Plastic surgery is one of the marvels of modern medicine, with a wide range of options for face and body improvements. And today’s media outlets make it easier than ever before to gather information on the latest plastic surgery procedures. But how does this information apply to you and your concerns?
Every person is unique and has his or her own desires. What procedure or combination of treatments is right for you? And what can you really expect? EXPLORE PLASTIC SURGERY with Dr. Barry Eppley, Indianapolis plastic surgeon, who can provide you with a wealth of practical and up-to-date insights into the world of plastic surgery through his regular blog posts. In his writings, Dr. Eppley covers diverse topics on facial and body contouring procedures. You will be sure to find useful information that will help broaden and enrich your plastic surgery education.
Gynecomastia (male breast enlargement) comes in many forms, from a large almost female looking breast to just a scant amount of excessive nipple or areolar projection. In my Indianapolis plastic surgery practice, I have seen more ‘minor’ cases of gynecomastia in the past few years. In these minor expressions of gynecomastia, there is a special subset in which the main aesthetic problem is that of excessive nipple projection.
Excessive nipple projection can occur in the teenage years as well as in the older male as well. The prevalence in the younger teenage and young male patient has a lot to do with cultural influences to which we are exposed today. The current appearance of the male models that are used in advertising show a chest that is both hairless but very smooth including a flat nipple. I call this the ‘Abercrombie Fitch’ look which helps drive a young males perception of attractiveness. As young male are often shirtless given their activities, this look can be very influential. Older male, conversely, are primarily bothered by the protrusion of the nipple that can be seen through shirts.
In many cases, this nipple and areolar protrusion may or may not be part of an underlying mild gynecomastia. Some men merely have hyperactive nipples or more promiment nipples than others. In other cases, there may be a small or areolar gynecomastia that pushes the nipple forward by volume displacement.
Correction of these nipple and areolar protrusions are quite simple and uncomplicated. If the areolar is flat, but the nipple is undesiringly protrusive, a simple nipple reduction can be done. This is done by taking a wedge from the center of the nipple and closing it, making the nipple flat and permanently disrupting its ability to stick out any further. Some nipple sensation will be lost but this is usually irrelevant in a male. If the areola is protrusive, then breast tissue must be taken out from underneath it. Through a semi-circular incision on the bottom part of the areola, the nipple and areola is lifted up and a wedge of tissue is removed. The amount of tissue removed should be sufficient enough that there is a slight indentation at the time of closure.
Both nipple reduction and areolar gynecomastia are simple outpatient procedures that have virtually no recovery and only a short limitation from strenuous activities after. Both heal with virtually no detectable scarring and consistent aesthetic improvement.
Dr. Barry Eppley
http://www.eppleyplasticsurgery.com
http://www.ologyspa.com
Clarian North Medical Center, Carmel, Indiana
Clarian West Medical Center, Avon, Indiana
Indianapolis
Tags: areolat gynecomastia, dr barry eppley, gynecomastia, indianapolis, nipple reduction
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