Gynecomastia

Male Breast Reduction, Gynecomastia Surgery

Am I a candidate for this surgery?

Gynecomastia, a condition of over-developed or enlarged breasts in men, is common in men of any age.  It is almost universal in pre-teen boys, but is abnormal if it persists past puberty. As men get older, this area may get heavier. This is somewhat different from true gynecomastia, but surgical considerations are very similar.  Gynecomastia has been associated with hormonal imbalances, chronic use of cannabis, anabolic steroids, rare diseases, and the use of certain pharmaceuticals.  These associations are seldom seen, but often stigmatize the condition enough that young men are reluctant to seek medical care for what is most often just a variation of normal growth and development.
This condition does not correct itself after a certain age.  Gynecomastia can cause emotional discomfort and impair your self confidence.  Some men will avoid certain physical activities such as basketball games, surfing and swimming. Some social situations are avoided entirely. Clothing choices are designed to provide camouflage and cover.  Even intimacy with a spouse or loved one is sometimes avoided in order to hide this condition.
 

What does this surgery do?

Gynecomastia is characterized by excess localized fat, excess glandular tissue development, a combination of both excess fat and glandular tissue and gynecomastia may be present unilaterally (one side) or bilaterally (both sides).
In cases where gynecomastia is primarily the result of excess fatty tissue, liposuction techniques alone may be used.  Excision techniques are recommended where the fibrous, glandular breast tissue must be removed to correct gynecomasita.   Incisions are usually near the border of the areola, so it is hidden at the natural color of the areolar border.  A combination of liposuction and excision is most frequently done to get the best contour and definition of the chest. General anesthesia is used for patient comfort for this outpatient type surgery. 
 

What does it not do?

 A well defined pectoral muscle can only be achieved by weight lifting. The results are good even in a heavy set person. However, results can become truly impressive if this person follows up the surgery with even a modest weight loss.
 

What can I expect afterwards?

Time off from work and/or school should be at least 7 days.  A caregiver is required for at least 24 hours following surgery.  There are ace wraps around the chest for about a week. Discomfort is mild, with pain medication used normally for 2-3 days. Full exercise and activities are resumed after 6 weeks.


 

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