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Male Breast Reduction Surgery Techniques

The condition that leads to enlargement of the male breast is called Gynecomastia. This condition is caused by unregulated proliferation of stromal fat or ductal tissue. More than 65% of the male population is affected by Gynecomastia, but not all conditions require a surgical correction.

Classification of Gynecomastia

The most widely accepted classification of Gynecomastia is the one put forth by Simon and Rohrich:

  • Mild to Moderate Gynecomastia (Simon Grades IIa and I, or Rohrich Grade II and I) is most commonly seen in men who show slight signs of breast enlargement. Of the many affected, only a negligible percentage seek surgical help for correction. A minimal invasive technique like liposuction can rectify this condition.
  • Those with severe Gynecomastia (Simon Grades IIB and Rohrich Grade III) often require surgical corrective procedures. The most probable cause of this condition is the increase in the number of men opting for weight loss surgeries which leads to excessive lose skin around the breast region.
  • Severe Gynecomastia with Grade II or III Ptosis (Grade III Simon, Grade IV Rohrich) is characterized by severe excessive skin.

Treatment Techniques of Gynecomastia

Removal of Excessive fat tissue techniques:

  • Liposuction: Excessive tissue is removed via a small incision made either around the nipple or the armpit region. Through this procedure fat is uniformly drained out from the lateral chest walls, lower chest, and the outer region to ensure that there is no indentation created.
  • Power liposuction: This procedure is similar to liposuction, but has one significant difference. There is continuous oscillation of the cannula throughout the procedure. Power liposuction is believed to be more precise than regular liposuction.
  • VASER Assisted Liposuction: VASER leads to liquefaction of fat. Liposuction follows VASER to drain out loosened fat tissue. VASER is a more gentle approach that makes room for secondary skin tightening.
  • Micro Liposuction and Laser Assisted Liposuction: Micro Liposuction is similar to liposuction but the cannula in use is smaller in size by 1-2cm. Laser Assisted Liposuction is similar in action to VASER wherein the fat tissue is liquefied before draining out.

Corrective Procedures for the Treatment of Glandular or Breast Tissue

There are only two approaches that can be used for the correction of breast tissue.

  • Endoscopic Excision or Scarless Gynecomastia Surgery: This procedure minimizes the occurrence of post-surgical marks. The technique used is inspired by orthopedic technology: to shave off excessive knee cartilage, an oscillating loop base is used. The same is used to excise glandular tissue.
  • Traditional Excision: When Gynecomastia is the result of excessive glandular tissue, the only corrective measure is the physical removal of the tissue. During this procedure, an incision is made along the dark region of the nipple (areola) and the gland is removed. Sutures are then placed close to the site of incision.

Contact Our Office

Contact our office to learn more the treatment options available for gynecomastia. With the help of Dr. Robert Lowen, a board-certified plastic surgeon, you can find relief from your condition and become an enhanced version of yourself.

New Law Requires Notice to Patients About Open Payments Database

Pursuant to Assembly Bill (AB) 1278, physicians will soon be required to provide a notice to their patients regarding the Open Payments database (Database), which is managed by the U.S. Centers for Medicare & Medicaid Services, or CMS.

Specifically, this new law requires physicians to do the following beginning January 1, 2024, a physician who uses a website in their medical practice must conspicuously post the same notice described below on their website.

Under this law, a violation of these requirements constitutes unprofessional conduct.

“For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. https://openpaymentsdata.cms.gov/

The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospitals be made available to the public.”

Beginning January 1, 2024, a physician who uses a website in their medical practice must conspicuously post the same notice described above on their website.

Under this law, a violation of these requirements constitutes unprofessional conduct.