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Schedule A ConsultationCharacterized by excess breast tissue located throughout the lower chest with relatively tight skin. Type 2 has a rounded looking breast shape.
A classification system is only useful if it outlines a treatment plan.
Dr. Cruise
Breast tissue – under nipple/areola only
Nipple position – above border of pec. muscle
Lateral chest fold – tight, straight
Breast tissue – extends over chest fold
Nipple position – above border of pec. muscle
Lateral chest fold – tight, rounded
Breast tissue – extends over chest fold
Nipple position – 0 to 2 cm. below border of pec. muscle
Lateral chest fold – mild laxity, horizontal
Breast tissue – extends into axilla
Nipple position – >1.5 cm below border of pec. muscle
Lateral chest fold – small breast roll in front of arm pit
Breast tissue – extends into axilla
Nipple position – ≥ 2 cm below border of pec. muscle
Lateral chest fold – breast roll extends to the back of arm pit
Breast tissue – extends into axilla
Nipple position – ≥ 2cm below border of pec. muscle
Lateral chest fold – breast roll extends around to back
“Achieving optimal results and avoiding complications requires both expertise and a plan”
Dr. Cruise
Ideally, there should not be any fat pockets. There are three common fat pockets that need to be evaluated and removed if present.
Adult gynecomastia patients do not have much to worry about extra incisions as their skin is already tight. Their incision will be limited to around the areola. There are some Type 2’s that have very low nipples. In these patients, nipple elevation is usually required to prevent the nipple from “falling off the pectoralis border.” If this happens, the nipple falls into the chest fold and it looks like it is “cratered.” Clearly, not desirable. This requires a superior areola incision which is slightly more visible but still not an issue. As one of the best gynecomastia surgeons in the world, Dr. Cruise is extremely skilled with his incision techniques.
If gynecomastia surgery is a procedure that you are considering or you just want to learn more about your options, fill out our online contact form and you will be contacted with the next steps to resolve your gynecomastia. Feel free to also call our office at (949) 373-4867