For the man with moderate to severe gynecomastiaÂ also known as moobs, it may be recommended that a secondary procedure be performed after the initial male breast reduction surgery. This would be for men that have a large amount of redundant skin usually caused by weight loss and older men who have lost a lot of skin elasticity.
During the initial consultation, Marin County cosmetic surgeon, Dr. Miguel Delgado discusses all options with his Bay Area male breast reduction patients. He can tell if a patient may need the second stage surgery and informs them before any surgery has taken place.
Some patients are pleased with the results of their first surgery and do not choose to have the second stage, this is a personal decision and the satisfaction of the patient is most important. But for those that want the best possible outcome, the second stage can proceed after about four to six months of recovery from the first procedure, after the blood supply reestablishes itself underneath the nipple-areolar complex.
Some surgeons may opt to do a mastectomy type surgery to do everything in one stage, but Dr. Delgado feels the resulting scar is almost as obvious as the gynecomastia itself.
The procedure consists of an incision around the nipple-areolar complex doing what is referred to as a â€śPeri-areola donut mastopexyâ€ť, whereby you excise skin with a purse-string closure.