Male Breast Reduction – Gynecomastia

Gynecomastia surgery reduces breast size in men, flattening and enhancing the chest contours.

What is gynecomastia ?
Gynecomastia is a condition of overdeveloped or enlarged breasts in men that can occur at any age. The condition can be the result of hormonal changes, heredity, obesity or the use of certain drugs.

Gynecomastia can cause emotional discomfort and impair your self-confidence. Some men may even avoid certain physical activities and intimacy simply to hide their condition.
Gynecomastia is characterized by:

Excess localized fat
Excess glandular tissue development
Sometimes excess breast skin
Presence unilaterally (one breast) or bilaterally (both breasts)

What can a male breast reduction achieve?
Enlarged breast tissue can have a negative impact on your self-esteem and be a source of emotional distress. You may feel that the excess breast tissue and excess skin in the area of your chest have given your chest more of a feminine look. As a result, you may consider a breast reduction. A male breast reduction procedure can help:

Remove excess breast tissue.
Remove excess skin in the chest area.
Achieve a more masculine looking chest.

Frequently Asked Questions

+ Am I a good candidate for gynecomastia surgery?
Men with good physical health and normal weight, without life threatening illnesses, feeling depressed or embarrassed because of their large women-like breasts are considered as good candidates for gynecomastia surgery.

+ How many types of gynecomastia surgery are there?
The surgery is performed through 2 processes depending on the grade. One is performed through liposuction and the other one is surgical operation in the cases that incisions are needed.

+ What are the steps of a gynecomastia procedure ?
A gynecomastia procedure includes the following steps:

Medications are administered for your comfort during the surgical procedures. The options include intravenous sedation and general anesthesia. Your doctor will recommend the best option for you.

Liposuction technique
In cases where gynecomastia is primarily the result of excess fatty tissue, liposuction techniques alone may be used. This requires insertion of a cannula, a thin hollow tube, through several small incisions.

The cannula is moved back and forth in a controlled motion to loosen the excess fat, which is then removed from the body by vacuum suction.

There are various liposuction techniques that may be used; the technique most appropriate in your case will be defined prior to your procedure.

Excision technique
Excision techniques are recommended where glandular breast tissue or excess skin must be removed to correct gynecomastia. Excision also is necessary if the areola will be reduced or the nipple will be repositioned to a more natural male contour. Incision patterns vary depending on the specific conditions and surgical preference.

Combination of liposuction & excision techniques
Sometimes gynecomastia is treated with both liposuction and excision.

+ Will the results of my gynaecomastia surgery be permanent?
The results of your gynaecomastia surgery should last a very long time. However, any major weight gain may reverse your results of the procedure and increase your breast size again. It is therefore important that you lead a healthy lifestyle after you have had your reduction. This will help you avoid gaining fat in your breasts. You should also be aware that certain drugs, medications and diseases can increase the risk of the breasts growing again.

Gynecomastia Aftercare
The following instructions are general information to be followed before and after a gynecomastia surgery.

Pre-Operation Instructions

Two Weeks Before:
Stop taking medications or any vitamin supplements that contain aspirin, ibuprofen (e.g. Advil, Motrin, Aleve etc.) since they may impede blood clotting.
Stop smoking. Nicotine may cause complications during the healing process.
Stop using all herbal medicines. They may interfere with blood clotting.
Stop using all diet pills. They may interfere with blood pressure, blood clotting, heart rate, respiratory.

One Week Before:
Stop drinking alcohol.
Do not use any medication without the permission of your surgeon.

Day of the Surgery:
Eat a light breakfast with no caffeine as it can increase bleeding and sensitivity to medications.
Prefer clothing (button-top and pull on pants, zipped shirt, sweatpants etc.) that does not need to be put on over your head. Valuables should be left at your hotel.
Feel free to bring music to listen to during your surgery!
Remove your contact lenses before the surgery.

Gynecomastia Aftercare
Bruising and swelling can be normally expected after gynecomastia surgery. Bruising can be in different degrees and usually disappears in 2-3 weeks. Swelling can be diffused or can be localized and treated with cold and warm compress depending on your surgeon’s directives.

The first 3 days after your surgery is very critical. In the first day, you will be staying in our hospital and you will be taken good care, so don’t worry. After that, you should be in full rest in your hotel room and then at home with restricted movements. Sex is not recommended for 7-10 days.

A dressing is mandatory after your surgery. The type of dressing can be varied depending on your surgeon. Mostly used dressings are compression garments like vests, elastic bandages, etc all of which serve the same purpose. Wearing the dressing is mandatory for the first 5 days and after that the length of time to use dressing differs according to the surgery, the amount of swelling and in some cases bleeding.

Any extensive exercise can be started only after 2-3 weeks unless your surgeon gives contrary directives.

Procedure time
1 to 3 hours

Hospital stay
1 Night


Final results
6 Months

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