, the base of the breast is well above it.

Breast Reduction Consultation Appointments

For your Breast Reduction, you will want an experienced and well qualified Board Certified Plastic Surgeon. Members of the ASAPS (the American Society for Aesthetic Plastic Surgery) are particularly well suited for breast reduction surgery, as they are Board Certified Plastic Surgeons who specialize in Cosmetic Plastic Surgery, including all aspects of Breast Enhancement.

If you are in the greater San Francisco Bay Area and would like to schedule a personalized consultation appointment, call (925) 943-6363 today. Learn what is possible in a safe and private plastic surgery office that specializes in Cosmetic Plastic Surgery.

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Breast Reduction Mammoplasty – SF Bay Area Plastic Surgery

Posted December 17, 2018 in Breast Reduction, Breast Reduction (Women), Home, Post-Bariatric Surgery (After Weight Loss)

Breast Reduction can significantly reduce neck, back and shoulder pain.

Breast Reduction Before and After Photos: Breast Reduction can significantly reduce neck, back and shoulder pain.

Breast Reduction Surgery

Breast Reduction is one of the most rewarding plastic surgery procedures I perform. While the Reduction Mammoplasty is a procedure that often provides aesthetic improvement, it is more commonly performed to reduce the symptoms associated with large breasts.

Reasons For Breast Reduction Surgery

Each patient is different, so Breast Reduction is customized to your specific needs. The most common reasons for Reduction Mammoplasty are:

  • Breast pain
  • Neck pain
  • Back pain
  • Shoulder pain
  • Bra strap shoulder rutting
  • Recurrent rashes under the breasts
  • Inability to perform routine activities of daily living
  • Limitations on physical activity

Often, documentation of these types of symptoms is required for insurance coverage.

<strong>Reduction Mammoplasty Before and After Pictures:</strong> Breast Reduction not only helps reduce the symptoms associated with large breasts but can also increase ones fashion options.

Reduction Mammoplasty Before and After Pictures: Breast Reduction not only helps reduce the symptoms associated with large breasts but can also improve how your clothes fit. The amount of elevation is easy to measure, just look at the position of the breast with respect to elbows in the above pictures.

Will Insurance Cover My Breast Reduction?

Your insurance may cover Breast Reduction. To find out, contact your insurance company directly. You may be required to see your primary doctor for authorization, be required to lose weight, undergo weeks to months of physical therapy, see only a plastic surgeon chosen by your insurance, wait a year and other hurdles. Letters from your primary doctor, physical therapist and chiropractor can help in obtaining prior authorization. Sadly, despite the tremendous amount of relief that comes from the procedure, many insurance companies have begun excluding coverage for Reduction Mammoplasty altogether.

Breast Reduction combines reduction of the breast volume with a breast lift to reduce the torque on the back an  the neck.

Breast Reduction Before and After Photos: Breast Reduction combines reduction of the breast volume with a breast lift to reduce the torque on the back and the neck.

Breast Reduction Consultations

Breast Reduction is one of the most rewarding of all cosmetic plastic surgery procedures because it relieves suffering. You can improve your chances of a good result by seeking an experienced and Board Certified Plastic Surgeon.

To schedule a personal, private, in-person consultation call (925) 943-6353, today. The goals, procedure and expected recovery, specific to your needs, will be reviewed in detail.

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Male Breast Reduction | Gynecomastia Reduction | SF Bay Area

Posted April 14, 2018 in Breast Reduction, Breast Reduction (Men), Daddy Makeover, Home, Liposuction, Videos

Male Breast Reduction is one of the most requested cosmetic plastic surgery procedures year after year.

Male Breast Reduction is one of the most requested cosmetic plastic surgery procedures, year after year.

Male Breast Reduction Video (Gynecomastia Reduction)

Gynecomastia is the medical term for Male Breast Enlargement. The enlargement can be isolated to the nipple areolar complex (puffy nipples), or may involve the entire chest. This Gynecomastia Reduction Video reviews the most common treatments and illustrates the results of Male Breast Reduction with multiple, narrated male breast reduction before and after pictures.

How Is Gynecomastia Reduction Performed?

Gynecomastia Reduction is often a combination of procedures. The most common combination is Liposuction plus direct excision of any firm glandular tissue which remains attached to the back of the nipple.

In situations where the skin is loose or the gland is saggy, skin reduction may also be necessary. The key it to pick the procedure, or combination, that gets the job done.

With good skin tone, even large breast reductions can be performed through small, minimally invasive incisions.

With good skin tone, even large breast reductions can be performed through small, minimally invasive incisions.

Which Male Reduction Procedure is the Right One for You?

For more information about Male Breast Reduction, visit the links in this post. For specific information, there is no substitute for an in-person consultation. Call (925) 943-6353 today, and schedule a private and informative consultation appointment. A proper evaluation and plan are the keys to excellent results.

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