Gynecomastia Repair

Gynecomastia is a condition in which a man’s breasts resemble those of a woman. Men, in general, also have mammary glands, however in small quantity relative to women, most of the time not even palpable. Excessive breast tissue in men often leads to a physical appearance that causes great embarrassment. Male breasts are supposed to appear flat, and the overlying chest muscles provide the necessary form to give them their pleasing appearance. Gynecomastia may certainly lower one’s self-confidence.

Many factors contribute to gynecomastia, among them: obesity, certain medications, hormonal abnormalities, genetic predisposition, and drug or alcohol abuse. In most cases, the cause is unknown.

The severity of gynecomastia is scaled based on the amount of breast/fat tissue and excessive overlying skin present.

The surgical approach is determined based on the severity of the case (more of this later).

Surgery for gynecomastia repair performed under general anesthesia. Duration of surgery is approximately one and a half hours. In most cases, overnight hospitalization is not necessary.

Given that breast tissue ceases to develop after puberty, surgery for gynecomastia is suitable for men only after the age of 17. Any deviation of 5 kg or more after surgery may distort the shape of the chest and outcome of surgery. Therefore, it is recommended that surgery be performed only after a full year of stable chest volume.

Before surgery, a proper work-up regarding the causes of gynecomastia is recommended (a hormonal abnormality, for example). Any findings should be addressed to avoid recurrence after surgery.

After surgery, a girdle or any other tightly worn clothing is to be worn for at least a month.

Breast Reduction For Men

Like previously mentioned, levels of gynecomastia vary in severity, and each case is addressed accordingly.

In cases of mild excess tissue, without any excess overlying skin, liposuction via two small incisions may be the only treatment necessary. The incisions are done on two sides of each breast- one on the side of the breast below the armpit, and the other along the areola-skin border. In this method, bleeding is minimized. The skin has exceptional elastic characteristics that allow for pleasing aesthetic results when recovery is complete.

In situations where there is excessive gland tissue, an open procedure is performed in addition to liposuction. The main incision is in the shape of a crescent, and it is done in the lower half of the areola.

In cases where there is excessive overlying skin, usually seen after large amounts of weight is lost, skin excision is necessary in addition to fat and gland removal. Excision of skin will leave one scar around the areola, and in some cases an additional scar in another location on the chest (the exact location depends on the specific case).

There are situations when the patient leaves the operating room with draining tubes coming out from the areas operated on. These tubes are places in order to collect any excessive exudate and fluid. These tubes are removed within a few days.

The recovery period may be accompanied by pain, bruising, swelling and edema, changes in sensitivity around the area operated on – including the nipples. In most cases, sensitivity returns to normal after a few months.

It is recommended that any physical activity be avoided for a period of two weeks after surgery. The final outcome of surgery may only become apparent after several months, and it is important that one be patient until that time arrives. Every patient will be followed-up by Dr. Inbar during routine visits at the clinic.

Complications of surgery are rare, and may include:

  1. Bleeding that may necessitate drainage in an operating room setting.
  2. Seroma formation (collection of fluid in the area operated on that may necessitate drainage in the clinic)
  3. Hypertrophic or keloid scarring (depending on genetic predisposition)
  4. Infection, usually treated conservatively
  5. Excessive breast tissue remaining after surgery that may require an additional surgery
  6. Asymmetry or distortion of breast appearance
  7. Temporary or permanent loss of sensation

Further details of this surgery will be made available during the pre-surgical consultation.

»To view pictures “before after” Gynecomastia Repair surgery»