Gynecomastia surgery is the surgical correction of over-developed or enlarged breasts in men.A male breast reduction is the most effective known treatment for gynecomastia, or enlarged male breasts. This cosmetic surgery procedure removes excess fat and glandular tissue to restore a flatter, firmer and more masculine contour to the chest.
Due to genetics, use of certain medications, or other unspecified reasons, some men develop the appearance of enlarged breasts. It is estimated that up to 50% of men in the United States experience some degree of gynecomastia during their lifetime. Gynecomastia can present at any age, and male breast reduction can be performed safely and successfully on teenagers and adult men alike.
Why has a male breast reduction?
While losing weight can help reduce the appearance of male breasts for some men, often times there is excess glandular tissue as well, and causing even very lean patients to notice enlarged breasts. Currently, male breast reduction is the only consistently effective treatment for gynecomastia that has long lasting, if not permanent, results. Following this surgery, patients commonly say they feel comfortable going shirtless for the first time in years, and report an enhanced sense of self-confidence.
When to Consider Gynecomastia Treatment
If you are reluctant to remove your shirt in public, to swim, to participate in sports or to exercise at a gym.
- If you want to improve your overall body proportions.
- If you experience psychological discomfort associated with large breasts.
- If you want to increase your social confidence.
- If you are uncomfortable or self-conscious about the appearance of your chest, or if you find yourself avoiding certain activities because you are afraid to show your chest, male breast reduction is an option to consider. With the help of a qualified cosmetic surgeon, the procedure offers dramatic, near immediate improvements with minimal scarring.
How is a gynecomastia procedure performed?
The goal of gynecomastia surgery is to restore a normal male breast contour and to correct deformities of the breast, nipple or areola. Surgical options include liposuction, excision (surgical removal of tissue) or a combination of both approaches. Glandular breast tissue is denser than fatty tissue and is not appropriate for liposuction.
- The choice of surgical technique depends on the likelihood of skin redundancy after surgery. Skin shrinkage is greater in younger than older patients.
- The most common approach is the intra-areolar incision, or Webster incision, which extends along the circumference of the bottom half of the areola in the pigmented portion.
- The length of your incision will be based on your anatomy.
- In severe gynecomastia, skin resection (surgical removal of part of an organ or structure) and moving the nipple (nipple transposition) may be necessary.
- Minimally invasive gynecomastia surgical procedures have gained popularity. In the “pull-through technique,” a very small incision (approximately 5 mm) is made at the areolar edge. Following liposuction, the glandular tissue from the overlying areola is pulled through the incision. The major advantage of this procedure is the smaller incision. This technique is used in well-selected patients.
- Ultrasonic liposuction has improved the results of gynecomastia correction. In liposuction-assisted breast reduction, there is less compromise of blood supply, nipple distortion and areola slough. In addition, postoperative complications are fewer with this technique than with open surgical resection; however, liposuction-assisted breast reduction is not effective for correcting glandular gynecomastia. The fatty and glandular components of your breast must be assessed before surgery. Few patients can be sufficiently treated with liposuction only.
The procedure for treating gynecomastia with liposuction is typically performed using local anesthesia with sedation or general anesthesia, and involves a small incision on each side of the chest. Depending on your needs and your cosmetic surgeon’s preferred technique, incisions may be located along a portion of the edge of the areola or within the armpit. Through these incisions, your cosmetic surgeon will remove excess fat and/or glandular tissue, at the same time sculpting a new chest contour that looks natural to your body.
Gynecomastia procedure Recovery
The recovery process following liposuction is typically quite tolerable. Patients are often given a compression garment to wear for the first few weeks after surgery; this helps to minimize swelling and offers support to the healing tissues. While vigorous exercise is typically off-limits for about 3 weeks, many men return to work or school within several days after their procedures. However, it is important to understand that everyone heals at a unique pace; your cosmetic surgeon will give you individualized instructions for recovery.
You don’t have to let gynecomastia keep you from feeling your most confident. With the help of a skilled, qualified cosmetic surgeon, you can restore a naturally masculine appearance to your chest. Today’s advanced techniques allow for a short surgery, quick recovery, and virtually invisible scars.