4/8/2023 0 Comments Droppy nipplesTo avoid the potential for long-term rippling, most plastic surgeons will use the same approach as they would a female breast lift by performing a full breast lift. The donut lift in these cases is much larger in size, which can cause persistent rippling, especially if the procedure is performed by a surgeon with little experience. Severe Gynecomastia is not always treatable with a donut lift alone. ![]() The incision placement of a donut lift falls within the margin of the darker colored areola, thus allowing them to be very well hidden. Patience is key during this healing process. With moderate sagginess, there will usually be some degree of rippling, however it will resolve over time. With mild sagginess, there could be a minimal amount of rippling, but it will go away quickly. ![]() If rippling occurs, it will subside within a few months and flatten out in most cases, depending on what degree of sag was present. This same thing takes place when the sutures are tightened/closed around the areola on the circle or donut shape. ![]() You would see some rippling around the edges of where the purse closed up. Now imagine you want to close or tighten the closure of your purse. When a donut lift is a performed there is a “purse string” affect that takes place. Being well informed of what the results will be with and without the donut lift is key to making the best decision possible. Cruise will give his recommendation, ultimately the decision to have a donut lift is up to the patient. This creates a more youthful appearance of the chest. By performing the donut lift, the nipple and areola are moved back into the ideal position and the redundant skin is tightened. If the donut incision is recommended, the good news is that the incision is very small and typically does not leave a scar that can be detected. In most older patients, a donut lift may be optimal, but this will depend on the outcome the patient desires from surgery. It is key that a patient commits to wearing a compression garment following surgery to ensure the best result possible. They usually don’t need it, because their skin will tighten on it’s own. Cruise prefers to not to perform the donut incision on his younger patients with mild saggy gynecomastia. The key is determining if the skin should be removed through a donut incision with mild gynecomastia cases.ĭr. With older men, loss of skin elasticity can compromise the ability for the skin to tighten to the degree one would like to see. Younger patients have better odds that the skin will snap back after the excess volume is removed. When mild saggy gynecomastia is present, the nipples may be between 2-3 cm above the chest fold. See how this is done in the pictures below: This procedure raises the nipple/areola and also tightens the skin. In order for this to be done properly, a donut shaped incision is made around the entire areola, followed by removal of excess skin from above and sometimes below the areola. This type of gynecomastia isn't as common, because it is typically only seen in patients who have experienced significant weight loss.Īs you may recall, there are 3 main causes of gynecomastia:Įxcess skin introduces a higher level of complexity when it comes to gynecomastia surgery, because skin must be removed. Saggy gynecomastia is when a patient has significant excess skin causing the areola and nipple to drop downward and sit on the lower portion of the chest. We have discussed different types of gynecomastia based on the possible reasons for male breast enlargement, but there still lies another problem, which is important to be aware of and to understand. Saggy gynecomastia is another sub-component seen with enlarged male breasts.
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