Gynecomastia 

Gynecomastia Treatment – Male Breast Reduction – White Plains, NY & Paramus, NJ*

43 Procedures ( View All )

Overview

You read that right. Male breast reduction. You’ve heard the slang term for it, "man boobs," but the condition deserves more respect. The medical term is gynecomastia and it applies to men whose breasts are enlarged. The plastic surgery community estimates that 40% –  60% of men suffer from gynecomastia and do nothing about it. Instead, these men avoid taking their shirts off in public, going swimming, and wear ill-fitting clothing to conceal the condition of their chest. Aydin Plastic Surgery's double board-certified plastic and reconstructive surgeon, Dr. Bill Aydin, performs male breast reduction to correct the situation to give his patients back their body confidence.

CAUSES OF GYNECOMASTIA

The causes of adult gynecomastia are not all known. We do know that in pubescent boys, where the condition is common (affecting up to 70% of boys to some degree), an estrogen and testosterone imbalance is suspected. Teenage gynecomastia usually passes as hormone levels stabilize. Middle-aged and older men can also have enlarged breasts due to shifts in hormone levels that come with aging. Certain medicines also can cause gynecomastia:

  • Steroids
  • Antibiotics
  • Anti-anxiety drugs
  • AIDS treatment drugs
  • Tricyclic antidepressants
  • Heartburn treatment drugs

Men whose breasts have grown as part of weight gain are not candidates for male breast reduction surgery. They need to first lose the excess weight and see if the condition persists. Also, heavy drinkers or marijuana smokers are not eligible for the procedure as their breast enlargement may be a byproduct of usage.

Men with gynecomastia have a firm rubbery mass underneath the nipple area. The size is usually less than 2 inches across and may be sensitive to touch. In an attempt to reduce the condition, your doctor may prescribe medication that reduces the amount of estrogen your body is producing.

Surgical Technique

Before surgery is recommended, the surgeon will perform a variety of tests and possibly prescribe medications to see if any improvement occurs. If the breast enlargement persists, surgery is an option. Mild cases of gynecomastia are corrected with liposuction. Small incisions are made surrounding the areola where suction tubes (cannulas) are inserted to extract fat and breast tissues. When the enlargement is severe, a longer incision is done to excise breast tissues and loose skin. Skin tightening may also be incorporated and the nipples repositioned so that they are proportional to the new chest shape.

DURING/AFTER SURGERY

Male breast reduction surgery uses general anesthesia and is performed in an accredited surgical facility. The operation lasts up to an hour. It is normal to have bruising and swelling around the chest area for the first couple of weeks. A compression garment must be worn for about 2 weeks to help with reshaping and healing. Most patients are able to return to their normal routine after a few days but must avoid any strenuous physical activities, especially ones that will put pressure on the chest. Results are generally satisfactory with patients regaining their confidence in situations where their chests are bared.

Request Consultation

Plan Your Procedure

Procedure Recovery Location  
Out-Patient
Contact Us

Male Breast Reduction FAQs

Is This Gynecomastia?

This condition must not be confused with a false gynecomastia, also known as pseudogynecomastia, in which the enlargement is caused by fat deposits instead of breast tissue development. The plastic surgeon will be able to determine this by physical examinations or lab tests during the initial consultation. If it is a case of excessive fat tissues on the chest, the approach in treatment is the same when removing  excess fat tissues in any part of the body. Proper diet and exercises are initially recommended before considering any surgical treatment. However, if the issue persists, a liposuction – sometimes even combined with a lift – may be performed to reshape the chest.

Will My Pecs Show?

Gynecomastia, unfortunately, hides the normal chest muscles that lie underneath the layers of overdeveloped breast tissue. For those who have severe gynecomastia, it is even possible that the overgrowth of breast tissue has developed into internal scarring. With a breast reduction surgery, all excess fat and breast tissues will be removed and the pectoralis muscles will be spared so that they can become more visible. With proper diet and exercise after the surgery, men will be able to tone and strengthen their chest muscle to regain the chest’s natural form.

Is Lipo A Must?

Liposuction is the primary approach in extracting fat or any soft tissues. Because it uses a small cannula to vacuum the fat out, it is a less invasive approach compared to excising the tissue, which requires longer incisions. There are liposuction options that are even less invasive. These options will be provided with more details prior to the surgical plan so the patient can consider all factors and ultimately decide which technique is preferred.

Will There Be Scars?

If the breast reduction technique uses liposuction, the incisions will be minimal and will be placed around or near the areola. The plastic surgeon will make every effort when it comes to making the incisions and suturing to minimize the effects of scarring. 

Related Procedures

*Individual results are not guaranteed and may vary from person to person. Images may contain models.