Breast Reduction for Men with Gynecomastia
There are a few surgical methods for breast reduction. The procedures are similar in that they remove excess tissue and reshape the breast. Tissue may removed by surgery, liposuction, or both. The procedures differ in the specific incision patterns and techniques. Your doctor will determine the most appropriate breast reduction procedure based on your breast characteristics and personal preferences.
At your initial consultation, your doctor will help you decide which breast reduction method is right for you. You should tell your doctor about your concerns and expectations. Your doctor will evaluate your breast size, shape, and skin integrity. A general health evaluation will be performed. Diagnostic testing may help determine if there is an underlying cause for the breast enlargement. It is common for “before” photos to be taken for your medical records. You will need to stop smoking before your surgery and you may be instructed to temporarily discontinue certain medications.
If liposuction is used, the liposuction wand is inserted through several small incisions to loosen and vacuum excess breast tissue and/or fat. Based upon the amount of excess skin and residual elasticity of the skin, a decision for excess skin removal will be considered. The nipple and dark skin surrounding it (areola) may need to be surgically repositioned and possibly reduced in size.
You will receive medication for post procedure pain and specific instructions for wound care. Your stitches will be removed at one or more follow-up appointment(s). Your doctor will gradually increase your activity level. It may take time for swelling to resolve and several months for incision lines to fade. The results of your procedure are immediately visible and are permanent for many men.