Gynecomastia is a medical term that originates from the Greek words for "women-like breasts." This condition is far more common than many realize. Gynecomastia affects an estimated 40 to 60 percent of the male population. It may affect only one breast or both. Although certain drugs such as anabolic steroids, medications containing estrogen, alcohol, marijuana, etc., and medical conditions including cancer, impaired liver function, to name a few, may cause or contribute to enlarged male breasts, it is widely accepted that the majority of cases derive from unknown sources. Some of the benefits of surgery include a firmer, flatter, more contoured chest which may give the male patient a boost in self-confidence.
Am I a good candidate for the surgery?
Your visit with Dr. Wilson will determine if you are a good candidate. Men of any age who are healthy and emotionally stable are considered good candidates for male breast reduction surgery. The best candidates are those who have firm, elastic skin that will reshape to the body’s new contours. In some instances, surgery may be discouraged for overweight men who have not first tried an exercise and diet regimen.
What should I expect from my consultation?
During the consultation, you will be asked about the history of the gynecomastia, if it is unilateral or bilateral, and anything else related to the appearance of your breasts that you feel is important. Dr. Wilson will examine your breasts and will consider if there is just fat or discoid tissue in the breast. He will explain which surgical techniques are most appropriate for you, based on the condition of your breasts and skin tone.
You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions, drug allergies, medical treatments you have received, previous surgeries, and medications that you currently take. It is important for you to provide complete information.
How is the surgery performed?
Enlarged male breasts can be reduced by liposuction and/or by cutting out excess glandular tissue. The procedure for male breast reduction takes an average of two hours, usually on an outpatient basis, using general or local anesthesia. If excessive glandular tissue, fat and skin is present, it will be removed through an ellipse-shaped incision that circles the lower half of the areola.
Surgery may be performed alone or in conjunction with liposuction, where the suction device will typically be inserted through the existing incisions. For the removal of excess fatty tissue alone, liposuction may be all that is needed; in such cases, scars will be small and barely visible. You may need to wear a special bandage for 3-4 weeks after the surgery.
Risks of Male Breast Reduction
Fortunately, significant complications from breast reduction are infrequent. There will be scarring around the nipple of the breast (areola) from this procedure but will fade over a period of time and be less visible. There will be some post-operative bruising, swelling, and burning sensation. Other considerations include temporary numbness or lack of sensation that could last up to a year. You should avoid subsequent obesity since it can create a gynecomastia-like effect.
