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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Breast Cancer Awareness Means Men Too

Posted October 07, 2019 in Breast Cancer Awareness, Breast Reduction (Men), Home, Patient Safety

October is Breast Cancer Awareness Month.

October is Breast Cancer Awareness month, so check your breasts and follow-up with your healthcare provider for any abnormalities. Men get breast cancer too, so everyone needs to check. Getting started is simple and painless.

Breast Cancer Awareness

October is Breast Cancer Awareness Month. We all, women and men alike, need to take a few minutes to take care of ourselves. We have all heard the sound bites. One in eight women get breast cancer, and only 20% have a family history of breast cancer.

Breast Cancer in Men is rare. One in 1000 men will develop breast cancer, and less than 1% of all breast cancer cases develop in men. This may be because men have fewer breast cells and lower estrogen levels. On the other hand, early detection in men, while somewhat easier, is even more important than for women. Smaller breasts mean that the cancer cells can escape the breast faster and invade locally more quickly, especially when treatment is delayed by assuming men don’t get breast cancer.

According to the American Cancer Society, there will be about 3000 new cases of invasive breast cancer in men in the U.S. this year and about 500 men will die from the disease, and black men tend to have a worse prognosis.

Breast Cancer Detection

The most common presentation of Breast Cancer in men is a hard, painless lump underneath the nipple and areola. The lump can be fixed and it may be hard to determine the edges as the cancer invades the surrounding normal tissues. For 67-year-old Mathew Knowles, perhaps know better as Solange and Beyonce’s father, the first indication that something was wrong was when he and his wife noticed small dots of blood on his shirts and bedsheets.

Matthew Knowles, seen here with his daughter Beyonce, was recently diagnosed with breast cancer.

Matthew Knowles, seen here with his daughter Beyonce, was recently diagnosed with breast cancer.

Mister Knowles was on Good Morning America last Wednesday with host Michael Strahan, sharing his experiences and encouraging men and women to do their breast self-exams and get tested promptly. He had surgery at the end of July, and in his words is doing “really good.”

“I’m hoping by me coming here today, speaking out, letting folks know that you can survive this. But it has to be early detection. And I can’t overemphasize the word early,” he said. Well done Beyonce’s dad. Well done.

Breast Cancer Genetics

Although treatment outcomes are very similar to women at the same stage of detection, a man diagnosed with breast cancer should also consider seeing a genetics counselor for a consultation. If a man tests positive for a defective gene like BRCA1 or BRCA2, it can lead to a future diagnosis of breast cancer and his children have a 50% chance of carrying the gene. These statistics come from the National Breast Cancer Foundation.

KISS drummer Peter Criss is an outspoken advocate for male breast cancer awareness.

KISS drummer Peter Criss is an outspoken advocate for male breast cancer awareness. In his words, “You don’t need boobs to get breast cancer.”

Peter Criss found a lump in his left breast after a workout in 2007. The legendary KISS drummer survives after successful treatment, and he remains an outspoken advocate for male breast cancer awareness.

A male child of a man with breast cancer who inherits the defective BRCA2 gene has an approximately 6% chance of eventually developing breast cancer and just over 1% chance with BRCA1. A female child of a man with breast cancer who inherits the defective gene has a risk between 40% and 80% of eventually developing breast cancer. Men with a genetic predisposition to breast cancer are also at a higher risk of getting prostate cancer at a younger age.

Macho Men Get Breast Cancer Too

Richard Roundtree, the actor and model, exploded onto the big screen in 1971 as John Shaft, an action hero who took no guff. As an actor, Richard Roundtree’s Shaft is as macho as a man can be. He was diagnosed with breast cancer in 1993 and underwent a double mastectomy and chemotherapy. I am happy to report that he is alive and well at age 77. Early detection and treatment are key. I can dig it!.

Richard Roundtree was diagnosed with breast cancer in 1993 and underwent a double mastectomy and chemotherapy, and is alive and well at 77

Richard Roundtree was diagnosed with breast cancer in 1993 and underwent a double mastectomy and chemotherapy, and is alive and well at 77. According to the theme song, “Who’s the cat that won’t cop out when there’s danger all about?” Can ya dig it?

Rod Roddy, Come On Down

You may not recognize the name, but if you are old enough to remember Bob Barker on the Price is Right, you will remember Rod’s voice. As the hyper-energetic off-stage announcer he would call out an audience member’s name followed by one of the most iconic catchphrases to grace daytime game shows, “Come on down! You’re the next contestant on the Price is Right!” Even though the “Come on down,” was first uttered by Johnny Olson, Rod Roddy belted it out for 17 years, longer than any other announcer.

The Price is Right announcer Rod Roddy had both breast and colon cancer during his lifetime.

The Price is Right announcer Rod Roddy had both breast and colon cancer during his lifetime.

Breast cancer and colon cancer can travel together. On September 11, 2001, Mr. Roddy was diagnosed with colon cancer, and in 2002 had a recurrence. In March of 2003, he was diagnosed with Breast Cancer. In the last few years of his life, he became a spokesperson for early detection of cancer. In an interview with CBS, he said, “I could have prevented all this with a colonoscopy, and of course, that’s the campaign I’ve been on since I had the first surgery. To everybody out there, get a mammogram! It can happen to men, too.”

Breast Cancer and Politics

Edward William Brooke III was an American Republican politician. In 1966, he became the first African American popularly elected to the United States Senate, and he represented Massachusetts in the Senate for 12 years, from 1967 to 1979. In September 2002, he was diagnosed with breast cancer and assumed a national role in raising awareness of the disease among men.

In 1966, Edward Brooke became the first African-American elected to the US Senate. He is seen here with his mother after receiving the 1978 Man of the Year Award. In September of 2002, Senator Brooke was diagnosed with breast cancer. (AP)

In 1966, Edward Brooke became the first African-American elected to the US Senate. He is seen here with his mother after receiving the 1978 Man of the Year Award. In September of 2002, Senator Brooke was diagnosed with breast cancer. (AP)

Brooke experienced pain under his right nipple. Most breast cancer is painless, but pain harder to ignore than a lump. His first thought was that he had pulled a muscle from gardening, but it was more serious. It was breast cancer. He underwent a double mastectomy, and remained cancer free until his death in January 2015 at age 95.

You Better Check Yourself…

There are expected to be about 3000 new cases of male breast cancer diagnosed this year. For women it is closer to 300,000 cases, and, an estimated 42,000 women will die from breast cancer in the U.S.. The good news is that 62% of breast cancer cases are diagnosed early when they are still localized. In localized cases, the 5-year survival rate is 99%.

I tell all my patients, “If something doesn’t seem right; it might be wrong. Call me.” Early detection and intervention is key for all medical issues. It allows more options for treatment and better outcomes. There is little downside. If there’s nothing wrong, you wasted a little time to find out that you are alright, plus you get peace of mind. On the other hand, if you have a problem, treatment can begin. All breast lumps and bumps need to be evaluated by your physician in a timely fashion, so if you have a lump in your breast, contact your physician today.

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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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Liposuction of the Trunk Before and After Pictures – San Francisco Bay Area

Posted July 15, 2019 in Breast Reduction (Men), Home, Liposuction

Liposuction of the Trunk, in order of popularity includes liposculpture of the:

  • abdomen
  • flanks (sides)
  • back
  • chest

If you have disproportionate collections of fat in these areas that are bothersome, Liposuction may offer a solution.

Liposuction of the Abdomen

Liposuction of the Abdomen removes disproportionate fat from the belly. Fat is removed from between the skin and the abdominal muscles. This is usually stored in the lower abdomen, and may run around to the sides. Less commonly, fat is also deposited on the upper abdomen and along the ribs. Results are best with localized collections of fat, as opposed to globally deposited fat. Tight, thin skin helps reveal the results, while fat inside the abdomen, behind the abdominal muscles, cannot be removed with Liposuction. Internal abdominal fat requires weight loss for removal.

Liposuction of the Abdomen

Liposuction of the abdomen can help flatten the belly.

The woman above is close to her ideal body weight, yet continues to have disproportionate fat of the abdomen, especially within the lower abdominal wall. Tumescent Liposuction was performed to remove fat from the upper and lower abdomen and smooth her belly. Her clothes fit better, and she is much happier after her tummy nipping procedure.

Liposuction of the Flanks and Back

Back fat is annoying for everyone. It impacts the way clothes fit, and sometimes bulges over the top of jeans causing a Muffin Top or the hated Love Handles. It can be stubborn and persistent, even with exercise and after weight loss.

Liposuction of the Back (Love Handles)

Liposuction of the Love Handles or Muffin Top is one of the most popular areas for Liposculpting with a high degree of patient satisfaction.

The gentleman above is in great shape before his Liposculpture; however his physique is hidden under stubborn, localized fat surrounding his flanks and back. Liposuction was performed through small incisions located discretely below the belt line. The excess fat was removed on a Friday, and by Monday he was feeling fine.

Vigorous activities after Liposuction are limited for a week or so to prevent complications and reduce the duration of post-operative swelling. Additionally, an abdominal binder is worn postoperatively for a few weeks to help the skin stay smooth.

Liposuction of the Chest and Abdomen

Liposuction is best for fine tuning fat removal and improving body contours. It is not for weight loss. In fact, the maximum amount of fat that should be removed in one operation is five liters, or about eleven pounds. The more fat that is removed, the more likely the skin will fold, as support provided by the fat is lost. Much like the stuffing in a pillow case, the fat not only makes the skin bigger, but also holds it up. If skin laxity is present before liposuction, removing the fat will shrink the treated area, but it might also make the skin look worse.

Liposuction of the Chest and Abdomen in a Man

Liposuction of the chest can reduce mild gynecomastia. Liposuction of the back and abdomen can give a leaner look.

The patient above is in great shape, but complained of fullness in his chest and abdomen. He had disproportionate fat of the chest (pseudogynecomastia) and abdominal wall. He was a good candidate for Liposuction, because he had little intra-abdominal fat and no skin laxity. Liposuction was performed to remove the bothersome fat. His elastic skin shrunk, revealing better muscle definition and the physique he desired.

Liposuction Consultations

Before and after pictures are a good way to see what Liposuction can do. More Liposuction Before and After Photos with descriptions are available on DrMele.com on our new Liposuction Before and After Page. However, there is no substitute for an in person consultation with an experienced, Board Certified Plastic Surgeon.

To schedule a Liposuction Consultation in our Walnut Creek Plastic Surgery Clinic, call (925) 943-6353 today.

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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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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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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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Gynecomastia Reduction SF Bay Area (Male Breast Reduction)

Posted October 02, 2017 in Breast Reduction, Breast Reduction (Men), Home, Liposuction, Videos

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 an enlarged male chest.

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)

Puffy Nipples

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.

Global Gynecomastia

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. If a glandular component is present beneath the nipple, this tissue also needs to be removed.

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.

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New Body Beautiful From Head to Tummy

Posted September 09, 2017 in Breast Augmentation, Breast Implant Revision Surgery, Breast Reduction, Breast Reduction (Men), Capsular Contracture, Ear Pinning, Ear Shaping (Otoplasty), Home, Tummy Tuck (Abdominoplasty)

Dr. Mele discusses Cosmetic Plastic Surgery on Body Beautiful - September 12, 2017, at Noon.

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.

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.

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.

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San Francisco Breast 2.0 Enhancement (Augmentation, Lift and Reduction)

Posted July 09, 2017 in Areolar Reduction, Breast Asymmetry, Breast Augmentation, Breast Augmentation Lift, Breast Implant Options, Breast Implant Revision Surgery, Breast Lift (Mastopexy), Breast Reduction, Breast Reduction (Men), Breast Reduction (Women), Capsular Contracture, Home, Inverted Nipples, Nipple Reduction, Tubular Breasts

New Breast Enhancement Content

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:

  • Breast Augmentation
  • Breast Implant Options
  • Breast Augmentation Incisions
  • Breast Implant Placement
  • Today’s Breast Implants
  • History of Breast Implants
  • Breast Implant Warranties
  • Breast Implant Care
  • Breast Augmentation Lift
  • Breast Augmentation Revision
  • An Expanded Breast Augmentation Photo Gallery
  • And Hours of Breast Augmentation Videos

Breast Implant Revision Surgery

The Breast Augmentation Revision Section includes pages devoted to specific problems like:

  • Capsular Contracture
  • Breast Implant Deflation
  • Breast Implant Infection
  • Breast Implant Malposition
  • Breast Implant Removal
  • Breast Implant Rippling
  • Breast Implant Scar Revision
  • Breast Implant Replacement
  • Breast Lifts (Mastopexy)

    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
    • Areola Reduction
    • Nipple Reduction
    • Tubular Breasts
    • Poland Syndrome
    • Other Congenital Breast Abnormalities
    • Areola Reconstruction
    • Nipple Reconstruction

    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.

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