Gynecomastia or Male Breast Reduction Surgery

Dr. Hootan Daneshmand.

Occasionally, the size of a man’s breast is larger then desired. If you are self-conscious about the appearance of your breasts, various procedures are available to correct this. While often not a serious problem, enlarged breasts in men can be painful and can also be a source of frustration and embarrassment. Insecurity, low self-esteem and humiliation are some of the other emotions experienced by men with enlarged breasts, or gynecomastia.

If you’re considering surgery to correct Gynecomastia, the information below will give you a basic understanding of the procedure, when it can help, how it’s performed, and what results you can expect. Please be sure to ask Dr. Daneshmand (board certified plastic surgeon) if there is anything about the procedure you don’t understand.

What is Gynecomastia?

The medical term for a male breast reduction is Gynecomastia. The meaning of this word comes from the Greek term, women like breasts. There are two types of gynecomastia: Overly large breasts caused by extra fat tissue and overly large breasts caused by extra breast or glandular tissue. About half of all men today have excess localized fat and/or excess glandular tissue in one or both breasts. Among older men, gynecomastia often results from decreasing levels of the male sex hormone testosterone, which diminishes with advancing age. Sometimes it may be associated with male/female hormonal imbalances or the intake of certain prescription medications. In most cases, however, it is a common, benign condition consisting of breast fibrous tissue enlargement and extra fat deposition.

What Male Breast Reduction can do for you

Male breast reduction surgery can remove excess breast tissue that develops either as firm glandular tissue behind the nipple or a fatty pocket in the area. In some cases, both may be present. Since there are many factors that may cause gynecomastia, the cause itself may dictate the type of treatment Dr. Daneshmand may recommend for you.

Am I a good candidate for Male Breast Reduction surgery?

Male breast reduction surgery is recommended for patients who feel dissatisfied with their breast size and shape following completion of breast development. Men who have firm, elastic skin will achieve the best results from male breast reduction surgery and will require less extensive surgical measures. Patients who are seeking surgical correction of their breast appearance should consider clinical evaluation for the cause of their breast enlargement. Male breast reduction must be carefully individualized to each patients needs. A consultation with Dr. Daneshmand (board certified plastic surgeon) is needed to determine if you are a good candidate for male breast reduction.

What does Male Breast Reduction procedure involve?

Depending on the amount of excess fat, glandular tissue, and skin that a patient has, liposuction, direct excision, or both may be necessary. For patients with minimal sagging skin, minimal glandular tissue, but excess fat, liposuction only may be sufficient. Male breast reduction surgery can be performed with the patient under general anesthesia or intravenous sedation (only when a small area of treatment is necessary). In almost all cases, male breast reduction surgery is performed on an outpatient basis so that no stay in the hospital is needed. Extreme cases may require additional incisions so that the nipple can be repositioned.

What is the recovery period?

Correction of gynecomastia is typically an outpatient procedure (patient returns home after he is recovered from anesthesia). However, to accommodate some patients’ needs an overnight stay and nursing support can be arranged. After the procedure, the patient is placed in an elastic, compressive, spandex-like garment. The garment can be removed after 3 days, when the routine activities can be resumed. The garment should be worn for two weeks after the procedure. The garment is non-conspicuous and easily hidden under regular clothes. There is usually minimal discomfort in the first couple days after the procedure, well controlled with oral medications. Sports and exercises can be resumed within few weeks.

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