Gynecomastia Surgeon Dr. Whetstone Helping Men Reduce Breast Size

Gynecomastia is the medical term used to describe enlarged breasts in men.  The Greeks actually had a word for it, which meant “women-like breasts.”  Even though breast surgery for men doesn’t receive much public attention, it’s a common condition that affects 40-60% of men.  Most causes are not known, although certain drugs and medical problems have been linked to its cause.  The condition can affect one or both breasts.

For men who feel self-conscious about their appearance, breast reduction surgery can help. The procedure removes fat and or glandular tissue from the breasts, and in extreme cases removes excess skin, resulting in a chest that is flatter, firmer, and better contoured.

Surgery is one method you might consider to correct gynecomastia.  This section can’t answer all of your questions because many of the factors affecting the surgery are specific to the individual’s body.  However, it does act as a general outline to help you understand how the procedure works, when it’s most effective, and what results can reasonably be expected.  If you don’t understand something about this procedure, ask an experience cosmetic surgery doctor for clarification.

The best candidates for gynecomastia correction

Surgery to correct gynecomastia can be performed on healthy, emotionally stable men of any age. The best candidates for surgery have firm, elastic skin that will reshape to the body’s new contours.

Planning your surgery

The initial consultation with your surgeon is very important. Your surgeon will need a complete medical history, so check your own records ahead of time and be ready to provide this information.

Don’t hesitate to ask your surgeon any questions you may have during the initial consultation- including your concerns about the recommended treatment or the costs involved.

Preparing for your surgery

Your surgeon will give you specific instructions on how to prepare for surgery, including guidelines on eating, drinking, and taking certain vitamins and medications.

Smokers should plan to stop smoking for a minimum of 4 weeks before surgery and during recovery. Smoking decreases circulation and interferes with proper healing. Therefore, it is essential to follow all your surgeon’s instructions.

Where your surgery will be performed

Surgery for gynecomastia is most often performed as an outpatient procedure.

Type of anesthesia

Correction of enlarged male breasts will be performed under general anesthesia.

The surgery

If excess glandular tissue is the primary cause of the breast enlargement, it may be excised with a scalpel. The excision may be performed alone or in conjunction with liposuction. In a typical procedure, an incision is made in an inconspicuous location – either on the edge of the areola or in the under arm area.

Sometimes, a small drain is inserted through a separate incision to draw off excess fluids. Once closed, the incisions are usually covered with a dressing. The chest may be wrapped to keep the skin firmly in place.

After your surgery

You’ll be swollen and bruised for a while – in fact, you may wonder if there’s been any improvement at all. To help reduce swelling, you’ll be instructed to wear an elastic pressure garment continuously for a few weeks. Although the swelling will dissipate in the first few weeks, it may be months before the final results of your surgery are apparent.

In the meantime, it is important to begin getting back to normal. You’ll be encouraged to begin walking around on the day of surgery, and can return to work when you feel well enough – which could be as early as a day or two after surgery. Any stitches will generally be removed about 1 week following the procedure.

You should also avoid exposing the resulting scars to the sun for at least six months. Sunlight can permanently affect the skin’s pigmentation, causing the scar to turn dark. If sun exposure is unavoidable, use a strong sunblock.

Your new look

Gynecomastia surgery can enhance your appearance and self-confidence, but it won’t necessarily change your looks to match your ideal. Before you decide to have surgery, think carefully about your expectations and discuss them frankly with your plastic surgeon.

The results of the procedure are significant and permanent. If your expectations are realistic, chances are good that you’ll be very satisfied with your new look.

© 2005 American Society of Plastic Surgeons