by DLM Admin | Feb 3, 2017 | Post-Op
Scar Solutions After Male Breast Reduction Surgery, The incision for gynecomastia surgery goes partially around the areola. As it heals it usually is well hidden due to the change in skin texture and color. However, for some patients, a thick scar known as a keloid may form leaving the patient with a new problem that may make him still feel uncomfortable going shirtless.
Choosing an experienced Board Certified gynecomastia surgeon is your best bet in getting optimal surgical results including the healing of the incisions. Some men produce more collagen than others during the healing process. It is the excess collagen makes a raised noticeable scar.
Gynecomastia surgery is not deemed medically necessary nor is the removal of the resulting scars, but many men suffer severe psychological distress making solutions essential.
Dr. Miguel Delgado, M.D. stresses to his patients the importance of following all preoperative and postoperative instructions in order for them to get the best results. When it comes to the care of the incisions, he warns patients to avoid direct sunlight for 6 months to a year, and to wear protective clothing or sun block to prevent the development of hypertrophic scars. After the healing of the incisions, silicone sheeting is used to control the formation of keloids.
by DLM Admin | Dec 27, 2016 | Post-Op

Puffy- nipples | Gynecomastia (male breasts) before and after
Unfortunately “puffy nipples” after gynecomastia surgery seems to be a common problem; it is mentioned frequently on the forums on this site and the popular website “Real Self.” It is imperative to choose a Board Certified Plastic Surgeon who specializes in gynecomastia surgery. Sculpting the chest with the right balance of remaining fat and breast tissue is an art and needs to be performed by an expert. If too much breast gland is removed a “crater deformity” will be the result. If too much gland is left behind the areola /nipple complex it will push outward and “puffy nipples” will be the result.
What Can Cause “Puffy Nipples”
In less experienced hands, some surgeons will try to reduce the male chest with liposuction alone which will not remove the breast gland. Other surgeons are very conservative in the surgical removal of breast tissue for fear of a “crater deformity.” In both cases, “puffy nipples” and “crater deformity” will require revision surgery for correction. Gynecomastia revision surgery for a “crater deformity” will involve fat grafts or a fat flap. Revision for “puffy nipples” will require additional excision which will be more complicated due to formed scar tissue from the original surgery.
The Best Way to Avoid Complications Like Puffy Nipples
When choosing your gynecomastia revision surgeon, do your homework. Be sure your surgeon has experience in revision surgery; ask to see before and after pictures of patients who have had corrective surgery.
by DLM Admin | Nov 30, 2016 | Post-Op
A big concern of men contemplating male breast reduction surgery is, “will the male breast grow back after being surgically removed?” Note the multiple questions on this site regarding this issue.
The answer is that it is very rare, but it can happen. When seeking a consultation with a Board Certified Plastic Surgeon, you will be asked detailed questions by the surgeon to try to determine what the cause of your male breasts might be to prevent recurrence.
When boys go through puberty, 65% will have some breast development due to their fluctuating hormones. Within a few months and up to 2 years, all but about 5% will see their chests return to normal without any intervention. For the remaining 5%, surgery will be the only option.
When boys have severe psychological repercussions from the developed male breast, surgery may be warranted. If surgery is done before the end of puberty, there is a small risk of regrowth.
Weight gain is also a possible reason for recurrence of the male breast. During surgery, most of the fat cells will be removed, but some remain to sculpt the chest. If the patient should gain a lot of weight, the remaining fat cells may expand.
Other possible sources for regrowth of breast tissue may be:
• Marijuana and other recreational drugs
• Some prescription medications
• Anabolic steroids
• Hormone imbalance
• Decrease in testosterone
• Psychological stress
• Scar tissue build-up
In all cases, the chance of regrowth is so low that it should not be a factor in a man’s decision to make the life-changing decision of having a normal chest.

Male Breast Grow Back