Male breast reduction in Toledo

As with all aesthetic surgical procedures at EVOLV Plastic Surgery, male breast reduction workup involves complete family and medical history, examination, discussion of goals and review of all options. Any potential contributing or causative factors, such as hormonal abnormalities or medication issues, are reviewed. All costs will be itemized and review with the EVOLV Patient Coordinator. Preoperative evaluation also includes photo documentation and an extensive discussion and review of incision location and size and any related concerns.

Male breast reduction surgery in Toledo is always done in an accredited outpatient surgery center under either IV sedation or a light general anesthetic administered by a board-certified anesthesiologist and experienced licensed nursing staff.

Surgical incisions are planned and designed to be minimal and inconspicuous. You will meet with your surgeon in the pre-op area for marking and incision design and planning. In most cases, the operation can be done through a 1/2-inch opening under the lateral breast and a small incision at the lower edge of the areolae. In unusual large cases of gynecomastia with skin excel, an incision in the skin under the breast may be needed. Incision placement and length will depend on the degree of reduction and correction needed and the amount of tissue and skin laxity. The goal is to design a small and well-hidden incisional scar that allows the necessary access to the tissue to be removed.

A solution that constricts blood vessels and blocks sensory nerves (‘tumescent solution’) is perfused into the breast tissue and fat excess to be removed. VASER ultrasonic selective liposuction is performed in these areas to remove excess fatty tissue and preserve the sensory nerves and blood vessels. We make a small incision within the areola or breast fold. Long-acting pain blocks (Exparel) or a nerve stimulator to decrease post-operative discomfort are preferred to reduce discomfort and downtime. Incisions are closed with dissolvable internal sutures and dressings and bra applied. Drains are typically unnecessary.

You will return to the office in a few days after surgery for your first dressing change. You will usually experience some relief from preoperative symptoms and see the visible improvements immediately and they will continue to get better as swelling and bruising subside. We will give you specific instructions and recommendations on activities and care of the operative site at each visit. Your final male breast reduction shape should restore a contour that is balanced and proportional to your body contour and result in a natural male chest contour.