Gynecomastia surgery, or male breast reduction, is designed to restore normal contour and proportion to the male chest. Gynecomastia procedures may involve direct resection of excess tissue, normalizing the nipple and areolae, and removal of unwanted fatty tissue by liposuction techniques from the chest and axilla.
The breast is composed of both glandular and fatty tissue and may enlarge after puberty in young men as well as in older adults with weight gain. Although the fatty excess can be removed through very small incisions by liposuction, glandular tissue usually requires a small incision within the areola for removal. The resulting scars are typically small and well hidden. Gynecomastia surgery is usually done under a light general anesthetic at an outpatient surgery facility.
- Who are the best candidates for gynecomastia surgery?
Any adult male in good health who has developed excess breast or chest tissue, or who is bothered by disproportion of the chest area, may benefit from gynecomastia surgery. If the excess is primarily fatty tissue from weight gain, liposuction alone through small incisions may be done. In most cases of gynecomastia however, there is excessive dense glandular tissue which requires direct incision. In some instances, reduction of the areola or other excess skin is needed.
- What is the cost of gynecomastia surgery?
As with all aesthetic or cosmetic procedures, cost will depend on the estimated length of time of surgery may take, and the extent of the services needed to obtain a safe and balanced outcome. After your exam and a discussion of your goals, Dr. Barone will explain and recommend your best options and a quote detailing all costs will be provided by our patient coordinator for your review.
- What is the usual recovery time after gynecomastia surgery?W
Depending on the amount of glandular and fatty tissue removed and techniques needed, recovery time may be several weeks or more. Non-strenuous activities that do not involve the upper arms or shoulders can usually be resumed a few days after surgery. Return to activity is gradual and instructions and guidelines will be recommended based on your procedures and comfort.
- What can I expect after surgery?
Following your procedure, which is usually done under a light, outpatient general anesthetic, a small dressing and a compression garment are applied. A small tube drain is used in most cases. Dr. Barone places a long-acting nerve block in surgery that significantly reduces any discomfort for several days. Patients may ambulate after surgery but will need a ride home after discharge from the surgery center. The first post-operative appointment is typically 3-5 days after surgery. All needed medications and instructions are provided at your pre-operative appointment.