Cosmetic Plastic Surgery Education

When it comes to surgery for men, it is of utmost importance to avoid any telltale signs of surgery. These signs include contour irregularities or lengthy incision lines which give result in an operated appearance. Men, like women, want to look their best but are timider with sharing that they have had cosmetic surgery. Therefore, it is critical to design male surgeries that create natural results, avoiding any and all signs of surgery. Dr. Mowlavi has spent his career perfecting male breast surgery, i.e. gynecomastia, in order to avoid and correct operative deformities.
The most common deformity observed is a divot that appears underneath the nipple and areola. It results from a gynecomastia procedure performed using a lumpectomy rather than techniques designed specifically for gynecomastia. What you have to understand is that the fullness felt and visible under the areola is not a round lump but a plateau of glandular tissue. As such, it needs to be removed using more of a tangential excision with a smooth peripheral border transition.

Every patient’s excision depth needs to be customized and gauged by the soft tissue fullness throughout the breast in order to avoid any contour divot deformities. The second most common deformity that one should avoid involves a lateral divot created just lateral to the nipple and areola. This area contains a lack of fat as well as tight muscle to skin suspensory ligaments that will create further pulling and concavity if one removes the little fat that is present. As such, it is critical to not remove any soft tissue from this area.