Gynecomastia - Male Breast Reduction Surgery
Enlarged breasts in a male can produce a tremendous social stigma. Men with larger breasts may feel very self-conscious about their masculinity and become afraid to participate in sports or any outdoor activity that may require them to remove their shirt. Gynecomastia is a quite common breast surgery among males in their early teens, but many of these cases resolve with time. When enlarged male breasts extend into the years of manhood, it can be quite troubling. Many contributing factors to male breast enlargement have been identified: marijuana use, steroids, certain kinds of medications, liver disease, and testicular tumors. Planning must be given to the male breast reduction patient; giving them the shortest possible well-hidden scar is of the utmost importance. Schedule your consultation today at 407-999-2585 with Dr. Kenrick Spence at Hillcrest Plastic Surgery. Also feel free to browse through our Gynecomastia Before & After Photos.
Evaluation for a Male Breast Reduction, Gynecomastia
- Overall evaluation of state of health
- Detailed evaluation to identify possible causes of Gynecomastia, as needed
- e.g. blood work, mammogram, or hormonal evaluation
Special Note: A significant number of patients do not have any clear-cut cause for their Gynecomastia. Not all patients require as extensive work up; as it may be all fat and not breast tissue contributing to Gynecomastia.
Drawings are made to help identify patient expectations for the future shape of the chest.
Preparation for a Male Breast Reduction, Gynecomastia
- Stop all blood thinning agents (e.g. aspirin, vitamin E, etc.)
- Stop all anabolic steroids or steroid like supplements
- Stop smoking at least 6 to 8 weeks prior to surgery
Male Breast Reduction Procedure
The technique used to treat Gynecomastia in Dr. Spence's Orlando, Florida plastic surgery practice is dependent on the nature of the problem. If there is a large thick breastplate behind the nipple this can be removed with power assisted liposuction, creating a smooth transition to the surrounding chest. When the nipple droops and sits below the fold, Dr. Spence's preference is to perform a staged procedure allowing the elasticity of the skin to take effect. A much shorter scar breast lift, which can be hidden around the nipple, can then be performed.
Risk of Correction of Gynecomastia
- Recurrence (with repeat steroid usage)
- Poor scarring
- Loss of sensation of the nipple
Recovery from Gynecomastia
- When only liposuction is used to correct Gynecomastia, most patients are able to return to work in 2 to 3 days. A compression garment is worn for several weeks following surgery.
- For procedures done in stages, recovery may take slightly longer. No heavy lifting is recommended for 2 to 4 weeks following surgery.
- Surgery can be performed on an outpatient basis.
Gynecomastia can be a troubling stigma for men of all ages. With the advent of new and improved surgical instrumentation, improvements in technique, and utilizing the elasticity of the skin, it is now possible to correct more cases of Gynecomastia with less scarring. To schedule a male breast reduction consultation with Dr. Spence at Hillcrest Plastic Surgery, call 407-999-2585 or request a consultation online.
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Gynecomastia Frequently Asked Questions (FAQ)
I am a 22-year-old male and I have enlargement of my breast, even with weight loss will this eventually go away?
Enlargement of the male breast is quite common. The majority of these cases resolve shortly after the completion of puberty, if this persists into adulthood medical intervention may be needed.
I have enlargement of the breast and I am embarrassed to remove my shirt; however, I am afraid of the scars from a breast reduction.
Dr. Spence approaches the enlargement of the male breast so as to produce the shortest scars possible. This often involves the aggressive use of liposuction to minimize the amount of skin excision needed and therefore lessens the risk of visible scarring.
I am a weight lifter and have previously taken body-building supplements, could this contribute to the enlargement of my breast?
Yes, it is possible for some anabolic steroid like supplements to cause enlargement of the male breast.
How soon can I go back to lifting weights after my breast reduction?
If just liposuction is used weight lifting may be resumed within a matter of 2 to 4 weeks. When incisions are made it is better to wait 6 to 8 weeks; this should be determined on an individual basis, based on the advice of your surgeon.
My nipples and areolas are quite large for a man; can anything be down about this?
Yes, the nipples and areolas in a male can be reduced. The scars are hidden at the junction between the light and dark skin around the areola.
I can feel a thick plate of tissue beneath my nipples; can this be removed?
Yes, this can be removed through an incision hidden around the nipple.
The responses to Frequently Asked Questions listed here are not intended to be medical advice, but are the practice of Dr. Spence and will vary from surgeon to surgeon and patient to patient.
To schedule a consultation with Dr. Spence at Hillcrest Plastic Surgery, call 407-999-2585 or request a consultation online.