Archive for April, 2013

male breast reduction chattanooga
Often considered only a feminine concern, breast reduction surgery is becoming increasingly popular among males. It seems an amplification of body image pressures are taking a toll on the male population. In fact, in 2012, the popularity of male breast reduction surgery increased by 5 percent from the previous year . Like male pattern baldness or “beer belly”, gynecomastia is yet another potential threat to masculine allure.


Gynecomastia (“man breasts” or “man boobs”) is a condition which creates enlarged, benign breast tissue in men. Up to a whopping 69 percent of males will experience this condition at some point in their adolescence during hormone surge. While gynecomastia most commonly occurs within the confines of male puberty, it can persist into adulthood. For those patients who experience enlarged breast tissue into adulthood, surgical intervention is often the only solution as true gynecomastia is unrelenting to weight loss programs.

Psychological Impact of Gynecomastia

Until recently, gynecomastia was considered only a cosmetic concern. However, a study published in the April issue of Plastic and Reconstructive Surgery reveals the psychological impact that the condition may pose to men who suffer with gynecomastia. According to the study, it was inferred that gynecomastia adversely affects self esteem and overall quality of life in those participants diagnosed with the condition.

The study assessed a group of 47 boys being evaluated for gynecomastia. Participants were given a series of psychological tests. The results were then compared to a control group of participants without gynecomastia. Compared to the control group, patients with gynecomastia generated lower scores on tests which were constructed to evaluate general health, mental health, social function and self esteem.

Dr. Brian Labow who conducted the study explains, “Merely having gynecomastia was sufficient to cause significant deficits in general health, social functioning, mental health, self-esteem, and eating behaviors and attitudes compared with controls.”

Given the findings of this study, it is natural to assume that the treatment of gynecomastia may not only result in cosmetic improvement, but a potential psychological improvement as well.

Gynecomastia Treatment

In mild cases, liposuction alone can correct Gynecomastia. However, patients with a considerable amount of tissue or poor skin quality will need to undergo a formal breast reduction involving the surgical excision of excess breast tissue along with liposuction. For three to six weeks following the surgery, patients are advised to refrain from strenuous activities . It is also important to note that scars will be present at the incision sites. Typically, cost for breast reduction starts at around $4,000.

We offer male breast reduction at our surgery practice in Chattanooga, Tennessee. If you are interested in scheduling a private, complimentary consultation with our Board Certified Surgeons, call 423-648-4011.

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By Dr. James White


While many cosmetic surgery candidates assume breast implant size is the only variable in breast augmentation outcome, they are misinformed. Breast implant type, shape and positioning also play an important role in breast enhancement cosmetic results.

Although a fair amount of patients are aware of the pros and cons of implant type (saline or silicone?) and size (small “C” cup or DD?), a vast majority of patients do not realize the role implant placement plays in the overall aesthetics of breast enhancement. In fact, breast implant placement can be executed through several different approaches. Primarily, they can be placed completely under the muscle (subpectoral), over the muscle subglandular or partial sub muscular (dual-plane).

Under the Muscle/Subpectoral

When a surgeon refers to “subpectoral” or “under the muscle” placement, this typically implies that the implant will be placed completely beneath the pectoralis muscle. This technique can be advantageous particularly for women with extremely thin tissue as this type of placement allows the entire implant to be camouflaged and padded by overlying muscle and existing breast tissue. As a result, wrinkling and rippling of the implants less likely. In addition, this technique greatly reduces the likelihood for capsular contracture (hardening of the breast due to the abnormal development of scar tissue of the capsule around the implant). Although this techniques has many advantages, it can cause more immediate postoperative discomfort and require longer recovery time than subglandular placement. Flex of the pectoralis muscle with submuscular implants can cause implant distortion.

Over the Muscle/Subglandular

Subglandular placement is executed by placing the implant over the pectoralis muscle directly under the breast tissue . While this technique may not require as long of a recovery and less postoperative discomfort as subpectoral placement, the chances for capsular contracture are greatest with this approach. At our practice, subglandular placement is not the preferred method not only due to potential for capsular contracture but also because of the potential for visible implant rippling and a less natural feel of the breast implant. However, it can prove beneficial for extremely athletic patients such as bodybuilders who are more susceptible to muscular distortion which can occur when the implant is placed under the muscle.

Dual-plane/Partially under the muscle

When a patient exhibits a slight droop of the breast, often due to deflation of the breasts after a pregnancy or weight loss, yet still possesses good skin quality, we often prefer to perform a dual-plane breast augmentation. A dual-plane placement allows for the upper portion of the implant to be covered by the pectoralis muscle while the lower portion of the implant is only subglandular. This technique provides a gentle lift, without the need for a more invasive breast lift and the scarring and discomfort that a formal breast lift entails. Even better, this technique still has a low likelihood of capsular contracture formation, the best of both worlds.

In order to accurately determine the most beneficial placement for your unique body, it is necessary to consult with a Board Certified Surgeon experienced in breast augmentation surgery. To book a private complimentary consult with our Board Certified Surgeons, call 423-648-4011.

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