Male Breast Reduction
Gynecomastia (overdevelopment of male breasts) is a common condition characterized by an excess of localized fat and/or glandular tissue in the breast. It affects an estimated 40 to 60 percent of men. It is sometimes caused by disease, hormonal changes, heredity or certain medications, although, in most cases, its cause is unknown. It can occur in one or both breasts, and can affect babies, preteens, teenagers and grown men. Symptoms of gynecomastia include enlarged breasts, breasts that feel rubbery or firm and, in young boys, nickel- or quarter-sized breast “buds.” Breast buds are common in adolescents, and tend to go away on their own.
As long as breast development is complete, plastic surgery can be used to treat gynecomastia that is not caused by disease or medication. Gynecomastia treatment choices include liposuction or male breast reduction surgery, or a combination of the two; which technique is chosen depends on the amount and type of tissue in the breasts. If the breasts consist mostly of fatty tissue, liposuction can be used to suction out fat through incisions made in the nipples or underarm areas. For breasts with an excessive amount of glandular tissue, excision surgery, which requires cutting away excess fat, skin and tissue, can be performed. This requires a larger incision than is used with liposuction.
Who are the best candidates for Male Breast Reduction?
Candidates for male breast reduction are men who have large or sagging breasts that make them feel physically and/or emotionally uncomfortable. Breast reduction can be performed on men whose breast development is complete; are in good health, both physically and emotionally; do not smoke; and are not overweight. Ideally, candidates have firm, elastic skin that will reshape itself to fit the contours of their breasts post-surgery.
Male Breast Reduction Procedure
Male breast reduction is usually performed under general anesthesia on an outpatient basis, and typically takes 1 to 3 hours. Male breast reduction is performed using liposuction or gynecomastia surgery, or a combination of the two.
If the enlarged breasts are caused primarily by excessive fatty tissue, the tissue is typically removed with liposuction, during which a cannula (a thin, hollow tube) is inserted through extremely small incisions, and then moved back and forth to loosen excess fat, which is suctioned out using a vacuum or a cannula-attached syringe. The incisions are made around the lower halves of the areolas or in the underarms.
If the enlarged breasts are caused primarily by excess glandular tissue, surgery is required. Incisions are made to allow for tissue to be removed. Repositioning the areolas/nipples and excising excess skin also requires incisions. Sutures are used to close the incisions, which are then bandaged, and the area is typically covered by a compression garment.
Recovery From Male Breast Reduction Surgery
Following this method of gynecomastia treatment, there is bruising, swelling and discomfort. Discomfort usually dissipates after a few days, and can be lessened with prescribed pain medication. To help reduce swelling, the compression garment is worn for about 2 weeks, and at night for several additional weeks. Swelling and any skin discoloration partially subside after 1 or 2 weeks, at which time stitches are removed.
Patients typically return to work within a week. Light aerobic exercise can be performed after a week, but strenuous activities should be avoided for 4 to 6 weeks.
Risks Of Male Breast Reduction
In addition to the risks associated with surgery and anesthesia, those related to this form of gynecomastia treatment include the following:
- Skin injury
- Loss of nipple sensation
- Asymmetrical breasts or nipples
The results of gynecomastia surgery are usually permanent, as long as the patient’s weight remains stable. If drugs were the cause of the condition, the patient must permanently stop taking them to maintain results.