Posts Tagged ‘Bodybuilders’

Natural Blend Technique for Gynecomastia by Dr. Mordcai Blau

After working in the field for 25 years, Dr. Mordcai Blau created and perfected his technique of choice, which he refers to as the Natural Blend technique. The natural blend technique focuses on the male chest as a whole, not just the breast gland tissue. The Natural Blend technique is so comprehensive that Dr. Blau begins its implementation as early as the consultation stage. During the consultation process, he examines the particularities of each patient’s chest and devises a surgical plan based around the idiosyncrasies of each patient’s chest. He closely examines the amount of glandular tissue and excess skin. The patient’s age is also taken into consideration as this will affect the elasticity of the skin. He asserts, that these factors play a huge role in defining the shape of the patient’s chest. By examining this, along with the patient’s particular composition of adipose tissue, breast gland tissue, fibrous tissue, muscle and skin, Dr. Blau can adapt his surgical procedure to fit the natural contours of each patient’s body.
As an accomplished artist, Dr. Mordcai Blau pays close attention to the symmetry and proportions of each patient’s chest, knowing that the optimal result is a product of both a strong artistic sense, and extensive surgical knowledge. In addition, he is well-versed in anatomy and has held positions as an anatomy instructor at both Albert Einstein and NY Medical College. The right proportions of the chest can make an astounding impact on one’s overall appearance, and getting the right proportions and symmetry is Dr.Blau’s ultimate goal.
During the surgery, Dr. Blau begins to implement his strategy based on his observations during the consultation. As a true aesthetician, Dr. Mordcai Blau takes precaution to minimize the incision, which, in general, is less than one inch, and remove the exact portion of the breast gland necessary for optimal results. His copious notes in the consultation beforehand, informs his decision about how small he can make the incision and how much of the breast gland to remove. Removing the exact right amount of the breast gland is a critical component of this type of surgery. Using the natural blend technique which emphasizes adhering to the uniqueness of each patient’s body, this is especially true. Removing too much of the gland can result in a depression underneath the nipple-areola-complex, and removing too little could result in a reoccurrence. Excising the appropriate portion of the gland makes a huge difference in terms of the overall appearance of the chest, so using the natural blend technique is particularly useful in terms of removing the right amount of gland, which is usually between 95-98% of the gland. In his experience conducting thousands of surgeries, Dr. Blau has noticed that the breast gland tissue can appear in areas other than directly under the nipple-areola-complex. The thoroughness of the natural blend technique helps him to ensure that he does not miss any glandular tissue.
The next stage in the natural blend technique is to remove the fat tissue. Again, Dr. Mordcai Blau takes careful note of the appropriate amount of fat to remove on a case-by-case basis. For his patients who are bodybuilders, which comprises about 20-30% of his client-base, he removes glandular tissue only, since bodybuilders have such little body fat. Bodybuilders are particularly attentive to the shape of their chest as their competitive edge relies on the build of their chest. Dr. Blau sees this as a testament to the quality of his natural blend technique. Patients with psuedogynecomastia, which is characterized largely by a great deal of fat tissue, on the other hand, have to have a lot of adipose tissue removed. In the rare case in which gland excision and fat removal are not enough, Dr. Mordcai Blau will employ an adipose flap to create the ideal chest shape. This is more likely to be the case if it is a secondary surgery as opposed to a primary surgery. If there is a little depression or deformity, the adipose flap can be used to mold the fat into place to fix the depression or deformity. The flap is often a better option than a fat injection, as the adipose flap leaves one side of the fat attached to ensure blood supply.
By taking great care and paying attention to the unique features of each patient’s body, Dr. Mordcai Blau manages to create a surgical technique specific to their needs. Using the natural blend technique, many patients see results which, appropriately, suit their body quite naturally.

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Meeting the Aesthetic Expectations of the Bodybuilder for Gynecomastia Surgery

Gynecomastia Surgery: A Closer Look
Gynecomastia is an unacceptable condition when it comes to bodybuilders.  Gynecomastia can develop in bodybuilders for many reasons.  Some hormones affecting growth and differentiation of breast tissue are growth hormone, estrogen, androgens, and progesterone.  A myriad of other peptides both endogenous and exogenously introduced can contribute to developing this condition.  Whatever the cause, the development is analogous to female breast development and the results are devastating.  It is unacceptable for a bodybuilder who invests the most time, energy, and money per day of life than any other sport or form of human competition to be hindered by breast tissue development.

Drug based therapy is not a viable solution for gynecomastia in the bodybuilder. Surgery is the only effective means of treating this condition.  It is important to note that of the general public gynecomastia patients, 50% are not satisfied with the post-operative outcome, as their aesthetic expectations have not been meet.  That being said, what the bodybuilder considers aesthetically acceptable is drastically more demanding than a general patient according to Dr. Mordcai Blau who frequently works with this community. One can deduce from this, bodybuilders who do not extensively research for an exceptional, experienced surgeon will likely be disappointed with the results.

Gynecomastia is unacceptable to athletes, recreational bodybuilders, and especially competitive bodybuilders.  The staple poses of the competitor are the: quarter turn, front double bicep, front lat spread, abs and thigh, side chest, side tricep, rear double bicep, rear lat spread, and of course most muscular.  Competitors suffering from even a mild case of gynecomastia will be most vulnerable in posing the: quarter turn, side chest, and side tricep.

Most Vulnerable Poses

Quarter Turn

Quarter Turn

Side Chest

Side Chest

Side Tricep

Side Tricep

Apex of Aesthetic Points

Contour
A surgery in which the primary intention is to remove mammillary glandular tissue will often result in failure.  There are several features that demand more attention in catering a corrective surgical protocol to bodybuilders.  Bodybuilders obtain an extremely low percent body fat for a duration of time.  Percent body fat is inversely proportional to the aesthetic appearance of the gynecomastia present.  This is another reason why correcting the condition is required.  The musculature of the chest is a focal point in posing and more generally an accented feature on bodybuilders.  Breast tissue proceeds to develop as follows: growth and division of ducts, formation of club-shaped terminal end buds, then forming alveolar buds, clusters of buds make up a lobule, lobules differentiate into ductules.  This is significant because of the protrusion caused behind the nipple often made more pronounced by adipose tissue behind the gland.  The amount of tissue removed will be unique to the severity of each bodybuilder’s condition and physique.  Not removing enough tissue results in the failure to meet aesthetic requirements and enables the possibility of further breast development.  Removing excess tissue may result in depressions that cannot be acceptably fixed.  Achieving a natural contour is key to a successful surgery.  Achieving a natural contour will require a plastic surgeon with specialized experience, perfected technique, and skill.

Scars
Scars are unwanted by a general patient and as such are absolutely unacceptable for bodybuilders.  Avoiding scars requires delicate cosmetic surgical techniques.  A periareolar incision does not rule out the possibility of scaring.  A specialized surgeon with experience is key.

Example of Successful Surgical Treatment of Gynecomastia

Post-Operative Photos: 1 Year

Before photo: Bodybuilder with Bilateral symmetric gynecomastia.  Post Op Photo: No scarring.

Bodybuilder with Bilateral symmetric gynecomastia & Post-Op Photo

Before photo: 3/4 Turn showing protrusion feminizing chest. Post-Operative Photo: Tight, natural contour with no scarring or depressions.

Bodybuilder with Bilateral symmetric gynecomastia & Post-Op Photo

Gynecomastia Corrective Surgery performed by Dr. Mordcai Blau

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