Breast Reduction – Men
What is Gynecomastia?
How is Gynecomastia treated?
What does gynecomastia surgery (male breast reduction) accomplish?
Who are good candidates for gynecomastia surgery (male breast reduction)?
Are there scars?
How is surgery for gynecomastia performed?
- Since its introduction in the 1990’s, ultrasonic liposuction has become a preferred approach to treatment of gynecomastia by many plastic surgeons.
- It allows removal of the excess fat and breast tissue through two very small incisions (3-4 mm each) placed within the circumference of the areola. The entire procedure is carried out through these incisions.
- The ultrasound energy helps the skin of the breast shrink back thereby significantly decreasing the potential need for skin removal. Excellent contouring of the fatty tissue often found in the underarm area is also possible with this technique.
Direct surgical excision
- This technique allows removal of the breast gland tissue and fatty tissue through an incision made within the lower one-half of the areola.
- It works well in situations where the majority of the breast tissue is localized within a well-defined breast mound. However, it does not always provide adequate contouring if there is excess tissue in the underarm area.
- If there is a significant amount of breast tissue that is directly removed, there may be excess skin that does not shrink back. This often necessitates direct excision of the skin through a separate incision.
Direct surgical excision with liposuction
- Some surgeons will use a combination of direct surgical removal of the breast tissue and liposuction of the fatty tissue from the surrounding chest and underarm region.
- Breast reduction with removal of breast tissue and removal of skin
- This technique is reserved for cases of extreme Gynecomastia.
- Unfortunately, it leaves extensive scars which are difficult to hide when undressed.
- Fortunately, this degree of Gynecomastia is not very common.