If you are a male with enlarged breasts, or if you know someone with this disorder, then you know how uncomfortable and embarrassing the condition can be. Though the cause is unknown, experts suspect that gynecomastia, or the development of male breasts, is caused by a hormonal imbalance. Conditions that contribute to this imbalance include impaired liver function, testosterone deficiency, the use of estrogen-containing medications or anabolic steroids, and some lifestyle factors.
Gynecomastia can affect men as well as boys. For some, male breast reduction surgery, or ‘gynecomastia correction,’ is a solution for enlarged breasts. During this treatment excess breast tissue is removed using liposuction and surgical excision.
Who Should Consider Male Breast Reduction Surgery?
3695 View Gallery Boys and men who struggle with the development of breast tissue may present as candidates for this surgery. The breast itself comprises both fat and glandular tissue, and may be tender.
It is also important that the individual be a non-smoker (for at least two weeks prior to surgery), of stable weight and in good health.
Having plastic surgery isn’t a copout or a sign that someone is vain. It’s about getting your mojo back and feeling good about how you look.
– Dr. Goldberg
How is the Breast Tissue Reduced?
In order to assess your condition thoroughly, Dr. Neal Goldberg will likely recommend that you receive a medical examination prior to surgery, including an MRI or mammogram.
The procedure itself takes approximately two hours, and is conducted under general anesthesia for large tissue removal; local for minor removal. If the MRI or mammogram shows that the breast is composed mainly of glandular tissue, Dr. Goldberg will probably select surgical excision to conduct your breast reduction. During surgery he will make an incision under the arm or at the areola. The glandular tissue and fat will then be removed with a scalpel.
If testing reveals that the breast is composed of both fat and glandular tissue, a combined approach may be necessary. In liposuction, the plastic surgeon inserts a cannula, or thin tube, into the incision to dislodge the fat deposits. The fat is then removed by way of a vacuum device. Sometimes only liposuction is needed, in which case, a small incision is made under the arm or at the areola.
Your Recovery from Male Breast Reduction
You may be able return to work as quickly as one week following breast reduction surgery. Exercise should be avoided, however, for approximately three weeks. Once you have recovered, it is important to remember that regular exercise, and a healthy diet are necessary to ensure lasting results.
Frequently Asked Questions About Gynecomastia Treatment
To help you find the right approach for your needs and goals, Dr. Goldberg has provided answers to some commonly asked questions about gynecomastia and treatment for the condition. We hope this information serves as a helpful resource, and you can always receive personalized advice during a scheduled consultation. Talk to us today to learn more.
How do I know if I have gynecomastia?
This condition is more common than many people realize. If you have developed excess volume in the chest area, you may have gynecomastia. The tissue can be a combination of fat and breast tissue, or it may be one or the other. The best way to determine if you have gynecomastia is to schedule a consultation with an experienced plastic and reconstructive surgeon like Dr. Goldberg. He can evaluate your needs and order the appropriate tests to identify the cause of your concerns. We understand that this can be a sensitive issue, and our compassionate and discreet staff will make every effort to enhance your comfort.
When should I consider treatment for this condition?
If you feel self-conscious about the size or appearance of your chest due to gynecomastia, this treatment may be able to help you improve your confidence and allow you to feel more comfortable on a day-to-day basis. Many patients suffer from low self-esteem that makes life difficult, and certain activities may be avoided if they require a man with gynecomastia to go without a shirt. For treatment, it’s important for you to be in good overall shape and to have reasonable expectations for the outcome. Dr. Goldberg will walk you through your customized procedure to help you understand what can be accomplished.
Are there different types of gynecomastia?
Gynecomastia sits on a sort of spectrum. True gynecomastia is a condition in which breast tissue, potentially along with excess fatty tissue, develops in men. Pseudo-gynecomastia is a related condition in which excess fatty tissue alone is present in the breasts (no breast tissue). Patients can have just breast tissue, breast tissue and fatty tissue, or only fatty tissue. Part of developing a personalized treatment plan is identifying which types of tissue are present so that the ideal technique can be utilized.
Are there any non-surgical treatment options?
Non-surgical treatments as well as diet and exercise are insufficient to reduce excess breast tissue; however, these methods may be useful at minimizing excess fatty tissue. If your condition is primarily the latter, we can recommend some non-invasive options that may provide some relief or can help to extend the benefits of your surgical results. In many cases, though, surgery will be the most effective treatment for unwanted fat and breast tissue in this area.
What will the scars look like?
Typically the incisions made will be small and, when healed, often unnoticeable. Depending on your unique treatment plan, the incisions may be located under the arm or around the areola (the pigmented area around the nipple). Dr. Goldberg takes great care to minimize the appearance of scars. Patients usually are so happy with the results that they don’t mind the marks. That said, the scars will never be completely invisible. In some cases, larger incisions may be necessary, and Dr. Goldberg will discuss this possibility if it applies to you. We offer scar revision techniques to help enhance your results, and we will go over this option with you during your initial consultation.
For more information about male breast reduction, call our office for a complimentary consultation at 914-840-5999.
*Individual Results May Vary