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Male Breast Reduction Surgery
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Male Breast Reduction (Gynecomastia)
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Description

A cosmetic surgery procedure to remove excess ‘male breast’ tissue, by liposuction and/or excision.


Length of Surgery

1 – 2 hours


In/Outpatient

Outpatient


Anesthesia

General or local with sedation


Back to work in...

1 week


Back to the gym in...

2 – 4 weeks


Treatment Frequency

Once, unless patient is not satisfied with the results and/or as long as weight remains stable and any medications or drugs which may have caused gynaecomastia are avoided


Risks

Infection , hematoma, allergic reaction to medication or anesthesia, excessive bleeding, damage to the skin or nerves, asymmetry, wrinkling of the implant, unfavorable scarring


Duration of results

Permanent



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Click links below for detail.




Male breast reduction Surgery Costs*

Male breast reduction costs can vary widely. Factors that contribute to the price include the techniques used, the surgeon’s expertise, where you live, and surgery-related expenses such as anesthesia fees and facility fees. The American Society of Plastic Surgeons quoted the national average for Male breast reduction is approximately $3,409.

Most cosmetic surgeons and surgical clinics offer flexible gynecomastia financing and payment options, some of which allow staggered payments or loans from VARIOUS FINANCING COMPANIES.

If you are considering having male breast reduction surgery but want to explore more about the financing options available before you make your decision, PLEASE CLICK HERE. You can discuss your financial options with your surgeon, and find out if there are any loans of flexi-payment plans that will allow you to achieve the contoured body shape you have always desired.

To find out more about financing options available please click here.

Am I a candidate male breast reduction surgery?

There are a number of aesthetic, emotional, and medical reasons why men may consider male breast reduction surgery.

Surgery can be performed at any age, and the best subjects are healthy, emotionally stable men with skin with good elasticity that will readily adapt to the new contours. You must also have realistic expectations for the outcome of the gynecomastia procedure.

Obese patients will be advised to try exercise and dieting to reduce the fat before having surgery. Also, patients who drink alcohol in excess or smoke marijuana are usually not considered suitable for surgery. These drugs, along with anabolic steroids, may have caused the gynecomastia in the first place so the patient must stop using them.

Taking the decision to undergo gynecomastia surgery is a very personal decision and you should do it for yourself, not for anybody else.

You may be a suitable candidate for gynecomastia surgery if:

  1. You are physically healthy and of normal, stable weight
  2. You have specific goals in mind and realistic expectations
  3. You are unhappy with the size and appearance of your male breasts

 

What is a male breast reduction Procedure?

Gynecomastia (male breast reduction) is an enlargement of the male breast as a result of an abnormal increase in the glandular tissue. It can also be the result of hereditary conditions, disease or the use of certain drugs.

Male Breast Reduction (reduction mammoplasty) removes excess fat and/or glandular tissue and skin and may be suitable for men who feel self conscious about their ‘man breasts’ and will create a flatter, firmer and better contoured chest.

Gynecomastia is a common condition which begins during puberty, where firm, tender breast tissue grows under the nipples. It is usually caused by an imbalance of hormones, and normally disappears by the age of 18 – 20 without treatment.

In rare cases, gynecomastia may be caused by prescription drugs such as anabolic steroids; over-the-counter medicines; illegal drugs; tumors or disease. In some cases, tests are needed. Whether you need tests depends on your age, your medical history and the physical examination carried out by your male cosmetic surgeon. Your doctor will ask you questions about your symptoms, such as how long you've had the breast tissue, and whether or not the area is tender.

Men who are self-conscious because they have over-developed or enlarged breast tissue (usually caused by being overweight, or having lost weight), or men who suffer from back and neck ache because their “breasts” are too heavy can benefit from male breast reduction surgery. Some men and boys have fat on their chests that makes it look like they have breasts. This condition is called pseudogynecomastia (false gynecomastia). It is not the same thing as gynecomastia.

Surgery to correct gynecomastia may be performed on an outpatient basis, in an office-based surgical facility, or in the hospital. It may be performed under general anesthesia or local anesthesia with sedation. This decision will depend on the procedure, your preference and the judgmement of your gynecomastia surgeon.

Gynecomastia can cause emotional discomfort and affect a man’s self confidence. Some men will avoid taking their shirt off, avoid certain physical activities and keep away from intimate situations to hide their condition.

Gynecomastia may be caused by:

  1. Excess localized fat
  2. Excess glandular tissue development
  3. A combination of both excess fat and glandular tissue
Gynecomastia can be present in one or both breasts. In severe cases of gynecomastia, the weight of excess breast tissue may cause the breasts to sag and stretch the areola (the dark skin surrounding the nipple). In these cases the position and size of the areola can be surgically improved and excess skin may be reduced.

Before you choose to undergo the gynecomastia operation, you will be asked a number of questions about your health, lifestyle and expectations for the outcome of your gynecomastia procedure. You will be asked about any medical conditions, drug allergies; your use of current medications, vitamins, and herbal supplements, alcohol, tobacco and drugs including steroids and previous surgeries. Your gynecomastia surgeon will also examine your breasts and may take detailed measurements of their size and shape, skin quality, placement of your nipples and areolas.

Your gynecomastia surgeon will evaluate if the excess tissue is fatty and/or glandular. Fatty tissue will be removed by liposuction for men, and glandular tissue is removed with a scalpel. There are various liposuction techniques that may be used; the technique most appropriate in your case will be discussed prior to your procedure.

Your gynecomastia surgeon will use all of this information to evaluate your suitability for a gynecomastia procedure. Your doctor will then discuss your options with you and recommend a course of treatment, explain the gynecomastia procedure, discuss the likely outcomes of gynecomastia surgery and any risks or potential complications. Important and specific instructions will be given on how to prepare for gynecomastia surgery, including guidelines on eating, drinking, and taking certain vitamins and medications. If you smoke, you will be strongly advised to stop completely for a minimum of one or two weeks before surgery and during recovery, as smoking decreases circulation and impairs the healing process.

The final results of male breast reduction are permanent in most cases, however if your gynecomastia resulted from the use of certain prescription medications, drugs including steroids, or from weight gain you must be clean of these substances and/or lose weight and remain at a stable weight in order to maintain your results.

There are always some risks attached to any gynecomastia surgery and some breast reduction for men.

Patients do experience complications. A good gynecomastia surgeon will always stand by their work and do everything they can to resolve any issues you have, even if the solution requires additional procedures.

 

Male breast reduction surgery Procedure Steps

Step 1 - Anesthesia 

  1. Male breast reduction may be performed under local anesthetic with a sedative to make you drowsy so that you are awake but relaxed. Alternatively, under a general anesthetic, you sleep through the whole operation. You will have agreed the most suitable choice for you beforehand with your surgeon.
Step 2 - The incisions and the removal of tissue
  1. In cases where the gynecomastia is primarily the result of excess fatty tissue, liposuction (usually ultrasound assisted liposuction) techniques alone may be used.
  2. A small incision, less than a half-inch long, is made around the edge of the dark skin that surrounds the nipple (the areola) or under the arm. A cannula, (a thin hollow tube attached to a vacuum) is inserted and moved back and forth in a controlled motion to loosen the excess fat, which is then removed from the body by vacuum suction.
  3. There are various liposuction techniques that may be used; the technique most appropriate in your case will be defined prior to your procedure.
  4. If glandular tissue or excess skin is to be removed (excision) to correct the gynecomastia, tissue may have to be removed with a scalpel. The incision is made in an inconspicuous location on the edge of the dark skin are around the nipple (the areola) and the glandular tissue is removed. Major reductions may require larger incisions that result in longer scars.
  5. Excision also is necessary if the areola needs to be reduced, or the nipple repositioned to a more natural male contour.
Step 3 - Closing the incisions
  1. The male breast reduction surgery incisions are sutured with dissolvable sutures, so they will not need to be removed post-operatively. Sometimes, a tiny plastic tube is inserted to drain off any excess fluids. This will be removed a few days after the gynecomastia surgery.The closed incisions are normally then covered with a dressing and the chest may be wrapped to keep the skin firmly in place while it heals.
Step 4 - The results
  1. The results of male breast reduction surgery are immediately visible. Over time post-surgical swelling will subside and resolve, and incision lines will gradually refine in appearance.

 

Male breast reduction Surgery Recovery and Healing Steps

Gynecomastia recovery times vary from patient to patient. You will feel some discomfort after male breast reduction surgery – this will last from a few days to several weeks and can be controlled by prescription medications from your doctor. It is also quite common to experience a little numbness from bruised nerves in and around your breast area. Most of this should pass over time, as you heal.

You should arrange to have someone drive you home after your male breast reduction surgery and to help you out for a day or two if needed. You will be given specific instructions by your gynecomastia surgeon that may include how to care for your surgical site(s) following gynecomastia surgery, medications to apply or take orally to aid healing and reduce the risk of infection, specific concerns to look for at the surgical site or in your general health, and when to follow up with your cosmetic surgeon.

You will need to wear a compression garment continuously for a week or two after gynecomastia surgery, and at night for a few weeks after that. The worst of your swelling will go down in the first few weeks but it may be three months or more before the final results of your surgery become apparent.

Your surgeon will also advise you to rest and sleep in an elevated position and apply cold compresses to reduce swelling. The sutures used in your gynecomastia surgery will dissolve naturally so do not need to be removed.

Try to rest as much as possible, as your gynecomastia recovery will be much quicker if you do. Your gynecomastia surgeon will probably recommend that you walk around as soon as possible after your surgery to help reduce swelling and lower the chances of developing blood clots forming in the legs, which can be extremely dangerous.

You can return to work as soon as you feel well enough. This could be as early as a day or two after surgery. Your surgeon may advise you to avoid sex for a week or two, and heavy exercise for about three weeks. You will also be warned to avoid any sport or job that risks a blow to the chest area for at least four weeks. It will take about a month before you are able to resume all your normal activities after male breast reduction surgery.

Avoid exposing your gynecomastia scars to the sun for at least six months, as the scar can turn dark permanently in the sunshine. If you must expose this skin, wear a total sun block.

If at any time during your gynecomastia recovery you experience shortness of breath, chest pains, or unusual heart beats, seek medical attention immediately. Should any of these complications occur, you may require hospitalization and additional treatment.

If you experience any symptoms that you were not expecting, or you are in significant pain, you should contact your or surgeon and nursing staff immediately.

Warning signs to look out for:

  1. Unusual, unexpected, or excessive, swelling,
  2. Smelly, or colored, discharge from your wounds,
  3. Fever, with a temperature of 38C (106F) or more,
  4. Severe pain
  5. An intense burning sensation in your chest area.
Follow all of your gynecomastia surgeon’s instructions to keep your gynecomastia recovery time short.

 

Male breast reduction Side Effects and Surgery Risks

Your gynecomastia surgeon will explain in detail the risks associated with male breast reduction surgery. Prior to surgery, you will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks or potential complications.

Gynecomastia side effects are inevitable, but their occurrence varies from patient to patient. Side effects associated with male breast reduction surgery are:

  1. Swelling
  2. Tenderness
  3. Numbness
  4. Bruising
When gynecomastia surgery is performed by a qualified cosmetic surgeon, complications are infrequent and usually minor. However, as with all surgical procedures, with male breast reduction surgery there is always the possibility of complications. Although these complications are extremely rare, they can include:
  1. Unfavorable scarring
  2. Bleeding (hematoma)
  3. Blood clots
  4. Infection
  5. Poor wound healing
  6. Numbness which may be temporary or permanent
  7. Pigmentation changes
  8. If liposuction is used, additional risks include uneven contours, rippling or loose skin, irregular pigmentation, excessive fluid loss or fluid accumulation
  9. Allergic reaction to the anesthesia
  10. Breast contour and shape irregularities
  11. Skin discoloration, permanent pigmentation changes, swelling and bruising
  12. Damage to skin or internal organs
  13. Breast asymmetry
  14. Fatty tissue found deep in the skin might die (fat necrosis)
  15. Fluid accumulation (seroma)
  16. Deep vein thrombosis, cardiac and pulmonary complications
  17. Pain, which may persist
  18. Possibility of revision surgery
You may be dissatisfied with the results of your male breast reduction surgery.

Complications vary depending on the procedure. Talk to your doctor about the risks involved in your gynecomastia operation. Make sure you fully understand the procedure you wish to have done, and discuss your expectations and concerns with your doctor. Severe complications can be minimized by disclosing your entire medical history to your doctor and discussing all prescription and other medication that you take on a regular basis.

Some or all of these complications can be avoided with careful planning and selection of the right surgical technique. In most cases the side effects associated with male breast reduction surgery are minimal. Do your homework so that you understand all the risks, problems, and complications associated with the gynecomastia procedure.

 

Questions to Ask a Surgeon About a male breast reduction procedure

Knowledge is power so arm yourself with the facts before making any decision about male breast reduction. Here is an essential check list to help you find the right Perfect Yourself Surgeon.

  1. Am I a good candidate for male breast reduction surgery?
  2. Are my described expectations realistic?
  3. Where is the surgery performed?
  4. How long will the procedure take?
  5. What kind of anesthesia is used?
  6. What is your experience in performing male breast reduction surgery?
  7. Can I see your qualifications?
  8. Ask to see any gynecomastia before and after photographs of male breast reduction surgeries
  9. What percentages of your male breast reduction surgery patients have had significant post-surgical complications? (surgeons should disclose this information to you)
  10. Who will be assisting my male breast reduction surgery? Can I see their qualifications?
  11. How much will my male breast reduction surgery cost?
  12. Do you offer patient financing? (Flexible payment schemes for your surgery)
  13. Will you repeat/correct procedures if the agreed goals are not met? If this is the case, will I be charged again?
  14. Ask to observe the exact procedure you are considering before you decided to have surgery if you are unsure (this could be on videotape or in real life).
  15. What is the recovery and healing period for male breast reduction? When can I resume full normal activity?
  16. Have you ever had your malpractice insurance coverage denied, revoked, suspended
  17. Ask for and follow up on patient references (these can be invaluable to finding out what your surgeon is really like and the level of customer satisfaction he/she has received in the past)

 

 

Surgeon Checklist

Surgeon Checklist

Knowledge is power so arm yourself with the facts before making any decision about Male Breast Reduction Surgery procedures; click here for an essential check list to help you find the right Perfect Yourself plastic surgeon.

Most popular procedures on Perfect Yourself: liposuction, breast augmentation, face lifts, rhinoplasty, tummy tucks
 
Be sure to also visit our Expert Advice page where you can find great questions from real visitors, Answered by real plastic surgeons, cosmetic dentists, and skin rejuvenation specialists.
 


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