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Gynecomastia

Gynecomastia, a condition characterized by enlarged male breasts, can be mild or moderate, and it can be easily addressed with gynecomastia surgery to reduce the breasts and create more defined chest contours.

Candidates May...

  • Have excess localized fat in the chest

  • Have excess glandular tissue in the chest

  • Have excess breast skin

  • Have gynecomastia unilaterally (in one breast) or bilaterally (in two breasts)

  • Be affected emotionally and physically by enlarged male breasts

Excess breast tissue and fat on a male can be unflattering and embarrassing. This condition is known as gynecomastia and is a very common problem among men of all ages. The majority of men develop atypical breast tissue during adolescence. Excess fat and tissue in the chest area tend to naturally go away after puberty, although sometimes it doesn’t and leads to lasting breast development. Men suffering from gynecomastia may have enlarged male breasts for different reasons, such as from medications or drug use. Male breast reduction surgery, or gynecomastia surgery, is an ideal procedure for reducing fat and glandular tissue while providing more smooth and masculine chest contours. A personally tailored procedure is designed for each patient based on his severity of fat, tissue, and skin.

Gynecomastia Procedures

Liposuction

  • Either a mild sedative and local anesthetic or general anesthesia will be administered depending on the degree of correction needed

  • Small incisions are made in the target area

  • A thin, hollow tube (cannula) is inserted through the incisions and moved back and forth in a controlled motion to loosen fat

  • The fat is suctioned through the cannula using a vacuum device

  • Incisions are closed with surgical tape or sutures

Excision

  • Excision is frequently performed with the aid of liposuction

  • A general anesthetic is administered

  • A half-moon incision is made around the lower half of each areola (the colored skin around the nipple), leaving undetectable scars

  • Excess glandular tissue and fat are removed

  • It is uncommon for skin excision to be needed

  • Incisions are closed with surgical tape or sutures

Frequently Asked Questions

There are many causes of gynecomastia. Some men have idiopathic (unknown) development. Other men’s bodies have increased estrogen, which can be caused by many factors, such as steroid use, obesity, kidney failure, or rare tumors. Long-term use of certain medications and drugs can affect a man’s breast growth.
Men who have an accumulation of fat and glandular tissue in the breast area may be interested in gynecomastia surgery. A good candidate for male breast reduction surgery has tried alternative methods to reduce his breast size and has been unsuccessful. Patients should be non-smokers, in good health, and at a normal body weight. It is best if potential patients have stabilized breast development and realistic expectations.
After surgery, a dressing will be placed over the breast area to ease swelling and to secure the new chest contours. To alleviate any pain or discomfort and to aid in healing, medications will be prescribed. Most patients take five to seven days off work from sedentary jobs. Patients should avoid physical activity, especially any movement involving the arms or upper body, until they receive clearance from Dr. Nelson.
Depending on the technique utilized, the location of surgical scars will vary. Typically, incisions will be made in discreet locations and should fade over time.
Gynecomastia surgery is designed to provide long-lasting results. However, the outcome of the surgery can be affected by weight fluctuations, medications, and aging. With a proper diet and exercise, patients will be able to maintain stable results.

© 2014 Jeffrey M. Nelson, MD. Site Designed & Hosted by Plastic Surgery Studios.