Gynecomastia surgery

Gynecomastia surgery addresses the issue of enlarged or overdeveloped breasts in males.

Gynecomastia surgery

This surgical procedure aims to restore a more typical chest contour. It is designed for men who may feel self-conscious about their breast size. 

About Gynecomastia surgery

Overview

Gynecomastia is a condition characterized by enlarged breasts in men, which can develop at any age due to factors like hormonal changes, genetics, obesity, or certain medications.

This condition can lead to emotional distress and diminished self-confidence, causing some men to avoid physical activities and intimacy to conceal it.

Key features of gynecomastia include:

  • Excess localized fat
  • Increased glandular tissue
  • Sometimes additional breast skin
  • Affecting one or both breasts.
  • In severe cases, the weight of the excess tissue can lead to sagging, which may necessitate surgical intervention to improve the position and size of the areola and remove excess skin.

The surgical procedure to address gynecomastia is known as reduction mammaplasty, which aims to flatten the chest and enhance its contours.

Advantages

Gynecomastia is the enlargement of breast tissue in individuals, often caused by factors such as obesity, hormonal changes, and certain medications, and it can occur during adolescence or later in life.

In severe cases, this condition can result in sagging breasts and stretched areolas. Many individuals choose elective cosmetic surgery, known as male breast reduction or reduction mammaplasty, to enhance their appearance and alleviate discomfort.

Annually, around 20,000 men undergo this procedure, which aims to remove excess tissue and fat to improve self-image and confidence. The surgical approach may involve liposuction, surgical intervention, or a combination of both, with healthcare providers determining the best method for each patient.

Pros

-Improves self confidence

-Procedure and recovery is quick

-Permanent results with stable weight

-Restores masculine figure

Cons

-Irregular breast contour and shape

-Scars from surgery

-Changes in nipple sensation

What to Expect

Before your surgery, your provider will review your medical history, treatment options, and goals, and may suggest a complete blood count (CBC) or other tests to assess your health and the cause of gynecomastia. An examination will be conducted to measure breast tissue and screen for male breast cancer, and photographs of your breasts may be taken.

It is important to cease certain medications, like blood thinners, and to consider quitting smoking to promote better healing, and your provider will instruct you on when to stop eating and drinking before the procedure.

Surgery

During gynecomastia surgery, surgeons may use liposuction to remove breast tissue or perform excision, which involves larger incisions to remove excess skin and reposition the nipple if necessary.

After the outpatient procedure, you will need someone to drive you home, as you will be under general anesthesia and unable to feel pain during surgery.

Recovery

After your surgery, you will be fitted with bandages and a supportive garment to aid in your recovery by reducing swelling and providing chest support. Your healthcare provider will prescribe medications to help manage pain, decrease swelling, and lower the risk of infection.

During the procedure, thin tubes may be placed under your skin to drain any fluid or blood, which will be removed once they are no longer necessary. In the initial days post-surgery, you can expect significant soreness, but this should improve within a week, allowing you to return to work in about two weeks.

Remember to adhere to your provider’s post-operative instructions, avoid heavy lifting. 

Results

It may take three to six months to observe the final results, which are generally permanent; however, additional surgeries may be necessary to achieve optimal outcomes.

Safety Profile

Every surgical procedure carries inherent risks. Patients may experience irregularities in breast contour and shape. Changes in nipple or breast sensation can occur, which may be either temporary or permanent. There is also a possibility of damage to deeper structures, including nerves, blood vessels, muscles, and lungs, with effects that may last long-term or resolve over time. Additionally, complications such as deep vein thrombosis, cardiac issues, and pulmonary problems are potential concerns.

Cost

According to the most recent statistics provided by the American Society of Plastic Surgeons, the average cost of male breast reduction surgery, also known as gynecomastia surgery, is $5,587. It is important to note that this average cost represents only a portion of the overall expenses, as it does not encompass fees for anesthesia, operating room facilities, or other associated costs. It is advisable to consult with the office of your plastic surgeon to ascertain the final fee.

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