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Gynecomastia is a condition seen in men of any age, though most commonly in adolescents that causes the overdevelopment or enlargement of the breast tissue.

Gynecomastia Surgery, otherwise known as Male Breast Reduction, or Reduction Mammaplasty, is a surgical breast procedure that reduces breast size in men, flattening and enhancing the masculine chest contours. Additionally, if a patient’s case of gynecomastia is severe, causing the skin and areola to stretch or sag, Dr. Rednam will correct this during the procedure as well.

Man standing in a pool

Gynecomastia Procedure

A reduction mammoplasty is performed under either IV sedation or general anesthesia. There are three techniques typically used to treat gynecomastia, depending on the patients tissue and fat makeup. For patients who primarily have extra fatty tissue within their breasts, liposuction is used. For patients with just extra tissue or skin, the surgeon uses an excision technique to remove it. Lastly, if a patient has both fatty tissue and excess skin, a surgeon may use both liposuction and excision to treat the symptoms.

Liposuction Technique

During a reduction mammaplasty using liposuction, the surgeon inserts a cannula (thin, hollow tube) through several small incisions along the breast tissue. The surgeon then moves the cannula back and forth to loosen excess fat, and uses vacuum suction to remove it from the incision sites. This procedure is ideal for patients who have only excess fat, as the scars from the procedure are minimal in appearance, and the time it takes for them to heal is minimal.

Excision Technique

To correct more severe gynecomastia, Dr. Rednam must excise the excess skin or breast tissue through an incision. The excision technique is also used if areola reduction or nipple repositioning is necessary, as this allows Dr. Rednam to manipulate the position and size of both during surgery.

Gynecomastia Recovery

After surgery, Dr. Rednam dresses patients incisions with bandages and provides an elastic bandage or support garment to help minimize swelling and support the new chest contour. In some cases, a drainage tube is inserted under the skin to drain excess blood or fluids from the surgery site.

Most patients see results right away, though swelling is expected and will take time to recede. Final results (full chest contour without dark incision lines or swelling) can initially be seen 3-6 months post-operation but can take up to 1 year.

In most gynecomastia cases, the results are permanent. However, if the gynecomastia was the result of the overuse of prescription medications, drugs (i.e. steroids), or weight gain, patients must be fully free from these substances and remain at a stable weight to maintain results.

Dr. Rukmini Rednam has either authored or reviewed and approved this content.

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