Chest Reduction – Gynecomastia Surgery for Men in Miami: Get Rid of Enlarged Male Breasts with Chest Reduction – Gynecomastia Surgery for Men in Miami. Top-Rated, Board Certified Plastic Surgeon.
Gynecomastia, also known as male chest reduction, is a procedure designed to reduce the size of the male chest/breasts and reduce excess skin and/or the nipple/areola (pigmented area around the nipple) if necessary. It flattens and enhances the chest contours. The condition is often idiopathic (no apparent cause) or may be secondary to hormonal changes, heredity, obesity, or the use of certain drugs, among others. Gynecomastia can cause emotional discomfort and impair self-confidence. Some men may even avoid certain physical and social activities to hide their condition.
In brief, both males and females technically have breasts, including a breast gland. The difference is not in the type of tissues but in the quantity. Males with gynecomastia commonly have excess of both, typically one more than the other. Therefore, in gynecomastia surgery, both of those tissues +/- skin (if needed) need to be addressed. Based on the above, you can understand why this operation must be tailored to the patient and is not one size fits all.
Dr. Rivera-Serrano uses two types of approaches. The first one is for patients with small chests, in whom solely liposuction and removal of the glandular tissue via a small, well-hidden incision beneath the areola is sufficient. The second group of patients are the ones with a clear excess of skin, where removal of skin is mandatory for an adequate result and often need something called free nipple grafting. This means that the nipples and areolas are completely detached and then inset as a graft (patch). Due to the skin removal, patients will have longer and more visible scars along the inferior aspect of the chest, which can be quite prominent initially but tend to mature and look better over time. There are many patients that fall in the grey zone between both categories. Sometimes, the first approach is tried in these patients, and then the skin is left to contract and re-drape. If the result is satisfactory after about six months, no more is done. However, if excess skin is still present, a second skin excisional procedure may be carried out. A personal consultation will determine what is best for you.
Dr. Rivera-Serrano uses two types of approaches. The first one is for patients with small chests, in whom solely liposuction and removal of the glandular tissue via a small, well-hidden incision beneath the areola is sufficient. The second group of patients are the ones with a clear excess of skin, where removal of skin is mandatory for an adequate result and often need something called free nipple grafting. This means that the nipples and areolas are completely detached and then inset as a graft (patch). Due to the skin removal, patients will have longer and more visible scars along the inferior aspect of the chest, which can be quite prominent initially but tend to mature and look better over time. There are many patients that fall in the grey zone between both categories. Sometimes, the first approach is tried in these patients, and then the skin is left to contract and re-drape. If the result is satisfactory after about six months, no more is done. However, if excess skin is still present, a second skin excisional procedure may be carried out. A personal consultation will determine what is best for you.
It is important to understand that in patients undergoing liposuction, the results are highly dependent on the quality of the skin. Please refer to the liposuction (hyperlink ACA) surgery informational material for additional important information. The results of cases where liposuction is carried out are not often visible until about six months post-surgery, which is the time that most (but not all) of the swelling disappears.
You are reluctant to take your shirt off in public places, such as at the beach, pool, or while playing sports. You want to improve your overall body proportions. You experience psychological discomfort with “man boobs” or large chest. You don’t like the way your chest looks with a shirt on. You want to increase your social confidence and self-esteem.
Before & after
Dr. Rivera-Serrano is among the country’s most highly trained plastic surgeons, having completed two separate residencies (plastic surgery & head & neck surgery / ENT) and two clinical fellowships in some of the most prestigious institutions in North America, Asia & Europe. He is double board certified by accredited bodies recognized by the American Board of Medical Specialties and the Florida Board of Medicine, and has vast surgical experience, having performed thousands of successful surgical cases. Dr. Rivera-Serrano has been a University Professor of Surgery teaching residents on how to perform plastic surgery and knows the intricacies of the field. He is a respected member of the Miami plastic surgery community, an innovator, and author of numerous articles in leading peer-reviewed journals and textbooks. Always aiming for natural results, he knows how to combine artistry with safety. All the above sets him apart as a top surgeon with one of the most comprehensive plastic surgery offerings throughout Miami, South Florida, and Colombia.
-You do not have time to recover. In general, for facial surgery, we recommend three months between surgery and a special or social (red carpet) event as a safety net. However, most people look presentable in normal social situation in three weeks, and oftentimes earlier. For body procedures, recovery can be from a few days (e.g. liposuction) to two to three weeks (tummy tuck or BBL). For most procedures, heavy activity such as exercise should be avoided for 3 weeks.
Complications are not common; however, they do occasionally happen, and delayed healing cannot be 100% avoided. This timeline is necessary in order to allow most of the swelling to go away and the results and tissues to appear natural, especially if the surgery is in a visible area.
-You want a perfect result because you will only be satisfied with perfection, and you know you will not be happy otherwise.
-You want perfect symmetry.
-You are taking blood thinners for medical conditions or immunosuppressants.
-You are a current smoker, or a current passive smoker (live with a partner that smokes next you)
-You are overweight or obese. Typically, we recommend not having surgery if your Body Mass Index is above 32-34, with the exception of some liposuction procedures (Link to: Liposuction for people with high BMI’s (obesity)). Use this link to calculate your BMI.
-You are doing it for someone else or fitting an ideal image. Plastic surgery is a personal decision, and you should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.
-If you want to read more about expectations after plastic surgery and possible complications click here
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Our office in Bay Harbor Islands (Miami) routinely see local patients from South Beach, Miami Beach, Bal Harbor, Sunny Isles, North Miami, Aventura, Coral Gables, Coconut Grove, Brickell, Key Biscayne, Miami Gardens, Hallandale, Miramar, Davie, Coral Springs, Pembroke Pines, Southwest Ranches, Weston, Hollywood, Ft Lauderdale, Plantation, Pompano Beach, Boca Raton, Boynton Beach, Delray Beach, West Palm Beach, Jupiter, Homestead, Cutler Bay, Pinecrest, Kendall, Hialeah and Doral.We have also have had the privilege of seeing patients from, Jupiter, Port St Lucie, Naples, Cape Coral, Ft Myers, Tampa, St Petersburg, Lakeland, Kissimmee, Orlando, Ocala, Gainesville, The Villages, Daytona, Jacksonville, Tallahassee, Atlanta, New York, New Jersey, Houston, El Paso, Austin, Bogota, Medellin & Bucaramanga in Colombia, and too many places others to name!
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