What is gynecomastia?
Gynecomastia a medical term that originates from the Greek words for “women-like breasts,” and our board-certified plastic surgeon, Dr. Jeffrey LaGrasso, offers his male patients with this condition a surgical procedure called the male breast reduction to reshape the chest for a more masculine appearance.
This male breast condition is far more common than many people realize. Gynecomastia affects an estimated 40% – 60% of the male population, and may affect a single breast or both, which occurs during puberty, and lasts into adulthood. It is believed to be caused by the following:
- A hormonal imbalance of estrogen and testosterone levels
- Liver or thyroid problems
- Medical conditions (including cancer, impaired liver function, and more)
- Taking medications containing estrogen, alcohol, marijuana, and certain drugs (anaboloic steroids)
- It is also widely accepted that a large percentage of cases derive from unknown sources
Patients with gynecomastia may be embarrassed when their chests are exposed, and may have a hard time talking to a plastic surgeon about this condition. During a completely private consultation, Dr. LaGrasso will discuss in great detail what a male breast reduction surgery can do for you. Call today and schedule your first appointment.
Who is a candidate for Gynecomastia?
Men of any age, who are healthy and emotionally stable are considered good candidates for male breast reduction surgery. The best candidates are those who have firm, elastic skin that will reshape to the body’s new contours.
In some instances, surgery may be discouraged for overweight men, who have not first tried exercise with a healthy diet regimen.
"The best doctor ever - loved the work he did - I did my bbl with dr Jeffrey and my breast augmentation, I don’t even know where to start I would just say thank you dr for being so amazing, he made me feel so comfortable for surgery very knowledgeable of everything I would ask polite, he was in no hurry kept asking me if I had any questions, and his bless his hands not only do I look amazing but omg I had no pain whatsoever for both of my surgeries I didn’t have to take pain killers at all for fat transfer the only thing that hurt me as the massage at first which is normal but I was amazed how I had zero pain after my breast augmentation hands down best dr that my cosmetics will ever have."- A. / RealSelf / Mar 05, 2021
"Going In! I Have Surgery on Monday. - After 4 years of considering, and planning... I'm finally scheduled for this Monday with Doctor Jeffrey Lagrass. I'm very nervous and excited. I'm doing this alone and will be staying at a recovery home. I just got divorced a few months ago and now jumping into this. Not sure if it's too soon after a divorce but I really want this. I feel I'll gain all my confidence back."- A. / RealSelf / Jan 16, 2021
"Amazing! Dr. Jeffrey is the greatest - I had a mommy makeover a little over 2 months ago and I loved every bit of it. My Coordinator Rosa was the best, truly the best. Dr. Jeffrey is the greatest, the best doctor. I had Lipo on 12 areas, Lipo on my arms, tummy tuck, breast lift (no implants) and bbl. I had no pain at all, ever. I felt like I had been to the gym for the first time ever (sore) but no pain. I would do it a million times over if I had to."- H. / RealSelf / Jan 07, 2021
"Excelente Doctor Amo Mis Resultados - Es un excelente doctor me encantaron mis resultados yo me abia echo lipo transferencia con otro doctor acá en Arizona y tuve q ir con Jefrey a q me arreglara y el desastre q me abian echo y me dejo perfecta amo mi doctor"- Y. / RealSelf / Aug 24, 2020
"He Takes the Time with the Patient - He takes the time to explain everything before the surgery and I will update my review a soon I see the results - my surgery was 7/17 - he was attentive like after he left the room I feel relaxed- in the beginning i was scared - he ask me like 3 times no more questions? And I was like No thanks - Im just ready for the surgery AND EVEN I SEE HIM AT THE LAST MINUTE BEFORE THEY DO THE ANESTHESIA. How cool -"- V. / RealSelf / Jul 18, 2020
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.
WHAT CAN I EXPECT 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 3 – 6 weeks to help with reshaping and healing, and the patient must avoid exposing scarred areas to the sun for at least 6 months.
There is little downtime, and you may return to work within a week usually, unless you are involved in strenuous activities, especially movements that will put pressure on the chest.
Patients may experience temporary numbness or lack of sensation in the area that could last up to a year. Infrequent complications may include infection, skin damage, fluid accumulation, bleeding, scarring, or pigment changes. Post-operative asymmetry, while rare, is also possible, and a second procedure may be needed to remove additional tissue.
Plan Your Procedure
- Recovery Time
- 3 – 6 Weeks
- Average Procedure Time
- 2 Hours
- Procedure Recovery Location
Male Breast Reduction FAQs
Do I have 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 Liposuction 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.