• Male Breast Reduction Surgery: 2 Most Common Procedures

    by Dr. Semone Rochlin
    on Mar 23rd, 2017

Gynomastia (i.e. male breast reduction surgery) is a very common male cosmetic surgical procedure that involves reducing excessive breast tissue that may be present due to hormonal imbalance or as a side effect of certain drugs, such as anabolic steroids. It could also be the result of a thyroid condition, kidney or liver disease, or obesity. The effects of this condition can be corrected with a relatively simple surgery. Depending on the underlying cause, it may be possible to treat it with liposuction alone, but in this case of ‘true/glandular’ gynomastia, your surgeon might suggest excision, or a combination of liposuction/excision for best results.

Amount of Fat vs. Gland

If the excessive breast tissue is comprised of fat only, liposuction is indicated. It is a simpler surgery, though it does not remove the gland. The surgery is minimally invasive, and in most cases, surgical scars are virtually unnoticeable. The results are permanent, as long as the prevailing condition is not of a glandular nature.

Firm Tissue Indicates the Need For Excision

Your surgeon is the best person to determine the type of gynecomastia surgery you should have. A thorough examination will reveal the presence (or lack thereof) of glandular tissue, and the appropriate treatment can then be decided. If firm glandular tissue is present, excision may be the best decision. In this case, there is an incision made around the nipple, and the gland is removed altogether, along with the surrounding fat tissue. Liposuction is often done in conjunction with excision in order to remove any excess fat tissue. Some breast tissue is left behind in order to create the best possible contour. The total removal of the gland will generally prevent any excess fat or tissue from returning to the area.

If Fat is the Only Issue

Liposuction can be an option for some, as long as it is only fat contributing to the male breast enlargement. In this case, the surgery is performed via a cannula, with the incision made under the armpit. Full correction can be affected in many patients using this process. While many surgeons feel that liposuction alone yields an inferior result in the presence of glandular tissue, it is effective for many. When glandular tissue remains, a raised ‘puffy’ nipple will remain even after liposuction and a second surgery may be required. In some cases, a doctor may decide on excision even if only in the presence of fat. Some fat behind the nipple area may be fibrous and more difficult to remove with suction, and the surgeon may indeed decide mid-procedure that excision is necessary.

Post Surgery

In either case, whether excision or liposuction is performed, or a combination of both, the resulting scars are minimal and in most are completely unnoticeable. Liposuction-only scars are easily hidden in the crease of the under arm, while excision scars follow the contour of the nipple. In either case, the surgery generally takes about an hour, and is done on an outpatient basis. A compression garment is worn for several weeks. The patient can resume normal activities within a day or two, and though it is recommended to avoid heavy lifting or strenuous exercise for the first ten days or so, most can return to a full exercise routine after a month.

Dr. Semone Rochlin has been performing cosmetic procedures on men and women in the Phoenix and Scottsdale area for over a decade. If you feel that you are a candidate for gynecomastia surgery, call today to set up your free consultation. Dr. Rochlin will be happy to answer all your questions and help you decide what course of treatment is right for you.

Author Dr. Semone Rochlin Dr. Semone B. Rochlin is a Board Certified General Surgeon specializing in Cosmetic and Reconstructive Surgery.

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