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Dr. Linder's Blog

Trends In Gynecomastia Beverly Hills

Posted On: June 28, 2011 Author: The Office of Dr. Stuart Linder Posted In: Gynecomastia, Home

We see patients weekly in my Beverly Hills practice who present with gynecomastia.  Many of these patients in fact are in excellent shape; however, they have significant gynecomastic tissue in the retroareolar region which is very thick glandular tissue which cannot be removed through diet or exercise.  Etiologies of gynecomastia can include the use of steroids at a young age as well as possible use of marijuana.  It can also be genetic and associated with increased estrogen or estradiol levels in the body.  This increased incidence of men presenting for gynecomastia surgery has been significant over the last decade.  Below I indicate a preoperative photograph of a typical male chest with significant gynecomastia, although the pectoralis muscle is well-defined.  

Notice, there is herniation of glandular tissue into the nipple areolar complex, and a significant amount of retroareolar glandular tissue and fatty tissue along the chest well. 

 

The next photograph shows the actual glandular tissue that is being removed through a partial subcutaneous mastectomy through the periareolar approach. 

 

 

 

 

The next photo will show the actual tissue that has now been removed and will be sent for pathological diagnosis. 

Finally, the before and after show the transition, having removed the gynecomastic tissue and the incision has well-healed.  Also note that the nipple in the areolar has retracted and has become smaller in size due to less pressure from the herniated tissue beneath the areolar.