Aesthetic Refinements in Male Chest Lifting

Abstract

The authors describe aesthetic refinements to the approach for male chest lifting in male patients with grade 3 gynecomastia and/or significant chest skin excess. An inferior pedicle is used to transpose the nipple-areolar complex allowing preservation of pigment and sensation, liposuction and direct excision are used to reduce volume and excess skin, and the resulting curvilinear scar along the inferior and lateral border of the chest provide a more masculine appearance. Early experience with this technique has shown it to be safe and effective. Perioperative management and the detailed steps of the procedure are outlined.

Figure 1.

(A, B) Preoperative markings of a 34-year-old male who underwent male chest lift surgery using an inferior pedicle to reposition the nipple–areolar complexes with a curvilinear incision.

Figure 2.

Curvilinear marking pattern. Artwork created by and published with permission from Dr Levent Efe, CMI.

Figure 3.

(A, C, E) Preoperative and (B, D, F) 12-month postoperative photographs of a 34-year-old man who underwent male chest lift surgery with a curvilinear incision using an inferior pedicle to reposition the nipple–areolar complexes. He had 232 g excised from the right and 333 g excised from the left and liposuction of the chest with aspiration of 1250 mL from each side. His preoperative markings are shown in Figure 1 and his surgery is shown in the Video.

Figure 4.

(A, B, D, F) Preoperative and (C, E, G) 13-month postoperative photographs of a 20-year-old male who underwent male chest lift surgery with a curvilinear incision using an inferior pedicle to reposition the nipple–areolar complexes. He had 68 g excised from the right and 98 g excised from the left and liposuction of the chest with aspiration of 100 mL from each side.