Male Breast Reduction (Gynecomastia)

What is Gynecomastia?
Gynecomastia is a surgical procedure to remove excessive fat and/or glandular tissue from the breasts to achieve a flatter, firmer chest. With a more normal-looking chest comes an increased sense of masculinity and greater self-confidence.

Why choose this procedure?
Excessive breast development in males is a relatively common condition, affecting 40 to 60 percent of all boys and men. While not physically harmful, it can be an extreme source of embarrassment for teens and senior citizens alike.

The Procedure
Gynecomastia takes 1 to 1-1/2 hours and is performed on an outpatient basis, usually under general anesthesia. A small incision is made near the areola. If the enlarged breast contains an abundance of fat, a thin, hollow tube is inserted and the desired amount is suctioned out (liposuction). If significant tissue is present, the excess is simply cut out. In some males, both techniques are necessary to achieve the best results. Thin drain tubes are inserted for several days to remove any excess fluid.

Recovery
Surface sutures are removed after one week. A surgical bra must be worn during this time and for several weeks afterward to minimize bruising and swelling and to enable the skin to conform readily to its new contour. The breasts can be sore and achy for up to a month or more. Hypersensitivity, burning or numbness in the breast skin and/or nipples is also common. This is typically controlled, however, with rest, cold compresses and pain medication.

Patients can expect to resume nonvigorous activities within a week of surgery, but should avoid more strenuous activities involving lifting or bending for at least two weeks.