San Diego Male Breast Reduction doctors

Tom J. Pousti, MD Tom J. Pousti, MD
San Diego Plastic Surgeon
8851 Center Drive Suite 300, San Diego
71 answers
H. Michael Roark, MD H. Michael Roark, MD
San Diego Plastic Surgeon
9850 Genesee Avenue, Suite 130 Ximed Building, La Jolla
3 answers
Paul E. Chasan, MD Paul E. Chasan, MD
San Diego Plastic Surgeon
1431 Camino Del Mar , Del Mar
1 answer
Jason R. Hess, MD Jason R. Hess, MD
San Diego Plastic Surgeon
4060 4th ave Suite 120, San Diego
1 answer
Johan E. Brahme, MD Johan E. Brahme, MD
San Diego Plastic Surgeon
9850 Genesee Avenue, Suite 130 Ximed Building, La Jolla

Recent Answers

After Gynecomastia Surgery, Chest Has Collapsed. What Can I Do? (photo)

i have Gynecomastia and i had Gynecomastia surgery 10 days ago. My photos are at the attachment. My both breasts has collapsed. as like crater. Can you tell me fix itself in 3-4 mounths. Otherwise i have to undergo an operation again. my physicology worse and my english too. thanks.

A: Gynecomastia Surgery and Contour Defromity?

Thank you for the question and picture.

 

At this stage in your recovery it is much too early to evaluate the end results of surgery.

One of the potential risks associated with gynecomastia surgery is contour deformity related to over resection of glandular tissue and/or adipose tissue.  This is a risk that is explained to patients who are undergoing the procedure. Many patients who have gynecomastia are looking for the chest to be as flat as possible. Surgeons must  balance their desire to achieve the patient's goals with efforts to avoid over resection and contour deformity.

If the " contour deformity” remains an issue long-term, you may find that your situation will be improved upon with techniques such as fat grafting,  use of allograft/dermis as a filler and/or selective liposuction of prominent areas.

I hope this helps.

Tom J. Pousti, MD
San Diego Plastic Surgeon
Contour Deformity Following Unilateral Gynecomastia Surgery, How do I Address this Issue? (photo)

I am noticing a horizontal tear-drop shaped depression. Immediately following surgery contour was perfect, then as swelling subsided I noticed this depression form at 2 weeks post op. I am currently 3 weeks post op. 1)Is there any reason to believe that contour will improve on it's own? (I am doing a lot of massaging) 2)What are the drawbacks of fat injections to address this issue? I've heard that this fat may die and become hard and look poor on animation. Thank you very much in advance.

A: Contour Deformity after Gynecomastia Surgery?

Thank you for the question and picture.

One of the potential risks associated with gynecomastia surgery is contour deformity related to over resection of glandular tissue and/or adipose tissue.  This is a risk that is explained to patients who are undergoing the procedure. Many patients who have gynecomastia are looking for the chest to be as flat as possible. Surgeons must  balance their desire to achieve the patient's goals with efforts to avoid over resection and contour deformity.

You may find that your situation will be improved upon with techniques such as fat grafting,  use of allograft/dermis as a filler and/or selective liposuction of prominent areas.

I hope this helps.

Tom J. Pousti, MD
San Diego Plastic Surgeon
Advice For Seeking Gynecomastia Correction at 21? (photo)

I am a 21 year old male and when I was about 13 my right nipple started to become enlarged and when touched you can feel a mass inside. I went to the doctor then and they just said it was gynecomastia and that it would go away. But Im now 21 and its still there, I would like it fixed, any advice would be appreciated,

A: Correction of Gynecomastia?

Thank you for the question.

Gynecomastia comes from the Greek meaning "gyne" meaning woman and  "mastos"  meaning breasts.  It refers to abnormal development of large mammary glands in males.  The diagnosis can be made by physical examination where relatively firm tissue  (breast gland tissue) can be differentiated from relatively soft tissue (adipose tissue).

Breast prominence due to excessive adipose tissue is called pseudo-gynecomastia or lipomastia.  The differentiation of true  gynecomastia  from adipose tissue is important because the surgical treatment may differ. Usually  physical examination by a well experienced board-certified plastic surgeon is sufficient to make the diagnosis  and to determine the best course of treatment.

I have found that gynecomastia is often best treated with  partial excision of the prominent glandular tissue  as well as liposuction surgery of the peripheral chest area.  If the prominence of the chest wall is caused by adipose tissue, then liposculpture surgery alone may suffice.

I would strongly suggest that you make sure you are working with a well experienced board-certified plastic surgeon. There are many different “specialties” who will offer their services to you;  again, I strongly recommend you concentrate on surgeons certified by the American Board of Plastic Surgery.  

I hope this helps.

Tom J. Pousti, MD
San Diego Plastic Surgeon
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