Chest Enhancement & Contouring


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Chest Enhancement & Contouring

A very flat chest that is unresponsive to exercise and any kind of bodybuilding is common among men. Others have some chest shape and breast mound and desire a rounder, more prominent, more muscular-looking chest. Many men want a very chiseled and defined look with cut-in edges of pectoralis muscle and more. Dr. Romano also often sees men born with the chest shape deficient or missing, so-called Poland’s syndrome. There may be associated nipple and areolar issues that he can help you with at the same time. The relevant anatomy is present in multiple layers, and Dr. Romano can address more than one.

The male chest shape is determined, firstly, by the curvature of the underlying ribs (they can be really flat); secondly, by the thickness and position of the pectoralis muscle (this can be absent or thin); thirdly, by the amount of fat overlying the muscle; fourthly, by the size and distribution of the male breast gland; and fifthly, by the nature of the skin and its elasticity. Surgery for chest enlargement may involve any layer, but most of the time involves pectoral implants to change the underlying rib contour. Sometimes fat grafting can be used, but pectoral implants are the most common procedure for this issue. An incision high in the armpit about 3.5″ long allows Dr. Romano to make space under the pectoralis muscle and insert the implant, which is semi-solid silicone. There are different sizes and shapes already custom-made. These will never rupture. The pectoral muscle is left intact and not divided (unlike in virtually ALL women who have breast implants!). Male chest enlargement and contouring surgery in Dr. Romano’s practice involves:

  • Pectoral Implants: This is the gold standard described above, and it works very well.
  • Fat Grafting: This is very useful if there are deformities from birth and not enough muscle present. A very nice breast shape can be obtained.
  • Chest Contouring: This may require the adjunctive use of liposuction and removal of gynecomastia if these features are present.
  • Nipple Surgery: If the nipples are large, they can be reduced at the same time.

Surgery on the male chest is very common in Dr. Romano’s practice. He has performed many of these procedures with consistently beautiful and natural results.

Dr. Romano Explains

There are a surprising number of men who are born with an extremely flat chest with no contour or curve or chest roundness whatsoever.

I see these men in my practice and am very sensitive to their usually quite extreme dissatisfaction with their chest. I understand your concerns and really enjoy the opportunity to restore this condition to completely normal for you.

There are many different complaints that surface around the time of consultation for pectoral implant chest enhancement. Most men have a very flat chest that is unresponsive to exercise and any kind of body-building. Others have some chest shape and breast mound and desire a rounder, more prominent, more muscular-looking chest. Many men want a very chiseled and defined look with cut-in edges of pectoralis muscle and more. I also often see men born with the chest shape deficient or missing, so-called Poland’s syndrome. There may be associated nipple and areolar issues that I can help you with at the same time. The relevant anatomy is present in multiple layers, and I can address more than one.

The male chest shape is determined, firstly, by the curvature of the underlying ribs (they can be really flat); secondly, by the thickness and position of the pectoralis muscle (this can be absent or thin); thirdly, by the amount of fat overlying the muscle; fourthly, by the size and distribution of the male breast gland; and fifthly, by the nature of the skin and its elasticity. Surgery for chest enlargement may involve any layer, but most of the time involves pectoral implants to change the underlying rib contour. Sometimes fat grafting can be used but pectoral implants are the most common procedure for this issue. Surgery involves a light general anesthetic and is performed where I do surgery, which is in a hospital setting. An incision high in the armpit about 3.5″ long allow me to make space under the pectoralis muscle and insert the implant, which is semi-solid silicone. There are different sizes and shapes already custom-made. These will never rupture. The pectoral muscle is left intact and not divided (unlike in virtually ALL women who have breast implants!). The surgery is safe and predictable. There is very mild swelling after surgery. There are only a few stitches.

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