Surgery for Gynecomastia

About The Treatment

Gynecomastia surgery, also known as male breast reduction surgery, is a procedure designed to reduce the size of enlarged male breasts. This condition, known as gynecomastia, can occur due to hormonal imbalances, genetics, certain medications, or other underlying health issues. The surgery aims to achieve a flatter, more masculine chest contour.

Indications for Gynecomastia Surgery

• Emotional or psychological distress due to the appearance of the chest.

• Difficulty finding properly fitting clothing.

• Self-consciousness or embarrassment in social situations, especially when shirtless.

• Physical discomfort, such as tenderness or pain.

Types of Gynecomastia Surgery Techniques

Liposuction:

• Suitable for cases where excess fatty tissue is the primary cause of enlargement.

• A thin cannula is inserted through small incisions to suction out excess fat.

• Minimally invasive with smaller scars and quicker recovery.

  
  

Excision:

• Used for cases with significant glandular breast tissue or excess skin.

• Involves making larger incisions to remove glandular tissue and excess skin.

• Allows for repositioning of the nipple and areola if necessary.

• More suitable for severe gynecomastia or when excess skin is present.

  
  

Combination of Liposuction and Excision:

• Often used to achieve the best results by addressing both fatty and glandular tissue.

• Provides a comprehensive approach to contouring the chest.

Procedure Steps

Consultation and Planning:

• Goals, expectations, and medical history is discussed with the surgeon.

• Physical examination and assessment of the chest to determine the best surgical technique.

• Preoperative instructions, including guidelines for medications, smoking cessation, and health optimization.

  
  

Anesthesia:

• General anesthesia or local anesthesia with sedation is used, depending on the extent of the procedure and patient preference.

  
  

Incision and Tissue Removal:

• Liposuction:

  • Small incisions are made, typically in inconspicuous areas such as the edge of the areola or under the arm.

  • A thin cannula is inserted to break up and suction out excess fat.

    
    

• Excision:

  • Incisions are made around the areola or in the natural creases of the chest.

  • Excess glandular tissue and skin are removed, and the nipple and areola are repositioned if necessary.

    
    

• Combination:

  • Both techniques are used to achieve optimal contouring.

    
    

Closing the Incisions:

• Incisions are closed with sutures, and surgical tape or skin adhesives are used to support the closure.

• Dressings or bandages are applied to support the chest during initial healing.

Recovery and Aftercare

Initial Recovery:

• Patients typically stay in the surgical facility for a few hours after the procedure.

• Swelling, bruising, and discomfort are common.

• Pain medication and antibiotics may be prescribed.

• Wearing a compression garment helps minimize swelling and support healing.

  
  

Postoperative Care:

• Patients are advised to avoid heavy lifting, strenuous activities, and sleeping on their stomach for several weeks.

• Light activities can typically be resumed within a few days to a week.

• Follow-up visits with the surgeon to monitor progress, remove sutures, and ensure proper healing.

  
  

Long-Term Care:

• Results are typically visible within a few months as swelling subsides and tissues settle.

• Scarring is permanent but typically fades over time and can be minimized with proper care.

• Maintaining a stable weight and healthy lifestyle helps preserve results.

Benefits

Enhanced Chest Contour:

• Achieves a flatter, more masculine chest appearance.

  
  

Improved Self-Confidence:

• Enhances body image and self-esteem.

  
  

Physical Comfort:

• Reduces discomfort associated with enlarged breasts.

  
  

Better Fit for Clothing:

• Easier to find properly fitting clothing.

Risks and Complications

Scarring: 

• Permanent scars that may be prominent, especially if not properly cared for.

  
  

Changes in Sensation: 

• Temporary or permanent changes in nipple and chest sensation.

  
  

Asymmetry: 

• Possible differences in size, shape, or nipple position between the two sides.

  
  

Infection: 

• Risk of infection at the incision sites.

  
  

Healing Issues:

•  Poor wound healing or tissue necrosis, particularly in smokers or those with certain medical conditions.

  
  

Contour Irregularities:

•  Uneven fat removal or tissue contouring can result in an irregular chest appearance.

Candidate Suitability

Ideal Candidates:

• Men with persistent breast enlargement that does not respond to medical treatments.

• Patients in good overall health with realistic expectations.

• Non-smokers or those willing to quit smoking before and after surgery.

  
  

Not Suitable For:

• Individuals with certain medical conditions that impair healing.

• Those with unrealistic expectations or seeking a minor change in chest appearance (alternative treatments may be more appropriate).