Gynecomastia (Male Breast Reduction)
Gynecomastia is a medical term for enlargement of the male breast. Most cases of gynecomastia are caused by abnormal hormonal levels and certain types of medication. Regardless of the cause, gynecomastia surgery is the only reliable treatment option to remove fat and glandular tissue from the breasts. For men who suffer from gynecomastia and feel self-conscious about their appearance, breast-reduction surgery can help. In most cases, the chest becomes flatter, firmer, and better contoured. Depending upon the extent of the breast enlargement and the proportion of fat present, Dr. Lesesne will recommend several solutions.
Gynecomastia Treatment Options
In cases where there is little loose skin and normal breast tissue, male breast reduction surgery can be performed by liposuction alone. Dr. Lesesne uses high-definition liposuction that removes unwanted fat while sculpting the underlining muscle. Using a specialized tube, also known as cannila. Dr. Lesesne is able to loosen fatty tissue and remove it with a gentle suction. Liposuction procedures require small incisions made to the breast area, however, there is little to no scarring.
Dr. Lesesne’s patients recover very quickly from gynecomastia surgery involving liposuction only. Minor bruising and swelling can occur but usually subsides in 3-7 days. To help reduce swelling, Dr. Lesesne requires his patients to wear a surgical compression garment for 1 week after surgery. Most patients resume normal daily activities 2 days after surgery.
If a patient has very large breast and excess skin needs to be removed, then an excision procedure is recommended to correct the gynecomastia. In some cases it is necessary to reconstruct the areola or reposition the nipple to achieve a more natural male contour. This gynecomastia technique will require multiple incisions (similar to female breast reduction surgery) to remove dense breast tissue and remove excess skin. Depending on the anatomy of the patient, a combination of liposuction and excision may be required. Dr. Lesesne will discuss excision techniques in depth during your consultation.
Patients who undergo excision surgery will experience some swelling and bruising 1-2 weeks after their surgery. To help reduce swelling, Dr. Lesesne requires patients to wear an elastic pressure garment or compression vest up to 2 weeks after surgery. Many patients return to work with in a few days and are able to resume vigorous activities in 10-14 days post-surgery.