Not all surgeons have the same skills nor do they use the same techniques. Good surgery starts with careful documentation of the individual patient's problem. Then there must be careful documentation of before, recovery, and after surgery results. The actual operation must be meticulously documented. Then the results analyzed, critiqued, and methods improved. That is what Dr. Bermant employed over the years to evolve what he calls his Dynamic sculpture of the male chest. This is way more than just adopting what is done during the operation to what is found on the tissues.
Analysis of The Problem
His Dynamic Technique start out with an analysis and stabilization of the patient's problem. Surgery breast regrowth. Ignoring this critical concept usually results in recurrence. Dr. Bermant found that for analysis of the male breast, the normal history form was not enough. He designed his own Male Breast History form that has continued to evolve over the years of its use. Collecting such details permits a better understanding of that particular patient's cause for the breast growth and if the condition is stable or not.
Global Fat Contour Issues are assessed during the examination, Body Mass Index Calculation and a Body Fat Analysis. Men tend to put fat on first in be belly and chest regions. With weight loss, we take it off those regions last, this is part of normal Male Body Fat Distribution. Why do surgery first to "jump start" the process, then lose weight. If this weight comes off in typical male fashion, it will look like the gynecomastia has returned. Major weight loss can also result in loose skin issues.
In considering this contour issue as surgical sculpture, the wise sculptor picks the coarse tool first, and one of refinement last. In this case, losing weight is the coarse tool. Surgery is better at refinement.
Red Flag System
Over the years Dr. Bermant has worked with a number of Endocrinologists as to which patients should be then sent for an evaluation. This became his Red Flag System. If a patient has these red flags, surgery should not be the next step. Instead the patient should be evaluated by an experienced Endocrinologist first. If indicated, laboratory test ordered, and medical management started to stabilize the problem first.
Examination Male Chest
This analysis then continues with the exam of the male chest. Again done with forms he evolved over the years, Dr. Bermant takes careful measurements of the contour components of the male chest. Such measurement then can be used to document the degree of effectiveness of the surgical sculpture.
Size reduction of areola seen after surgery.
Forum Overview is an introduction to our forum, boards, and an introduction to the definition, symptoms, causes, diagnosis, and treatment of male breasts.
Male Breast Reduction Surgery is a detailed explanation of surgical sculpture and the various types of male breast reduction.
Frequently Asked Questions collects the most commonly requested information. Try looking for answers here first.
Pictures shows details about photos and videos of the male chest. Find before and after photographs and movies. Learn what views help define the problem and show issues about the results.
Surgeon learn how to pick your surgeon and about consultations the learning process about the operation.