Excess male breast development is called gynecomastia. This condition may occur in men due to a variety of causes including weight gain or loss, use of certain drugs like hormones or steroids, fatty tumors, genetic predisposition or hormonal imbalances. In many cases, no cause is found.
In cases where there is one sided enlargement, medical testing may be necessary prior to consideration of surgical treatment. If a mass is found, this must be addressed and may require testing, imaging and biopsy (pathological evaluation).
Treatment of gynecomastia involves stopping the use of the causative agent if possible, control of weight and may include either conventional or laser assisted liposuction-liposculpture alone or direct excision supplemented with liposuction-liposculpture. Often scars are hidden in the breast folds and around the areola (darker skin around the nipple).
The choice of techniques is individually determined and depends on the size of the breast tissue, the assessment of the amount of fat versus actual breast tissue and the amount of breast droop.
Who is a Candidate
- Men who have unwanted breast development.
- Men who are healthy.
- Men who want to improve their physique.
- Men who have realistic expectations.
- Less chest fat and breast tissue.
- Improved male physique.
- More self-confidence.
- Male breast reduction is usually performed in an accredited outpatient surgical facility under local anesthesia, conscious sedation with local anesthesia or general anesthesia.
- Direct surgical excision of tissue may be required along with liposuction-liposculpture.
- Several adjacent anatomical body areas may need to be addressed and treated in addition to the breasts, for improved results.
Recuperation and Healing
- Discomfort is controlled with oral medications and long-acting local anesthesia.
- A special postoperative garment is usually worn for several weeks according to your cosmetic surgeon’s instructions.
- A postoperative care facility or closely monitored overnight home care is standard practice.
- The patient may be is seen the next day for a follow-up visit.
- There will normally be postoperative tumescent fluid drainage for several days.
- Sutures may be required with liposuction, and are required following direct surgical procedures. Removal is usually within 1-2 weeks.
- Light activity may be resumed in two days. Sports activities may be resumed in 2 to 4 weeks (depending on your cosmetic surgeon’s instructions).
- Medical therapy and follow-up with an endocrinologist (medical doctor who specializes in hormones) may be appropriate in certain cases.
- Diet and exercise with a trained dietician and/or exercise therapist may be helpful.
- A combination of the above therapies, including psychiatric support, can be beneficial.
The specific risks and suitability of this procedure for a given individual can only be fully determined at the time of consultation with your cosmetic surgeon. All surgical procedures have some degree of risk. Minor complications which do not affect the overall cosmetic results occur occasionally. Major complications are rare.