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Male Breast Reduction

Male Breast Revision (Gynecomastia Surgery)

in Norwalk, CT

Gynecomastia is a condition that results in the enlargement of the male breasts. Although up to 60 percent of the male population is affected by gynecomastia at some point in their lives, this condition can still cause emotional distress and damage to confidence levels. Dr. Rosen performs male breast revision, or gynecomastia surgery, to remove excess breast fat and tissue in men to relieve distress and discomfort.

Am I a Candidate for Male Breast Revision?

Ideal candidates for male breast revision suffer from both the emotional and physical aspects of enlarged breasts. Candidates may experience an excess of breast fat or breast tissue that is unresponsive to proper diet and exercise. There are two different types of gynecomastia. Gynecomastia is characterized by excess fat and glandular breast tissue that is typically caused by genetics and hormone imbalances, which often presents itself during puberty. Occasionally, gynecomastia may resolve on its own; however, when that is not the case, gynecomastia surgery can be performed. Pseudo-gynecomastia is often confused with gynecomastia, but this type of breast enlargement is the result of extreme weight gain. It can also be caused by external factors such as steroid use, excessive marijuana or alcohol use, and the use of other medications. Candidates will be asked to stop all steroid, marijuana, and alcohol use before the procedure to see if the condition resolves on its own and to ensure that they are in good health for the surgery. Candidates should be non-smokers, have good skin elasticity, and have realistic expectations of their results.


How Is Male Breast Revision Performed?

Although all men have breast tissue and fat, an excessive amount is what defines gynecomastia. There are two approaches to treating this condition. During your consultation, Dr. Rosen will determine which type of gynecomastia you have, as well as the best surgical approach for you.

What Is the Liposuction for Gynecomastia Surgery?

When the cause of gynecomastia is limited to excessive fat, liposuction is used. During this procedure, small incisions are made in the breast, a cannula is inserted, and the unwanted fat is suctioned away. Patients who only undergo liposuction of the breasts should have firm, elastic skin that will reshape to the new contour of the chest.

What Is the Open Technique for Gynecomastia Surgery?

When gynecomastia is the result of excess breast tissue, the open technique is employed. Dr. Rosen makes an incision at the bottom of the areola, near the nipple, where excess tissue is excised. Depending on the amount of tissue removed and the degree of enlargement, excess skin may need to be trimmed. Incisions are closed with dissolvable sutures. This technique can be combined with liposuction if excess fat is present.


How Long Is My Male Breast Revision Recovery?

Male breast revision is an outpatient procedure performed under light general anesthesia in one to two hours. Following the surgery, you will be wrapped in a compression garment or vest that will help minimize swelling and bruising as well as promote proper healing. It is recommended that this garment is worn for four weeks. Some mild to moderate discomfort is expected during recovery from gynecomastia surgery. This can be remedied with oral pain medication and is temporary. Most patients return to work within one week. However, physical activity, especially activity of the arms and chest, is restricted for four to six weeks. Complications from gynecomastia surgery are rare and generally minor but can include infection, bleeding, fluid loss or accumulation, scarring, pigment changes on the breasts, and temporary numbness.


When Will I See My Male Breast Revision Results?

The final results of your gynecomastia surgery will generally become apparent three months following the procedure after any bruising and swelling have subsided. At this time, if the skin around the area has not retracted, an additional procedure to remove the excess skin can be performed. It is very rare for gynecomastia to recur in patients; therefore, the results are long lasting and considered permanent.

Frequently Asked Questions About Male Breast Revision

How will I know which male breast revision technique is right for me?

Male breast reduction is performed with liposuction or the excision method (open technique). The appropriate technique for your gynecomastia will depend on the cause of your excess (glandular tissue or fat) and your skin quality. If your gynecomastia is limited to excess fat and you have good skin elasticity, then liposuction would be sufficient. If your gynecomastia is due to glandular tissue or a combination of tissue and fat, you will likely require the open technique. This option also allows your surgeon to trim loose or sagging skin, if necessary.

What causes gynecomastia to develop?

Gynecomastia has many causes, ranging from genetics and hormonal changes to medication and drug use. Some of the most common situations thought to cause gynecomastia include:

  • Hormonal changes (imbalance between estrogen and testosterone) 
  • Weight gain
  • Medication use (such as drugs for anxiety, enlarged prostate, and prostate cancer)
  • Anabolic steroid abuse
  • Marijuana, heroin, or excessive alcohol use
  • Liver disease
  • Hyperthyroidism

Can gynecomastia go away on its own?

When gynecomastia develops during puberty or due to excessive weight gain, there is a chance that it will go away once the hormones have balanced out or the weight has been lost. If gynecomastia causes the development of excess breast tissue, it is very challenging for that tissue to go away on its own. Most times, a surgical fix is required.

Will my male breast reduction results be permanent?

It is unlikely that gynecomastia will return after male breast reduction; however, should you gain significant weight or pick up some of the habits that cause gynecomastia (such as steroid or drug use), there is a chance that you can develop gynecomastia.

Should I combine male breast reduction with another surgical procedure?

Some men who consider male breast reduction choose to further enhance their trim contours by combining their reduction with liposuction of the surrounding areas or tummy tuck surgery to trim the contours of the midsection.

Norwalk Office

91 East Avenue
Norwalk, CT 06851

Phone: 203.899.0000

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