Breast reduction for gynecomastia removes the excess tissue in the breast that may develop for some males as a result of an imbalance in natural hormones, the use of synthetic hormones, or excessive weight gain. The condition is most common in puberty and may resolve itself naturally in the later teen years. For adult males, gynecomastia is an effective solution to restoring a masculine profile to the chest when weight reduction and appropriate lifestyle changes have failed to eliminate the embarrassing appearance of male breasts.
Male Breast Reduction Procedure
Be very careful! Many surgeons remove too much of tissues by liposuction only. This can cause a severe dent. Some also makes too much of scars that’s very noticeable. Some surgeons put the nipples to be located too high. The natural male nipple should be at the lower side of the chest close to the inferior border of pectoralis muscle lines. Also, the incision below the chest/breast should be matching with the inferior lining of the pec major. Line also should be lifted as it goes into the axilla. So many male chest surgery causes droopy male nipple or skin hangs over the pec major.
Breast reduction for men is performed with an incision around the nipple. If enlargement has diffused around the breast area, it may be difficult to restore a smooth chest and there may be ridges at the edge of surgical areas. Suction lipectomy has reduced the probability of this issue occurring, however.
Surgery can take place under either local or general anesthesia and requires approximately an hour and a half. Using tumescent liposuction, experienced Chicago plastic surgeon Dr. Michael Byun will first inject into the target area a fluid that aids in loosening fat cells. He will then insert a narrow, hollow tube through small incisions to suction out the fat. If excessive volume in the breast area is comprised mostly of glandular tissue, Dr. Byun may advise an excision procedure to remove it.
After removal of the target fat and/or glandular tissue, incisions are closed with sutures and the healing process begins.
Male Breast Reduction Recovery
Dressing and drains can be removed after a week in the post-operative appointment. Patients can resume driving in four to five days and can return to work or school in about a week. Patients should also avoid strenuous physical activity for a month. Complications may include excessive scarring, hematoma formation or infection.
At night, recovering patients should sleep on the back with pillows to elevate the head and upper body. During the day strenuous physical activities should be avoided, but patients should make time for walking, which will improve circulation, speed healing and help prevent the formation of blood clots.
Dr. Byun will schedule several postoperative visits in order to monitor the recovery process.
Male Breast Reduction FAQs
Can liposuction completely resolve gynecomastia?
It depends upon whether the excess volume in the breast area is caused by a growth of fat or glandular tissue. Hormones are most often responsible for excessive glandular volume, and in this case liposuction will not be as effective as excision, which involves cutting away this unwanted tissue. If you are overweight, there is a good chance that most of the breast volume is comprised of fat. Men who are thin or who have taken steroids usually need to undergo an excision procedure to restore a masculine profile. In some patients, using both liposuction and excision will be appropriate.
Should the surgeon remove as much fat as possible?
Gynecomastia requires both skill and artistry in a plastic surgeon. Shaping a natural profile involves removing strategic amounts of fat and glandular tissue, rather than performing an extensive reduction that will create surface depressions or, in overweight patients, may make the chest seem unnaturally out of proportion with the abdomen. This is especially true if the patient later loses a great deal of weight. An experienced surgeon knows that a satisfying result depends on the aesthetic appeal of the new profile, not the quantity of fat removed.
Will I have scarring?
If liposuction is all that is necessary to treat your gynecomastia, Dr. Byun will make two small incisions to insert the narrow tube that will suction out fat cells. In cases where glandular tissue needs to be removed with an excision procedure, incisions will be necessary along the bottom of the areolas. All scars are carefully placed and will fade with time. In addition, men have the advantage of chest hair to camouflage any surgical marks.