Male Chest Recontouring: Male chest recontouring surgery is one of the most common procedures that I perform today. A great number of men suffer from what is known as "the male breast" but many men think that they are the only ones with this condition. In fact, a large percentage of pre-pubescent boys have the condition but most of the volume disappears at they hit adolescence. This condition is known medically as gynecomastia but this term refers singularly to the fibrous tissue of the chest which is more localized to a position underlying the nipple area. On very lean men or on body builders there may be very little or no fat on the chest wall but this gynecomastic tissue may be readily seen as a protuberance on the center of the chest perhaps extending onto the side of the chest wall. Many men have a large volume of fat in association with the fibrous tissue which results in an almost breast-like appearance.

I have performed chest contouring surgery procedures on boys as young as 14 because there chest appearance makes them a source of ridicule and embarrassment at school which may impede their scholastic achievements. If only a small volume of fibrous tissue is present then the tissue can be removed under local anesthesia. Because of the deforming scars I have seen from other surgeons performing this excision I have developed a technique that removes the tissue from an incision well-hidden high up in the armpit. This is a very important difference in my technique and of my practice that realizes that men do not want nor will they accept scars on the front of their chests. If the chest is larger and consists of both fat and fibrous tissue then a combination of lipocontouring removal of the fat and direct removal of the fibrous tissue is performed but, again, limiting any scars on the front of the chest. I do not remove any skin from the chest even if the man is initially very large. The skin of a man's chest is very contractile and by removing the underlying fat/fibrous tissue and providing good support to the skin following the procedure then the skin is extremely good at becoming tight and natural-appearing.

Except for the smallest amount of tissue, chest contouring is performed under general anesthesia and takes about two to three hours. A person wears a compressive garment for a length of time considering the size and scope of the procedure but is usually back to full activities including gym work, running, etc., within three to four weeks.

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DIPLOMATE, AMERICAN BOARD OF PLASTIC SURGERY