Procedures:
Gynecomastia Muscular and Body Builders
, Gynecomastia After Large Weight Loss
, Body shaping after Large Weight loss
Description:
This very athletic muscular fitness trainer and body builder really did not have gynecomastia. He had a hanging nipple and excess skin from losing over 100lb. Working with his strong pectoralis muscle and the convexity of his chest, the nipple was repositioned in the correct location, the excess skin was removed. The scars were placed around the areola ( pigmented skin) with most of the scar being hidden in the lateral chest fold ( see side view). This incision pattern has two important advantages: The nipple remains sensate, as it is not removed. Second, the scar does not extend to the back but is hidden under the arm, and falls in the shadow of the chest muscle on the side and below.
His Surgery: Before surgery, while standing, the correct position of the nipple on the lower lateral portion the pectorals muscle was selected. A skin pattern was drawn to remove the excess skin. The nipple remained attached, but was moved up to the new position on the pectorals muscle. The scars were placed around the areola (darker skin around the nipple), a short vertical scar to the chest crease and a curving scar that followed the underside of the lateral chest muscle definition. With the chest muscle having good anterior projection, the short vertical scar is hidden on the underside of the chest. The longer scar that runs along the side of the chest is hidden in the lateral chest muscle crease. To hide the scar and enhance the lateral chest definition, the ligaments under the skin are actually sewn to deeper structures. This “wraps” the skin around the lateral pectoral border. One year after the procedure, the right nipple has less sensation, but the left has normal sensation.