Male Breast Reduction (Gynecomastia Treatment)

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What Is Gynecomastia?

malechestGynecomastia is a common condition in which excess fat and glandular tissue develop in the male breast. 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. Gynecomastia can affect men as well as boys. For some, male breast reduction surgery, or “gynecomastia treatment,” is a solution for enlarged breasts. During this treatment excess breast tissue is removed using liposuction and surgical excision. Dr. Neal Goldberg, a board-certified plastic surgeon, will work with you to determine if this procedure can help you achieve your goals.

What Causes Gynecomastia?

Though the exact cause is unknown, experts suspect that gynecomastia originates from 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. Some of these influences can be reduced or eliminated through lifestyle changes, while others cannot. Dr. Goldberg can provide some insight into what issues may be contributing to your condition; however, in many cases the root cause will remain unknown.

How Do I Know if I Have Gynecomastia?

before after 3695 View Gallery 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 (glandular) 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.

Are There Different Types of Gynecomastia?

Gynecomastia sits on a sort of spectrum. True gynecomastia is a condition in which glandular 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 glandular tissue). Patients can have just glandular tissue, glandular 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.

Who Should Consider Male Breast Reduction Surgery?

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

When Should I Consider Treatment for Gynecomastia?

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.

How Is Male Breast Reduction Performed?

In order to assess your condition thoroughly, Dr. 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.

What Is Recovery from Male Breast Reduction Like?

Patients should be able to return home the same day as the surgery. Some discomfort, as well as swelling and bruising, are common after the procedure, and we will provide medication to ease your symptoms. You may be able return to work as quickly as one week following breast reduction surgery. Strenuous exercise should be avoided, however, for approximately three weeks, although walking and light activity are encouraged. Once you have recovered, it is important to remember that regular exercise and a healthy diet are necessary to ensure lasting results. You should have a good idea of the final results after a couple of months.

What Will My Male Breast Reduction 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.

How Much Does Male Breast Reduction Cost?

The price of gynecomastia treatment at our practice can range from $4,00 to $9,000. Factors unique to your treatment plan may alter this estimate to some degree, and the best way to determine the cost of your procedure is to schedule a consultation with Dr. Goldberg, who will develop a customized plan and review the parameters, including fees, at your initial meeting. Most patients choose to have male breast reduction surgery as a cosmetic treatment, and we work with reputable lenders that offer plastic surgery financing, should you wish to consider a payment plan. We can provide more information at your visit.

Are There Any Non-Surgical Male Breast Reduction Treatment Options?

Non-surgical treatments as well as diet and exercise are insufficient to reduce excess breast (glandular) 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.

For more information about male breast reduction, call our office for a consultation at 866-481-5585.

*Individual Results May Vary

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