WHAT IS GYNECOMASTIA?

The word gynecomastia means "female breast" and is the medical description that refers to an over growth, or breast-like formation of the normally flat male chest around the nipple. This abnormal fullness comes in two forms: the first form is when actual breast tissue forms from the normally quiescent cells under the nipple, and this type can be caused by genetics, medications, or a handful of other reasons. The second type of gynecomastia is more esthetic in nature and occurs when an abnormal amount of fatty tissue builds up throughout the breast, causing an embarrassing feminization of the male chest. Both forms can be treated, however, and the first is often considered a medical problem that can be paid for through medical insurance. The second form is not covered by medical insurance, as it is considered to be cosmetic in nature, but can be treated with the use of liposuction.

 
 
 

WHO IS A MALE BREAST REDUCTION CANDIDATE?

Surprisingly, Gynecomastia affects between 40 to 60 percent of all men, and as men age the chance of having too much breast tissue increases. If the appearance of your chest makes you avoid taking off your shirt in public, or if you do not wear fitted shirts because you have an overly prominent chest, this procedure has the potential to change your life. The goal is to give you a noticeably flatter chest that features a much more masculine contour.

Typically, gynecomastia patients display the following conditions:

  • Breasts that are larger than “normal” for a male
  • Irritation because of excess rubbing on overlying clothing
  • "Puffy" or prominent nipples
  • Discomfort wearing snug fitting shirts or self-conscious feelings when taking your shirt off
 
 
 

WHAT DOES THE PROCEDURE ENTAIL?

Male breast reduction is usually performed with liposuction alone. Depending upon the shape and severity of each case, the approach can include small incisions at the edge of the nipple and near the axilla. Regardless of which incision site is chosen, the scar(s) will be nearly impossible to see after 6 months.

The procedure is done in our surgical suite using twilight anesthesia to ensure safety and comfort. The areas to be treated are marked while the patient is sitting up and, identical to the liposuction technique, tumescent solution is injected throughout the area to render complete numbness and a pain free procedure. Using the incisions as an entry points, we will remove an appropriate amount of fatty tissue to achieve the contour and results that you are seeking.

Once our goals have been achieved, dressings will be applied to the incision ports, along with a compression garment. Excess draining is typical for the first few days, and can be maintained by regular cleaning and changing of your bandages. It is routine for patients to walk in and out of the procedure with ease. 

 
 
 

WHAT IS THE RECOVERY TIME?

Following the surgery, you will notice an immediate improvement in the shape of your chest. You will likely feel sore, but after the first 2-3 days your pain should be minimal. Prescription pain medication will be made available, but we have found that a moderate dose of Ibuprofen or Tylenol can provide satisfactory pain reduction for many of our patients. Ice packs have also been helpful to reducing swelling and provide relief during the healing process.

The compression garment should be worn continuously (except for wound care and bathing) for the first week—this will help your chest heal, and the support of the garment will relieve further discomfort. 

Every case is different, but we find that most of our patients are able to return to work after only a few days. If surgery is done later in the week, you will likely be able to return to work on Monday or Tuesday of the following week (unless your work involves lifting of any kind). 

Additionally, we recommend avoiding vigorous physical activity, contact sports, and weight workouts for 3-6 weeks after surgery. This will give your chest the opportunity to heal, and will minimize the likelihood of prolonged swelling and recovery.

 
 
 

MALE BREAST REDUCTION RESULTS:

As mentioned before, the improved shape of your chest will be noticeable right after your surgery is completed, with even better results once you have completely healed. This surgery is a very effective and safe way to improve your chest's appearance, with results that can last for years to come. 

A healthy lifestyle, along with diet and exercise, can go a long way to ensure that you results stay true for the foreseeable future. 

 
 

Before & After Male Chest Reduction:

 

Procedures Performed:

  • Male Chest Reduction

Procedures Performed:

  • Male Chest Reduction

  • Liposuction