Dr. Harold Reed Blog

Category Archives: The Reed Centre for Ambulatory Surgery | Miami

Male breast enlargement, gynecomastia or “male boobs”

Dr. Reed,  I have male breast enlargement, gynecomastia or “male boobs“.  Embarrassed to wear even a tee shirt!  Is this easy to correct?  Eddie

Dear Eddie,

Male breast enlargement, gynecomastia or “male boobs” is a condition often associated with being overweight.  2 factors are involved…  you have additional subcutaneous fat all over your body, but also fat stores in men make estrogen, and estrogens causes enlargement of male breasts.  See if dieting helps.

Gynecomastia or enlargement of the male breast may produce an unwanted feminizing appearance. This is typically caused by an increase in stromal (connective) and ductal tissue, however a serious underlying cause should
always be considered. The incidence of occurrence in naval military exams is about 8 in 100,000. Gynecomastia is noted normally to some degree in pubescence with incidence as high as 65% in boys aged 14 to 15 years. By
late teens this finding lessens to 7.7%. Cosmetic surgeons consider 3 grades:

I. a button of extra tissue under the areola (the pigmented area
surrounding the nipple)

II. diffuse enlargement with indistinct peripheral margins.

III. further mass effect with excessive skin involvement.

Many cases of gynecomastia can be treated with liposuction techniques. Generally speaking only large cases with excessive non-elastic skin, or dense fibrous growth require open excision.  Please see our web-site penisdoctor.com/before-after-gynecomastia for before and after pictures of gynecomastia.

Cordially,

Harold M. Reed, M.D.
The Reed Centre for Ambulatory Surgery | Miami
1-305-865-2000

Before picture of gynecomastia (male chest enlargement, male boobs)

After picture of gynecomastia (male chest enlargement, male boobs), right side

After picture of gynecomastia (male chest enlargement, male boobs), left side

Before picture of gynecomastia

Before picture of gynecomastia, patient had liposuction and open removal of adenomatous (glandular) breast mass

 

 

More on Xiaflex, Collagenease clostruidiumn histolyticum (CCH)

Xiaflex update appears In Sexual Medical Reviews , Volume 5, Number 4, October 2017.  A review of the literature is reported by 4 authors.   2 authors report conflict of interest in that they are investigators for Auxillium (the maker of Xiaflex in the US) and consultants for Sobi (the makers of Xiapex in Europe).     They…Continue Reading

Testicular enlargement, have steroid atrophy

Dr. Reed, Would like testicular enlargement, have steroid atrophy. What will you do with my atrophic testicles?  Michael Dear Michael, Thank you for visiting our web-site penisdoctor.com/before-after-testicular-enhancement and looking at before and after pictures of testicle enlargement.  We do not disturb your atrophic testicles, but insert testicle implants below them in an anatomical space under the…Continue Reading

(FAQ) How does the LGX penile implant work? |The Reed Centre for Ambulatory Urological Surgery | Miami

D. Reed, Will the LGX penile implant make my penis longer?  Burt Dear Burt,  Appreciate your visiting our web-site penisdoctor.com and looking at before and after pictures of inflatable penile implants.  I have performed inflatable penile implant surgery for 30 plus years (over 2000 patients).  LGX as you may know stands for length and girth enhancement or…Continue Reading

Penile scrotal webbing correction needed | The Reed Centre for Ambulatory Surgery | Miami

Dear Dr. Reed, Live in Dallas and have seen the many photos of penile scrotal webbing on your site penisdoctor.com/before-after-penile-scrotal-web  Had an adult circumcision  4 years ago, now 33 and hoensrtly this detracts from my penile length appearance.  Can you recommend a doctor nearby who does release of penile scrotal web.  Cary Dear Cary, Penile scrotal…Continue Reading

How can I remove silicone from my penis

Dr. Reed, Had a huge amount of silicone injected into my penis and was happier before.  I’d like it all removed if possible.  Raymond Dear Raymond, I am not a proponent of penile silicone injections into the penis as it tends to go into tissue planes of least resistance and the contours may be irregular. …Continue Reading

Is it safe for a hemophiliac to have simultaneous penile implant and circumcision revision?

Dr. Reed,  Is it safe for a hemophiliac to have simultaneous penile implant and circumcision revision?  My present circ status is “too loose.”  Emil from Denmark Dear Emil, I live in a world of genital surgery and am very flattered by your question with clinical history. First you should know a penile implant is the last resort…Continue Reading

Need penile implant and length for erectile dysfunction (ED)

Dear Dr. Reed,  Looked at before and after photos of your penile implants and penile lengthening procedure.  Can both be done at the same time.  Jim Dear Jim, Thank you for visiting our web-site penisdoctor.com.  Please keep in mind a penile implant is the last resort for erectile dysfunction (ED).  While malleable implants should last…Continue Reading

Concealed, hidden or buried penis | The Reed Centre for Ambulatory Urological Surgery | Miami

Dr. Reed, Am embarrassed with my penile size, mainly length.  Told I have a concealed (hidden or buried) penis.  That actually the length is there but under the skin.  Where it don’t belong.  Lowell Dear Lowell, Acquired concealed, buried or hidden penis is apt if you remember your length being a lot longer.  The most…Continue Reading

Can you replace an atrophic testicle with a testicular implant?

Dr. Reed, Have right testicle atrophy following a hernia repair.  Can this be replaced with a testicle implant or testicle prosthesis?  Ray Dear Ray,  Best not to remove the atrophic testicle as it is most likely still functioning.  I would recommend we place in front and below your atrophic right testicle an implant similar in size…Continue Reading