January, 2019

Gynecomastia Reduction (male breast reduction)

January 31, 2019

 

COOL CASE OF THE WEEK

GYNECOMASTIA REDUCTION BEFORE AND AFTER

This pleasant 30 year old man came to see Dr. Medalie at his Beachwood, Ohio office to discuss gynecomastia reduction. He had evidence of breast tissue on his chest since adolescence and even with losing weight had not noticed a big difference. After careful consultation he decided to undergo a male breast reduction surgery (gynecomastia procedure) as an outpatient at the Brainard Surgery center where Dr. Medalie performs most of his operations. The surgery lasted around 1.5 hours and was an outpatient procedure. It involved a combination of liposuction and direct excision of the sub-areolar glandular tissue. The patient is now shown 6 months after his gynecomastia surgery and has an excellent post-operative contour. He is very pleased with his result. Plastic surgery results can vary. Below is information from the American Society of Plastic Surgery concerning gynecomastia and male breast reduction surgery. For more information please visit Dr. Medalie's main photo gallery.

What Is Gynecomastia Surgery?

Gynecomastia surgery reduces breast size in men, flattening and enhancing the chest contours.

In severe cases of gynecomastia, the weight of excess breast tissue may cause the breasts to sag and stretch the areola (the dark skin surrounding the nipple). In these cases the position and size of the areola can be surgically improved and excess skin may be reduced.

Plastic surgery to correct gynecomastia is technically called reduction mammaplasty.

What Is Gynecomastia?

Gynecomastia is a condition of overdeveloped or enlarged breasts in men that can occur at any age. The condition can be the result of hormonal changes, heredity, obesity or the use of certain drugs.

Gynecomastia can cause emotional discomfort and impair your self-confidence. Some men may even avoid certain physical activities and intimacy simply to hide their condition.

Gynecomastia is characterized by:

  • Excess localized fat
  • Excess glandular tissue development
  • Sometimes excess breast skin
  • Presence unilaterally (one breast) or bilaterally (both breasts)

    What Are The Steps Of A Gynecomastia Procedure?

    A gynecomastia procedure includes the following steps:

    Anesthesia

    Medications are administered for your comfort during the surgical procedures. The options include intravenous sedation and general anesthesia. Your doctor will recommend the best option for you.

    Liposuction Technique

    male breast reduction

    In cases where gynecomastia is primarily the result of excess fatty tissue, liposuction techniques alone may be used. This requires insertion of a cannula, a thin hollow tube, through several small incisions.

    The cannula is moved back and forth in a controlled motion to loosen the excess fat, which is then removed from the body by vacuum suction.

    There are various liposuction techniques that may be used; the technique most appropriate in your case will be defined prior to your procedure.

    Excision Technique

    male breast reduction

    Excision techniques are recommended where glandular breast tissue or excess skin must be removed to correct gynecomastia. Excision also is necessary if the areola will be reduced or the nipple will be repositioned to a more natural male contour. Incision patterns vary depending on the specific conditions and surgical preference.

    Combination Of Liposuction & Excision Techniques

    male breast reduction

    Sometimes gynecomastia is treated with both liposuction and excision.

 


Introducing the IDEAL breast implant

January 31, 2019

INTRODUCING THE IDEAL IMPLANT

I have been very impressed by this new type of breast implant. It has the softness of silicone breast implants with the convenience of saline filled breast implants. Because of the internal baffles, there is much less rippling and wrinkling of the outer shell compared to standard saline implants. Thus it gives an augmentation effect much like a silicone implant. When it ruptures (as all implants do eventually) it releases simple salt water which is absorbed by the body. A silicone implant which has ruptured releases silicone gel into the implant pocket which is not specifically dangerous but can lead to contracture of the implant capsule and does need to be thoroughly washed out when the implant is changed. The FDA recommends that women who get silicone implants undergo an MRI ever couple of years to help detect rupture. The IDEAL implant solves this problem. Below are some specifics about the implant. Please contact my office to come in and have me demonstrate the ideal implant to you!

DESIGN

Years of research and testing led to this innovative design, developed to better meet the needs of women wanting a natural look and feel without concerns relating to silicone gel. A series of implant shells nested together and two separate chambers hold the saline filler. The unique internal structure controls movement of the saline for a more natural feel, while reducing folding and wrinkling, thought to be the main cause of implant rupture and deflation. On the outside, the edges have been lowered for a more natural contouring to the chest wall.

MATERIAL

IDEAL IMPLANT is a Structured Breast Implant made from safe and proven breast implant materials and time-tested manufacturing processes. It contains no silicone gel or new materials, yet offers a natural feel and beautiful shape due to its unique design and internal structure. And because the design is patented, no other breast implant company can manufacture or sell the IDEAL IMPLANT Structured Breast Implants®.

EXPERIENCE

The IDEAL IMPLANT was approved by FDA and Health Canada in 2014, based on results from a multi-center US clinical trial with 502 women that started in 2009. The approved IDEAL IMPLANT is made in the United States using advanced robotics to achieve greater product consistency. Our FDA-inspected facility has been manufacturing silicone medical devices for more than 30 years. Quality is built-in and a limited warranty is included, so you can feel confident in your choice of the IDEAL IMPLANT.