Disproportionate development of male breast tissue is called Gynecomastia. It’s also called man boobs, or moobs for short, and Gynecomastia Reduction is a cosmetic plastic surgery procedure which I perform every week.
Gynecomastia Reduction Surgery
The above Gynecomastia reduction surgery before and after photos show what is possible with a combination of liposuction and direct excision for a enlarged male breasts.
Asymmetry is more the rule than the exception for Gynecomastia. For the Gynecomastia Reduction patient shown above, the right breast was significantly larger than the left, both areolae where dilated and the breasts appear feminized. In fact, the feminine appearance of the breasts is what gives rise to the term Gynecomastia (feminine breasts).
Gynecomastia Correction was accomplished with a combination of liposuction to debulk the disproportionate fat and direct excision of the glandular tissue located under the nipple. The end result is a masculine chest that conforms to the pectoralis major muscles, a reduction in the size of the areolae and significant improvement in his asymmetry, all with minimal scarring. A short incision is hidden in each axilla (armpit) and around the lower border of the areolae (from 4 to 8 o’clock).
Gynecomastia Reduction Video (Male Breast Reduction)
The start screen for the above Male Breast Reduction Video shows a man with Puffy Nipples. The enlarged and protuberant areolae are due to overdevelopment of the glandular breast tissue located directly behind the nipple. A focused surgical approach was used in this cases to remove the excess tissue and allow the nipple-areolar complex (NAC) to conform with the chest and look masculine.
The above Gynecomastia Reduction Video is from the San Francisco Bay Area’s News Station, KRON 4‘s, Body Beautiful. This segment discussed Gynecomastia Treatment and shows numerous examples of Gynecomastia Before and After Pictures to illustrate what the procedure can do for the properly selected patient, in the hands of an experienced, Board Certified Plastic Surgeon.
When Gynecomastia is distributed throughout the chest, more must be done. In this case Liposuction was used to remove the bulk of the disproportionate chest tissue. When a glandular component is present beneath the nipple, it is unlikely that liposuction alone will remove it, and this tissue is removed directly.
For more globally distributed Gynecomastia, Liposuction is used. Liposuction has the advantage of a long reach through a small incision. Often the 1/4 – 3/8 inch incision is hidden up in the axilla (armpit). For Pseudogynecomastia, breast enlargement due to fat and not glandular development, Liposuction alone is often enough to contour the chest. When a glandular component is also present, direct excision is also used to avoid creating a puffy nipple.
Gynecomastia Reduction Consultations
Every Gynecomastia Reduction Surgeon should be versed in multiple techniques of Gynecomastia Reduction. Depending on your situation, liposuction, direct excision of the gland, skin reduction or a combination of these may be recommended.
To find out what your options are, call (925) 943-6353 today and schedule a private, personalized consultation in our Walnut Creek Plastic Surgery office. If Gynecomastia is bothering you, learn what treatments are available from an experienced, Board Certified Plastic Surgeon.
Dr. Mele discusses Cosmetic Plastic Surgery on Body Beautiful – September 12, 2017, at Noon.
Hey San Francisco Bay Area. Body Beautiful will be broadcast this Tuesday, September 12, at noon. You may not have noticed, but KRON 4 was acquired by Nexstar. The good news is that they have decided to continue Body Beautiful, so I’ve got new Plastic Surgery News to share with you.
Body Beautiful on KRON 4
KRON 4’s Body Beautiful with Vicki Liviakis and yours truly on the San Francisco Bay Area’s News Station.
I have been doing Body Beautiful live for the last 10 years. The original show was with host Vicki Liviakis, and we would take viewer calls live, on the air. It certainly added excitement. Since we were on the air live, even the “unusual” questions had to be answered.
The latest version of Body Beautiful with host Janelle Marie.
Now Janelle Marie is the host, but the format remains the same. This week’s show was taped last week. Maybe KRON’s new management was a little nervous about an amateur, me, on the air live. But don’t worry, you can still submit questions for the show via email or the contact form here in the margin.
This Week’s Body Beautiful Discussion
This week’s show is dedicated to four Cosmetic Plastic Surgery Procedures:
The links above will take to more detailed information about these procedures.
Body Beautiful Airs Tuesday At Noon
Body Beautiful will be broadcast this Tuesday, September 12, at noon. Be sure to tune in or set your DVR. I you miss it, don’t worry. I will be posting the segments from the show here, and the San Francisco Plastic Surgery Blog and on my YouTube channel.
SanFranciscoBreast.com has been completely updated. This update includes new content, and it is artfully illustrated with new breast enhancement videos and more before and after pictures. In addition, the fresh content is wrapped in a new skin, improving navigation for the small screen and the desktop alike.
New Breast Augmentation Information
The site includes new pages featuring the most requested Breast Enhancement Procedures. For example, the Breast Augmentation Information has been exploded into a dozen detailed pages including:
The Breast Lift section includes details about five main options for Mastopexy. There are also pages dedicated to the combination of Breast Lift using Breast Implants and Areola Reduction.
Breast Reduction for Women and Men
Options for Breast Reduction for Women are also reviewed, as several techniques have evolved during the 20+ years I have been in practice. Breast Reduction for Men, also known as Gynecomastia Reduction, is covered with attention paid to the causes and the most current treatments available.
Specialty Breast Procedures
A section on the often overlooked details of Breast Enhancement is also included. San Francisco Breast’s Specialty Breast Pages include:
Inverted Nipple Correction
Other Congenital Breast Abnormalities
A Plastic Surgery Web Site Dedicated to Breast Enhancement
I have tried to create an all inclusive Breast Enhancement site designed to provide detailed information about the many Plastic Surgery options available for Breast Enhancement, whether that be Breast Enlargement, Breast Reduction or Breast Reshaping.
While the San Francisco Breast web site in meant to provide information, it is just a starting point. The Internet cannot take the place of a thoughtful, in-person consultation with a qualified Board Certified Plastic Surgeon. If you would like to schedule a private, personalized consultation appointment call (925) 943-6353 today. My San Francisco Bay Area Plastic Surgery clinic specializes in helping you obtain the best possible results.
About two-thirds of men develop breast buds during puberty, and for half of them, it does not go away. Gynecomastia, male breast development, causes fullness, feminization and often embarrassment. The only cure is Gynecomastia Reduction Surgery. Dr. Joseph Mele is a Board Certified Plastic Surgeon in the San Francisco Bay Area who specializes in Male Breast Reduction or Gynecomastia Reduction. This Gynecomastia Video segment aired live on the Bay Area’s News Station, KRON 4, and discusses the procedure and reviews examples of Gynecomastia before and after pictures.
Gynecomastia may involve just the area beneath the nipple and areolae or the entire chest. In the male breast reduction before and after pictures above, the fullness beneath the nipples was removed through a small incision placed along the lower margin of the areolae.
Male Breast Reduction As Seen On TV
Recently, I had the opportunity to discuss Male Breast Reduction on Body Beautiful. Body Beautiful is a live show on the San Francisco Bay Area’s News Station, KRON 4. The segment is included below, and contains multiple Gynecomastia Reduction Before and After Photos, along with narration about the procedure, alternatives and recovery.
Gynecomastia Reduction Video (Male Breast Reduction)
Gynecomastia Reduction Consultations
Gynecomastia Reduction removes excess breast tissue from the male chest. Excess tissue can be removed with Liposuction or direct excision, depending on the amount, location and nature of the breast tissue.
There are several alternative operations for Gynecomastia Reduction. Common methods include liposuction, direct excision of the gland, skin reduction or a combination of each. The best method is often determined by the size, location and nature of the breast tissue.
To find out what your options are, call (925) 943-6353 and schedule a private, personalized consultation in our Walnut Creek Plastic Surgery office. If Gynecomastia is bothering you, learn what treatments are available from an experienced, Board Certified Plastic Surgeon.
Dr. Mele and Body Beautiful host Janelle Marie in the KRON 4 Bay Area News studio.
Board Certified San Francisco Bay Area Plastic Surgeon, Dr. Joseph Mele, MD, FACS, will be discussing cosmetic plastic surgery, live at noon today (8 March 2017) on KRON 4. Topics include:
Breast Augmentation (breast implants)
Gynecomastia Reduction (male breast reduction)
Arm Lifts (brachioplasty)
Chin Augmentation (chin implants)
But you never know what will come up on live television.
Tune in or DVR us at Noon Today
If you have the chance, tune in today at noon and get the latest plastic surgery news, live, on your television. If you are reading this too late to tune in, don’t worry. Segments of the show will be posted to the San Francisco Plastic Surgery Blog and to my web shortly after airing.
You can check out past episodes here by selecting “Videos” in the “Search By Category” drop-down menu in the margin, or on DrMele.com.
Man Boobs can affect men at every stage of life. All men are all born with them, due to the effects or maternal estrogen on the male breasts. This usually resolves in a few months, but can persist. The most common timing of Gynecomastia is during adolescence. With puberty comes hormone surges that can lead to Male Breast Development. The problem impacts about two-thirds of young men. For half these men, the swelling resolves over a year or two. For about one third of men, the breast tissue persists, and can become tender, annoying and embarrassing. Some men will not develop Moobs (Man Boobs) until later in life, and often as a side-effect of medications.
There are several ways to treat Gynecomastia, because it can present in different forms. The Gynecomastia Reduction Video below provides several examples of Gynecomastia Before and After Pictures and a narrative for perspective. This KRON 4 television segment is from Body Beautiful and supplements the information that can be found here on the San Francisco Plastic Surgery Blog and my other web sites. While I hope you find the information useful, it cannot substitute for an in-person consultation with a qualified and experienced Board Certified Plastic Surgeon.
Gynecomastia Reduction Video (Male Breast Reduction)
Male Breast Reduction Consultations
Gynecomastia affects most men at some point in their lifetime. For young teens, it is good to get checked, but waiting is usually recommended unless the problem is extreme or persists. If you have persistent male breast enlargement, and would like to schedule a private appointment, call (925) 943-6353 today, for a personalized consultation in our San Francisco Bay Area Plastic Surgery Clinic.
Attention Plastic Surgery Television viewers. Body Beautiful will be broadcast live on KRON4 this Wednesday, September 7, 2016, At Noon – Live. So tune-in to get the latest Plastic Surgery News, and see if I get it right on the first take.
Plastic Surgery Topics Will Include…
This week’s show will be thirty minutes packed with what’s new in Cosmetic Plastic Surgery. Topics will some of the most popular procedures here in the San Francisco Bay Area including:
Breast Augmentation Revision for…
Breast Implant Deflation
Breast Implant Exposure (Skin Erosion)
Breast Implant Malposition
Breast Implants too small
Gynecomastia Reduction (Male Breast Reduction)
Otoplasty (Ear Pinning for Prominent Ears)
Asian Blepharoplasty (Asian Eyelid Surgery)
There will be plenty of discussion and Before and After Pictures for illustration. Below is a sneak peek.
Breast Augmentation Revision
The patient below had a rare, but serious Breast Augmentation Complication, requiring staged Breast Augmentation Revision Surgery. Her breast implant nearly eroded through the skin on the bottom of her left breast. Oversized Breast Implants in small breasts with poor soft-tissue coverage are at greater risk. This is more commonly seen after Breast Reconstruction when the breast has been radiated to treat breast cancer. It is unlikely to occur in a young, otherwise healthy woman, but it did.
Breast Implant Revision: Sometimes breast implant revision is urgent. The square shape sticking out of the bottom of this patient’s left breast is her breast implant, and it’s about to fall out.
Breast Augmentation Revision Stage I – The Salvage Operation
The top row of photos are the before and after photos from the first stage of her Breast Implant Revision Surgery. The upper left photo shows that the patient’s left Breast Implant is eroding through the skin of the lower breast. It’s about to fall out, and the current breast implant needs to be removed, urgently. If the Breast Implant becomes exposed, infection quickly follows. After careful discussion, it was decided to proceed with Breast Implant Removal on both sides.
Breast Augmentation Revision – Stage I was urgent removal of the left breast implant, which had nearly eroded its way through the lower pole of the breast. It was elected to remove both implants during stage I, because replacing the original saline breast implants with smaller silicone gel filled breast implants was part of the plan to decrease the risk of recurrence.
Having one implant in and one implant out was an option, but would have left her with an almost undisguisable amount of asymmetry. Moreover, the plan was to use smaller replacement implants, to decrease the risk of another breast implant erosion. Leaving both implants out forever would also treat this problem, and completely eliminate any chance of it happening again.
Breast Augmentation Revision Stage II – Asymmetric Breast Augmentation
While the nearly Exposed Breast Implant problem was solved, there were two new problems: 1) obvious breast asymmetry and 2) breasts which are too small for my patient’s preferences. The Breast Asymmetry is two fold. The left breast is smaller than the right, and the left breast is higher and tighter on the chest wall.
Breast Augmentation Revision Surgery – Stage II. The second stage entailed lowering the left implant pocket, expanding the lower, contracted pole of the left breast and asymmetrically augmenting the breasts to decrease the size difference.
Breast Implant Revision Surgery was performed to asymmetrically increase the size of the breasts, and to lower the left breast to match the right. The initial results are shown above, just one week after surgery. An alternative approach would be to raise the right side with a Breast Lift; however, this would require additional, external scars on the right breast.
Breast Augmentation Revision Surgery – Stage II and a patient patient. As time marched on, the results improved. No additional surgery was performed after stage II. While initially the skin stretched well, the muscle was tight. Over several months the muscle relaxed and the symmetry improved, as expected.
The Breast Revision Before and After Photos above show the results after new, smaller Silicone Breast Implants were placed, and the breasts were allowed to heal. The left picture is one week after surgery. In this photo, the left breast mound is firmer, higher and more projecting, as would be expected when more stuffing is placed in a smaller pillow case.
As the breasts heal, the left breast skin and muscle relax, the left breast implant descends and her results improve. The right, after photo shows the results after a few months. A larger breast implant was used on the left, to correct the asymmetry, and while initially it may seem like her Breast Implant Problems are not completely corrected, over time, it settles down. It is a good deal better than the potentially life-threatening complication she presented with originally, as shown below.
Breast Implant Revision Before and After Photos – the left picture is how the patient initially presented. The second picture is a few months after completion of both stages (breast implant removal and breast implant replacement with pocket modifications).
Breast Augmentation Revision Consultations
Breast Augmentation Revision is considerably more complicated than primary Breast Augmentation. If you have problems with your Breast Implants, seek an experienced and Board Certified Plastic Surgeon for your revision surgery. If you are in the San Francisco Bay Area and would like to schedule a personalized consultation appointment call (925) 943-6353, today.
PS – Don’t forget to watch Body Beautiful live at noon, this Wednesday, September 7, 2016, on KRON4, the Bay Area’s New Station.
Gynecomastia is normal breast tissue and fat in the male chest, that is often disproportionate. When large enough, it causes a feminization of the chest, and in the case above, puffy nipples. Direct excision of the excess breast tissue creates a more masculine appearance, and less embarrassment at the beach.
More men are having Cosmetic Plastic Surgery. Since starting my practice in 1997, the number of cosmetic procedures performed among men has increased over 325%, according to the American Society for Aesthetic Plastic Surgery (ASAPS). Liposuction remains the number one requested procedure; however Male Breast Reduction, or Gynecomastia Reduction, has the fastest growth rate.
How Common Is Male Breast Reduction Surgery?
In 1997, according to the American Society of Plastic Surgeons (ASPS), around 20,000 men underwent Gynecomastia Reduction. Last year, over 30,000 men did the same, representing a 5 to 7% increase from the previous year’s data. The word is out. You don’t have to live with man boobs anymore.
What Is Gynecomastia?
Gynecomastia is the medical term for enlargement of the male breast. Enlargement can as small as a lump under the areola, to large enough to look like a well endowed female breast, and everything in between.
When Does Gynecomastia Arise And Will it Go Away?
Gynecomastia Reduction: In this case, direct excision of the glandular tissue from under the areola not only smooths the chest’s contour, but also reduces the apparent size of the areolae — the pigmented skin that surrounds the nipple. The darker color is simply a result of the same amount of pigment distributed over the new, significantly smaller, area.
Gynecomastia normally becomes a problem at puberty. It is estimated that two-thirds of men suffer from some degree of breast enlargement during adolescence, and that for half of them, it persists into adulthood. If you are a young man with a new lump in your breasts, it is a good idea to have it checked by your family doctor to be certain the tissue and your hormones are normal. The best early treatment for true Gynecomastia is usually observation, as half the cases with resolve on there own within two years of developing.
What Is Gynecomastia Made Of?
Just like in the female breast, there are two tissue types found in the enlarged male breast: glandular tissue (breast) and adipose (fat). The amount and location of these tissues determines how best to treat the gynecomastia. Glandular tissue is firm, tough and sometimes painful. Adipose is soft, weak and non-tender. Glandular tissue is most often found under the nipple and areola, with a tail extending to the side, while fatty tissue is more peripheral. Both are more likely to be found in the lower pole of the male chest. Too much of either can stretch the skin to the point that extra skin may also need to be removed.
How Is Gynecomastia Treated?
Gynecomastia Reduction: Sometimes the amount of breast tissue on the chest is enough to completely feminize the chest. Liposuction, combined with direct excision of the glandular components, restored the flat chest that this young man is expected to have. Again, the reduction in areolae is due to the skin’s elastic contraction after the breasts are unstuffed.
So how do I treat Gynecomastia? The answer depends on several factors and the best way to find out what can be done in your specific case is to schedule a personal consultation appointment with an experienced, Board Certified Plastic Surgeon in your area.
For adolescents, usually the best treatment is to wait a few years and see if it goes away. On the other hand, all new lumps should be checked by your primary medical doctor to be safe. If the area has persisted for several years, and is not resolving, Gynecomastia Reduction may be the best next step.
For adults, first you must be healthy. Male Breast Reduction is an elective procedure and needs to be held to a higher standard. If treatment is safe, there are the components to breast reduction that need to be evaluated and treated: the amount of gland, the amount of fat and the amount of skin.
Glandular tissue, true breast tissue, responds best to direct surgical excision. It is tough, so the cannulas used for Liposuction often just bounce off it. Fatty tissue, on the other hand, is soft and responds well to Liposuction. Both methods reduce the amount of “stuffing” in the chest, and allow the skin to shrink.
Gynecomastia Reduction: Sometimes the skin enveloping the breasts is redundant. This man has breast enlargement and sagging from his gynecomastia and loose skin. In this case, the breast tissue and the excess skin were removed through an incision that runs along the bottom of each breast. Without this, the skin would sag further over the inframammary fold from the loss of support caused by removing the chest’s stuffing, just like deflating a balloon causes the balloon to fall over.
In most cases, the skin and the areola will shrink proportionately, to reveal the contours of the pectorals major muscles. In cases of extreme gynecomastia, or after large weight loss, the skin may be loose, and direct excision of the excess skin may be necessary. This needs to be determined at an in-person consultation.
Gynecomastia Reduction Consultations
If you are suffering with embarrassing, or painful, male breasts, treatment is available. Call my San Francisco Bay Area office in Walnut Creek, CA at (925) 943-6353 today, and schedule your private, informative consultation appointment. More information is available on line through the links embedded in this article and on my San Francisco Breast web site’s Gynecomastia Page.
When I started my San Francisco Bay Area Plastic Surgery practice in 1997, cosmetic procedures were performed one eighth as often as they are today.
In 1997, over 1.6 million cosmetic plastic surgery procedures were performed, and most of them were surgical. The breakdown was 55% (900,933) surgical and 45% (740,751) non-surgical.
In 2015, almost 13 million cosmetic plastic surgery procedures were performed. The number of surgical procedure performed more than doubled, from 900,933 to 1,912,468. Percentage-wise, however, surgery slipped to only 15% of all cosmetic procedures. There was a tremendous surge in the number of non-surgical procedures performed driven by new technology and expanded FDA approval. In 2015 10,879,909 non-surgical procedures were performed, a 1400% increase.
Non-surgical Plastic Surgery Procedures Then and Now
The nonsurgical procedures of 1997 were not the same as today’s. The sole filler was collagen, which only lasted a few weeks, sometimes months. Botox was available, but the use of Botox for wrinkles was not FDA approved. In 1997, using Botox for frown lines and wrinkles was strictly an off label, use confined to selective Dermatology and Plastic Surgery practices (like mine).
In 2016, there are a variety of FDA approved fillers are available, each lasting months, sometimes years. The most commonly used dermal fillers are Hyaluronic Acid based including: Restylane, Juvederm, Restylane Lift (Perlane), but Radiesse (Calcium Hydroxyapatite spheres) has also emerged for boney augmentation (Cheeks and Chins) and the nasolabial folds. Botox is FDA approved for wrinkles, and is now found in just about every spa in the San Francisco Bay Area.
Surgical Plastic Surgery Procedures Then and Now
Unlike their non-surgical counterparts, the majority of the surgical procedures performed today are largely the same. New techniques and material (sutures and implants), have developed, but the most popular procedures of 1997 are the most popular procedure of 2015 too. To date, they have not been replaced by non-invasive procedures because non-invasive procedures cannot accomplish the same results. Women continue to dominate men in numbers, so let’s break down the procedures desired by each sex.
Plastic Surgery for Women
The headlines read that Buttocks Augmentation is the fastest growing cosmetic surgery. The 30% increase is statistically true, but is magnified by the fact that not as many Buttocks Augmentation are done as Breast Augmentation. Looking at the number of cases performed in 2015 reveals the popularity of the procedures:
Buttocks Implants – 5678
Buttocks Lifts – 5008
Brazilian Butt Lifts (Fat Grafting to the Buttocks) – 15,705
Breast Implants – 305,856
Comparing Buttocks to Breast Augmentation, if 3000 more Brazilian Butt Lifts are performed this year, that will almost be a 20% increase. On the other hand, if 3000 more Breast Augmentations are performed, that will be an increase of less than 1%. It’s all relative to how many procedures are performed.
The most popular Cosmetic Plastic Surgeries for women are Liposuction, Breast Augmentation, Tummy Tuck, Breast Lift and Eyelid Lift.
The most popular Cosmetic Plastic Surgery procedures from women have been pretty consistent over the last 18 years:
Comparing the male and female procedures, Rhinoplasty, Facelifts and Breast Reduction are pushed out of the top five by Mommy Makeovers; however, they are next. Cosmetic nasal surgery was number 6; Facelifts was number 7, and breast reduction was number 8 for women. When it comes to Cosmetic Plastic Surgery, men and women seem to want the same things.
Cosmetic Plastic Surgery Consultation
If you are considering Cosmetic Plastic Surgery in the San Francisco Bay Area, call (925) 943-6353 today, and schedule a private consultation appointment. Every consultation is tailored to your specific needs. The decision to proceed, or even to explore, cosmetic surgery is personal. My goal is to provide you the information you need to make your own informed decision.
Male breast enlargement, Gynecomastia, is a common problem that goes by many names. Man Boobs has been used so often that is has become the contraction Moobs. Different techniques are required for different presentations of male breast overdevelopment; however, whether the entire breast is enlarged, or the puffiness is confined to the nipples, there’s a Plastic Surgery solution available.
Gynecomastia Reduction is performed in several ways. Often, a combination of Liposuction for fat removal and direct excision of the firm breast tissue located beneath the nipple is the best combination.
How Is Gynecomastia Reduction Performed?
Male Breast Reduction is one of the most frequently performed cosmetic procedures for men. The procedure that works best depends on the extent, and the location, of the male breast enlargement. Several options are illustrated in the Male Breast Reduction Video below.
Male Breast Reduction on KRON 4 Television
This week’s San Francisco Plastic Surgery Blog includes video on Gynecomastia Reduction that was broadcast on the Bay Area’s News Station, KRON 4. This television segment was originally broadcast on Body Beautiful. Host Janelle Marie and I discuss Male Breast Reduction options and multiple variations are illustrated with Gynecomastia Before and After Photos.
Gynecomastia Reduction Video (Male Breast Reduction)
Body Beautiful on KRON 4
I always enjoy my time at KRON 4. The people I get to work with are the best, and they make doing Body Beautiful easy. Having the opportunity to share some Plastic Surgery Knowledge with the San Francisco Bay Area is a real privilege.
Dr. Mele and Body Beautiful host Janelle Marie – behind the scenes in the KRON 4 Bay Area News studio.
Plastic Surgery Consultation Appointments
Every effort is made to provide accurate information. Good medical care requires personalization. A careful medical history and physical examination are important steps that need to be completed before making the decision to proceed with Plastic Surgery. This is especially true for Gynecomastia as there are several methods available for correction.
If you are considering Gynecomastia Reduction or another Cosmetic Plastic Surgery you’ll want a Board Certified Plastic Surgeon with years of experience performing your procedure. If you are in the Greater San Francisco Bay Area, give me a call at (925) 943-6353, and schedule your private plastic surgery consultation today.