Male Breast Reduction (Gynecomastia) by Wave Plastic Surgery & Aesthetic Laser Center


Gynecomastia is the growth of abnormally large breasts in males. It is due to the excess growth of breast tissue, not excess fat tissue.

Gynecomastia is swelling of the breast tissue in boys or men, caused by an imbalance of the hormones estrogen and testosterone. Gynecomastia can affect one or both breasts, sometimes unevenly. Newborns, boys going through puberty and older men may develop Gynecomastia as a result of normal changes in hormone levels, though other causes also exist.

The causes of common Gynecomastia remain uncertain, although it has generally been attributed to high levels of sex hormone-binding globulin (SHBG) resulting in low levels of free testosterone or the tissue responsiveness to them; a root cause is rarely determined for individual cases.

Surgical excision of the breast gland is paramount and results in a permanent and consistently reliable outcome. When excision is not performed the recurrence rate may be as high as 35%. This procedure has the best outcome when performed by a plastic surgeon who has a significant experience performing Gynecomastia surgery. When done correctly recurrence is rare. Medication is hardly effective for mature Gynecomastia, that is larger than 1 inch in diameter, or in existence for longer than six months. Liposuction does not remove the breast gland and instead is used to remove the surrounding adipose tissue.

+Male Breast Reduction procedure steps

What happens during gynecomastia correction surgery?

Plastic surgery to correct gynecomastia is technically called reduction mammaplasty, and reduces breast size, flattening and enhancing the chest contours.

In severe cases of gynecomastia, the weight of excess breast tissue may cause the breasts to sag and stretch the areola (the dark skin surrounding the nipple). In these cases the position and size of the areola can be surgically improved and excess skin may be reduced.

Anesthesia

Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.

Liposuction

In cases where gynecomastia is primarily the result of excess fatty tissue, liposuction techniques alone may be used.

This requires insertion of a cannula, a thin hollow tube, through several small incisions. The cannula is moved back and forth in a controlled motion to loosen the excess fat, which is then removed from the body by vacuum suction.

There are various liposuction techniques that may be used; the technique most appropriate in your case will be defined prior to your procedure.

 

Excision

Excision techniques are recommended where glandular breast tissue or excess skin must be removed to correct gynecomastia.

Excision also is necessary if the areola will be reduced, or the nipple repositioned to a more natural male contour. Incision patterns vary depending on the specific conditions and surgical preference.

 
Sometimes gynecomastia is treated with both liposuction and excision.

 

Will there be scars?

Any surgical treatment to correct gynecomastia will require incisions. While most incision lines are concealed within natural contours, some may be visible and are a necessary result of breast reduction surgery.

Information & images are courtesy of ASPS®

 
+More from American Society of Plastic Surgeons

What is Male Breast Reduction Surgery?

Also known as gynecomastia, breast reduction for men is the surgical correction of over-developed or enlarged breasts in men.

Enhancing your appearance with Gynecomastia Surgery

Gynecomastia, a condition of over-developed or enlarged breasts in men, is common in men of any age. It can be the result of hormonal changes, heredity conditions, disease or the use of certain drugs.

Gynecomastia can cause emotional discomfort and impair your self confidence. Some men may even avoid certain physical activities and intimacy simply to hide their condition.

Gynecomastia is characterized by:

  • Excess localized fat
  • Excess glandular tissue development
  • A combination of both excess fat and glandular tissue
  • Gynecomastia may be present unilaterally (one breast) or bilaterally (both breasts)

  • Is it right for me?

    Gynecomastia surgery is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

    This procedure is a good option for you if:

  • You are physically healthy and of relatively normal weight
  • You have realistic expectations
  • Your breast development has stabilized
  • You are bothered by the feeling that your breasts are too large

  • Adolescents may benefit from surgery, although secondary procedures may be needed in the future should breast development continue.

    Surgical correction of gynecomastia is best performed on:

  • Men whose condition cannot be corrected through alternative medical treatments
  • Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
  • Non-smokers and non-drug users
  • Men with a positive outlook and specific goals in mind for improving the physical symptoms of Gynecomastia

  • Choose a surgeon you can trust

    Plastic surgery involves many choices. The first and most important is selecting a surgeon you can trust.

    Choosing a Board Certified Plastic Surgeon ensures that you have selected a physician who:

  • Has completed at least five years of surgical training with a minimum of two years in plastic surgery.
  • Is trained and experienced in all plastic surgery procedures, including breast, body, face and reconstruction.
  • Operates only in accredited medical facilities.
  • Adheres to a strict code of ethics.
  • Fulfills continuing medical education requirements, including standards and innovations in patient safety.
  • Is board certified by The American Board of Plastic Surgery or in Canada by the Royal College of Physicians and Surgeons of Canada®.

  • ASPS Member Surgeons are your partners in cosmetic and reconstructive plastic surgery.

    Dr. Peter G. Lee has over 14 years of experience as a world-renowned plastic surgeon and successfully performed over 20,000 Cosmetic & Reconstructive Plastic surgeries and that's just in US.


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