Male Breast Reduction

You are a male who has been feeling self-conscious about the large size of your breasts. Clinically known as gynecomastia (which actually means woman-breasts), this condition is caused by a hormonal imbalance resulting in the creation of benign mammary glandular tissue and the storing of fat in the breast area. Conservative estimates are that it affects at least 40% of men. Scarless male breast reduction or male breast reduction with excision can give you a more defined chest contour.

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What male breast reduction can do for you
  • *Reduce your “man-boobs”.*
  • Create a flatter, firmer and chiseled chest.
  • Suitable for normal to overweight patients, as well as bodybuilders and professional athletes.
You’ll experience
  • *The ability to get back to work within five to seven days.*
  • The freedom of wearing the shirts you want to wear without being embarrassed.
  • A more masculine body contour with more muscular definition.
What makes your male breast reduction at Gartner Plastic Surgery unique

1. Dr. Gartner performs an extensive pre-surgery examination. He carefully examines your medical history and your chest to determine the cause of your abnormal breast enlargement first. By doing this, the safest and most effective treatment is determined for you. There are four treatment options:

  • If your breasts are primarily comprised of fat, then scarless male breast reduction with liposuction may be more suitable to achieve your expectations. In fact, according to Gynecomastia: analysis of 159 patients and current recommendations for treatment[1], liposuction alone was deemed sufficient in correcting gynecomastia when caused by excess fat.
  • If excess glandular tissue and/or sagging skin exists, then excision may be necessary. However, your resulting scars will be well hidden by the natural color and texture of your areola.
  • If both fat and excess glandular tissue and skin exists, then liposuction may be combined with excision techniques.
  • If your gynecomastia is caused by a current medical issue or medications that you’re taking, then surgery may not be deemed appropriate at all. You may have to resolve these issues first before considering surgery.

2. An evaluation of your areolae will be performed to determine whether they need to be reduced as well. Puffiness and/or their diameter can be decreased to achieve a firmer and more proportionate appearance.

3. Dr. Gartner is a meticulous surgeon who is extremely careful when removing excess tissue. He does this to prevent undesirable aesthetic results, such as indentations and asymmetry.

It is important to note that male breast reduction isn’t just for overweight patients. According to Surgical Correction of Gynecomastia in Thin Patients[2], satisfying results were achieved for patients within a normal weight range. Dr. Gartner has even helped bodybuilders and professional athletes!

Are you a candidate?

If you are a man in good health and have realistic expectations of your recovery and results, then you may be a candidate. You should be at a stable weight and are not planning to lose an excessive amount of weight before you have surgery. Please note that if you are planning to lose a lot of weight after surgery, then your results may be negatively affected.

Some medical conditions may contribute to gynecomastia. These include hyperthyroidism and kidney failure. In addition, some medications may also cause excessive male breast growth, such as anabolic steroids, heart medications and antibiotics. If you suspect any of these, please see your physician before pursuing male breast reductions surgery.

Your consultation

In your consultation, you’ll find out about male breast reduction from Dr. Gartner, a Double Board Certified plastic surgeon with over a decade of experience performing the surgery. He’ll examine your chest to determine whether you are suffering from gynecomastia and if your condition can be effectively treated with liposuction, excision, or both. Dr. Gartner will also review your medical history to make sure the surgery is safe for you.

You’ll be able to ask questions and express any concerns you may have during your private medical consultation. After reviewing the risks and side effects related to the surgery, you’ll then be able to decide whether male breast reduction is suitable for you.

Your surgery

The following is a general outline of the male breast reduction surgery. Your experience may be slightly different depending on your concerns.

1. Anesthesia is administered: Depending on the extent of correction, you may choose to have your surgery performed under local anesthesia only. This allows you to have a more comfortable recovery since you won’t have to deal with a common side effect of general anesthesia—nausea and vomiting.

2. If you opt for scarless surgery, your procedure will involve tiny incisions made in the natural creases of your chest or in your armpit to allow for a cannula to be inserted and liposuction to be performed. Each incision measures only a few millimeters. Unwanted fat will be suctioned out and your chest will be sculpted. If excess skin and/or glandular tissue are present, then Dr. Gartner will create an incision around the areola to allow for their removal.

The incisions are closed with dissolvable sutures and dressed.

Your recovery

You will feel some discomfort after the surgery which can be controlled by pain medication. Swelling and bruising are at their peak within the first 48 hours of your surgery, but will resolve over the course of a couple of months.

How you’ll look while you recover

You may notice that your chest is flatter and more toned immediately after surgery. However, you should wait for the optimal results to appear after swelling and bruising subside. This can be at the three or four month mark.

You’ll need to wear a compression garment for the first four to six weeks. This will help ease swelling and retract your skin for a more sculpted result.

Keeping clean

You’ll be able to take a shower the day after your surgery. Use mild soap on the incisions as well, and wash thoroughly without rubbing the area. Gently pat dry. This will help the incisions remain clean and reduce the risk of infection. Baths cannot be taken until about two weeks after your surgery. This is also to minimize the risk of infection.

When you can go back to work

Individual recovery still varies, but most patients are able to return to work in five to seven days if it is not physically demanding.

When you can get back to the gym

You should wait for about four to six weeks before going back to the gym. However, you are encouraged to do low-impact cardiovascular activity a day or two after your surgery to reduce the risk of blood clots.

Your results

Once the swelling and bruising have subsided, you’ll notice that your chest is firmer and more sculpted. *You’ll finally have the flat, toned chest that you’ve always wanted.*

Complications and risks associated with male breast reduction

Swelling, bruising and discomfort are common side effects of surgery.

Rare complications

Seroma: A seroma is a collection of fluid trapped under the skin. While seromas can sometimes resolve on their own, in some cases they need to be surgically drained.

Hematoma: A hematoma is a collection of blood trapped under the skin. These also may resolve on their own or require medical intervention.

Irregular scarring: Your scars may become more prominent if you have a history of hypertrophic scarring, however most scars heal nicely if you follow the proper incision and scar care instructions outlined by Dr. Gartner.

Infection: Dr. Gartner follows strict infection control protocols that minimize the risk of infection. You can also reduce the risk by following the care instructions given to you.

*Disclaimer: No guarantees of any kind unless they are money-back guarantees. No claims of permanent results. No "Miracle cures" for medical ailments.*

Copyright © 2015 Gartner Plastic Surgery and Laser Center
All rights reserved. Any subsequent further processing, publication or permanent storage for commercial or other purposes without the explicit prior permission of Think Basis Inc. is prohibited.

Article credits

  • Reviewed By:Dr.MichaelGartner
  • Place:3 Winslow Pl, Paramus, NJ, US, 07652
  • Created: 10 May 2015
  • Published: 10 May 2015
  • Last Modified: 26 Sep 2015
  • Reviewed: 19 May 2015

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