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Dr. Jeffrey Ditesheim is a highly accomplished expert certified plastic surgeon providing male breast reduction surgery for men suffering from gynecomastia in and around the Charlotte-metro and surrounding areas of North Carolina and South Carolina.
There are different surgical procedures depending on the grade of gynecomastia. The goal in every procedure is to restore a normal masculine chest.
Gynecomastia surgery for most guys with grade 1 or 2 gynecomastia is either excision of the glandular tissue and/or liposuction of the fatty tissue under the nipple. For grade 3, if the skin has good elasticity, excision of breast tissue will be all that is needed. For grade 3 with poor skin quality or grade 4 gynecomastia, extra breast tissue and skin are removed and the nipple is repositioned.
Enlarged male breasts can be a deeply embarrassing condition that causes men and boys to feel ashamed of their bodies and avoid social situations in which they would normally take off their shirt. Guys with male breasts often hide, socially isolate, and avoid normal physical and social activities due to how their chest looks.
Teens with male breasts feel terribly self-conscious, not understanding what is happening to their bodies. Then, insensitive locker room taunting can completely rob any self-confidence a young man has, leaving him with no choice but to hide and avoid any possible activity that requires being shirtless.
Insecurity persisting into adulthood can mean daily camouflage with careful selection of clothes, insecurity in social settings, and even avoidance of intimacy.
It is difficult to predict before surgery if the tissue causing an abnormal male chest is hard glandular tissue (white, scar-like tissue) or softer glandular tissue that appears more fibrous and looser.
For patients in Charlotte where gynecomastia is mostly glandular tissue, the hard glandular breast tissue is first mobilized from the chest muscle and then removed with a surgical incision inside the pigmented part of the nipple area (areola). After removing the breast tissue, the skin around the nipple shrinks, and the scar is hidden in the skin creases around the nipple.
For most guys, there is a combination of fatty tissue and glandular tissue. In these scenarios, liposuction is used first to numb the chest and remove the fatty tissue before using a very small incision around the nipple to remove the hard glandular tissue.
Gynecomastia is the over-growth of male breast tissue commonly starts during adolescence or puberty and can persist into adulthood. Gynecomastia is quite common in teens, occurring in 4% of boys ages 10-19. After the age of 17, the persistence of male breast tissue is unlikely to disappear on its own and men will require surgical treatment with a male breast reduction surgery.
Advantages of Dr. Ditesheim’s gynecomastia surgery approach: No general anesthesia, shorter recovery. You can drive yourself home. Immediate results. Minimal or no chest scar.
Can be as little as 1 to 3 days post-operation.
For most guys who can be treated with liposuction and or glandular excision, the total cost is $7950. The procedure is 90 minutes. Grade 4 or more complex gynecomastia costs will be more. Set up a personal consultation today to learn more about your options.
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Excess tissue is localized around the areola, causing a “puffy nipple” appearance with a soft-to-the-touch sensation.
Tissue growth extends beyond the areola and is hard to differentiate between normal chest tissue and excess glandular tissue.
Chest enlargement is greater than grades I and II, with excess skin leading to sagging of the chest. The tissue feels distinctly different than surrounding chest tissue.
Significant breast enlargement leading to substantial feminization of the chest, often with excess skin leading to sagging tissue below the breast fold.
Dr. Ditesheim’s new awake procedure corrects gynecomastia, restores a masculine chest with minimal scarring, and promotes a quick recovery. Dr. Ditesheim has designed an advanced gynecomastia treatment procedure that removes male breast augmentation with minimal or no scar on the chest, no drains, 1-3 day recovery, and no general anesthesia.
The goal of every gynecomastia procedure is the removal of the excess tissue and the restoration of a natural, masculine chest shape. Traditional surgical techniques meant larger incisions, drains, 6-8 weeks recovery, and sometimes unnatural chest shape.
In complex gynecomastia patients where there is excess skin to remove, where nipple placement must be returned to a more natural position, or where the size of the areola must be reduced, excision techniques are used. Incisions for these procedures are either placed around the areola border or in the chest crease, following the chest muscle border depending on the complexity. (see Complex gynecomastia below).
25-year-old (5’7″ 183lb) before and 1 month after Vaser liposuction treatment
View more examples and detailed descriptions of each patients’ procedure.
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