Breast Procedures: Male Breast Reduction

Definition

Excessive development of the breast gland in the male. Often associated with diet resistant fatty deposits as well.

Age

From adolescence onwards. Gynecomastia affects an estimated 40 to 60 percent of men. It may affect only one breast or both. Though certain drugs such as anabolic steroids in body builders and medical problems have been linked with male breast overdevelopment, there is no known cause in the vast majority of cases.

Surgical technique

The procedure removes fat and or glandular tissue from the breasts, and in extreme cases removes excess skin, resulting in a chest that is flatter, firmer, and better contoured. Surgery may be performed using liposuction only or a combination of liposuction and removal of the glandular tissue through an incision in the lower half of the areola (pigmented skin around the nipple). The best candidates for surgery have firm, elastic skin that will reshape to the body's new contours. In addition, individuals who drink alcohol beverages in excess or smoke marijuana are usually not considered good candidates for surgery. These drugs, along with anabolic steroids, may cause gynecomastia. Therefore, patients are first directed to stop the use of these drugs to see if the breast fullness will diminish before surgery is considered an option.

Philosophy

To remove the excessive glandular tissue and any associated fat, leaving an even contour to the chest wall.

Surgical time and recovery

Surgery takes about 2 hours. Stitches are removed at 4 days. The patient can go back to work in 7 days.

Related procedures

Liposuction of other areas such as the abdomen is often performed to give the best result.