Gynecomastia

Gynecomastia is a condition that causes enlarged male breasts due to excess fat and glandular tissue. Gynecomastia reduction surgery, essentially the male equivalent to reduction mammoplasty, is a procedure that removes excess tissue to sculpt the patient’s chest into a more masculine contour. Gynecomastia can develop as the result of several factors, including:

If enlarged male breasts have affected your self-confidence and made you feel uncomfortable in your own body, then consider undergoing gynecomastia reduction surgery. Dr. Marc Everett offers gynecomastia reduction surgery to male patients interested in increasing their self-esteem and improving their masculine appearance.

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Procedure Details

The Liposuction Method

Gynecomastia reduction can be performed using multiple different techniques, depending on the needs of each patient. If the patient’s excess breast tissue is comprised mostly of fat and little to no skin sagging is present, then liposuction is often the preferred surgical technique.

Either general anesthesia or local anesthesia with intravenous sedation will be used to numb the patient before surgery. Multiple incisions are then made to allow insertion of the liposuction cannula, a thin metal tube that is used to suction out fatty tissue. Incisions are small and may be located on the border of the areola, along the natural crease of the lower chest, and on the side of the chest.

Using multiple incisions allows the surgeon to sculpt the chest from different angles more naturally. The incisions used during the procedure will vary between patients. After the cannula has suctioned out the excess tissue, the incisions will be sutured shut.

The Tissue Excision Method

The excision method is best for patients whose enlarged male breasts are comprised mostly of glandular tissue. The tissue excision method is also performed under general anesthesia or local anesthesia with intravenous sedation. After the patient has been numbed, a small incision on the lower border of the areola is made to provide access to the underlying gynecomastia tissue.

After the glandular tissue has been loosened underneath the skin, it is directly excised through the periareolar incision. Patients with moderate to severe amounts of excess tissue and skin sagging are good candidates for this technique. If the fatty tissue is present in addition to glandular tissue, then the liposuction and excision methods may be combined to provide comprehensive treatment. If excess skin is also an issue and needs to be removed, then additional incisions may be made to create a tighter and more masculine contour.

‍Recovery & Results

After undergoing gynecomastia reduction surgery, patients should expect to spend two to three weeks recovering. Most patients can return to work within one week, regardless of which technique was performed. Exercise and more strenuous activities may be resumed starting two to three weeks after surgery.

If surgical drains and non-dissolvable sutures were used, they would be removed about one week following surgery. Patients’ chests will be wrapped in a compression garment immediately following the procedure to provide support to the tissue as it heals and helps minimize swelling. In addition to the swelling, typical side effects include tenderness, bruising, and loss of sensation in the treated area. Any loss of sensation is typically temporary and will gradually recover over several months.

A difference in chest size will be immediately noticeable, although final results will take two to three months to develop fully as swelling and side effects continue to diminish. Results tend to provide lifelong satisfaction, although weight gain, steroid use, and certain medical conditions can result in the new development of excess tissue.

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