Gynecomastia

Male Breast Reduction

Gynecomastia is a condition found in men that stimulates the overdevelopment or enlargement of breast tissue. This condition can be seen in men of any age.

Commonly known as Male Breast Reduction or Reduction Mammaplasty, gynecomastia surgery is a procedure that reduces the size of the patient’s breasts, while flattening and enhancing their natural male chest contours. If the patient’s case of gynecomastia is severe and causes the areola to sag or stretch, the surgeon can correct this during the surgery as well.

Procedure

Male Breast Reduction is performed while the patient is either under IV sedation or general anesthesia. There are three different techniques used to
treat gynecomastia. The technique depends on the patient’s original tissue and fat make-up. Liposuction is used to treat patients that simply have excess fatty tissue in their breasts, whereas patients with extra skin or tissue are treated through skin excision. Patients with fatty tissue and extra skin are typically treated with both liposuction and excision.

Liposuction Technique

Treating gynecomastia with liposuction involves the surgeon inserting a cannula (hollow, thin tube) through the breast tissue, moving the cannula back and forth to loosen fat, and removing the fat through the incision sites with vacuum suction. This can be ideal for patients who only have excess fatty tissue. Liposuction leaves minimal scarring and takes less time to heal compared to excision.

Excision Technique

In order to correct more severe cases of gynecomastia, where patients have extra breast skin, the surgeon must excise the excess skin or tissue through a surgical incision. If areola reduction or nipple repositioning is necessary, the surgeon will also use the excision technique, as it allows the surgeon to manipulate the size and position of both during the procedure.

Recovery

After surgery, the surgeon will dress patient incisions with bandages and a support garnet to help minimize swelling and support the new chest contour. In some rare cases, a drainage tube may be inserted under the skin to drain the excess blood and fluid from the incision sites.

Most patients see immediate results, though some must wait until their swelling recedes to see the full results. Peak results (full contour without swelling) are typically seen three to six months post-procedure.

Reduction mammaplasty results are usually permanent. However, if a patient’s gynecomastia is the result of the overuse of prescription medication, steriods, or excessive weight gain, patients must refrain from these substances and remain at a stable weight to maintain results.

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