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Gynecomastia

Gynecomastia is male breast tissue. It can cause a great deal of embarrassment for men. Often, it deters a man from taking off his shirt or even wearing a t-shirt because of the appearance. There are ways to manage this problem and rid men of the unwanted extra tissue on the chest. Once a definable medical reason is ruled out, surgical techniques can be applied very effectively to remove the breast fullness.

Male Breast Reduction (Gynecomastia)
Before & After Photos

Keep in mind that each patient is unique and your results may vary.
  • Male Breast Reduction (Gynecomastia) case 573 before photo
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    Male Breast Reduction (Gynecomastia) case #573 after photo
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    Case #573

    This 34-year-old man presented with a significant enlargement of the right breast that had troubled him for several years.  He underwent liposuction of both sides of his chest with a nipple-repositioning breast reduction of the right.  He is shown 3 weeks after his procedure.  The... View Case 

  • Male Breast Reduction (Gynecomastia) case 899 before photo
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    Male Breast Reduction (Gynecomastia) case #899 after photo
    AFTER (4 mo)

    Case #899

    58 year-old male with moderate gynecomastia due to general aging/weight gain., He disliked his appearance in tighter clothing, and wished to correct the progressively feminized a... View Case 

  • Male Breast Reduction (Gynecomastia) case 567 before photo
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    Male Breast Reduction (Gynecomastia) case #567 after photo
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    Case #567

    This is a 22 year old, 6'1", 200 lb. man who complained of a chest fullness that he found unattractive. He had a condition known as gynecomastia which is male breast tissue which had been present since puberty. He underwent a gynecomastia excision procedure to remove the tissue through ... View Case 

  • Male Breast Reduction (Gynecomastia) case 384 before photo
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    Male Breast Reduction (Gynecomastia) case #384 after photo
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    Case #384

    This 37-year-old man underwent gynecomastia correction with a combination of power-assisted liposuction (PAL) and excision of excess breast tissue.  He is shown before and 1 year after his procedure. View Case 

  • Male Breast Reduction (Gynecomastia) case 326 before photo
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    Male Breast Reduction (Gynecomastia) case #326 after photo
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    Case #326

    This is a 21 year old man who complained about fullness beneath his nipples that had been present since puberty.  He had idiopathic gynecomastia, a very common cause of fullness in male chests. This can be treated with either liposuction or direct excision (cutting out the tissue). In... View Case 

  • Male Breast Reduction (Gynecomastia) case 594 before photo
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    Male Breast Reduction (Gynecomastia) case #594 after photo
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    Case #594

    This is a 40-year-old man who underwent a gynecomastia reduction.  Although very fit, he had an overgrowth of breast tissue that bothered him. He is shown before and 7 months after his procedure, with a significant reduction in the glandular tissue of his chest and an improvement in the def... View Case 

  • Male Breast Reduction (Gynecomastia) case 568 before photo
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    Male Breast Reduction (Gynecomastia) case #568 after photo
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    Case #568

    This is a 32 year old, 6'1", 180 lb. man who wanted his chest flatter. He had idiopathic gynecomastia, a condition where male breast tissue develops during puberty. Gynecomastia is very common and easily treatable with a gynecomastia excision procedure which removed that tissue through ... View Case 

What causes gynecomastia?

There are dozens of known contributing factors to the development of gynecomastia. Commonly, obesity is a major influence upon the development of excess breast tissue. Many prescribed medications cause gynecomastia. Alcohol, marijuana, or steroid abuse may create the problem. Many medical illnesses such as thyroid disease, renal failure, and even several tumors may be the etiology of gynecomastia. It is important that you are evaluated by your primary care physician prior to considering a surgical removal of the unwanted tissue.

Should gynecomastia be treated surgically in adolescents?

No. Once a treatable illness or medication is ruled out as the cause, the adolescent should be observed as it will usually resolve on its own as he matures.

What techniques are used to remove the breast tissue?

The techniques employed to treat gynecomastia depend upon the quality and quantity of excess tissue and skin. When excess chest fullness is mostly fatty, power-assisted liposuction can be used to flatten it. The power-assisted liposuction technology is helpful in removing the fibrous type of fat that is typical in the male chest. More often, when prominence is due to breast tissue, it is too dense and firm for successful removal with liposuction. In these cases, a small incision hidden around the areola is necessary in order to remove it. In a minority of cases, when the skin is very loose and thin and will not likely tighten up after tissue removal, an excisional skin procedure may be necessary.

What is the recovery period?

This depends upon the procedure performed. In the case of liposuction, a compression garment is worn at all times for two weeks followed by another two weeks while active. Discomfort will gradually dissipate over several days, but cyclic swelling and lumpiness persist for many months. You will be off pain medication and back to non-strenuous work after a few days. Within a couple of weeks, normal activity is resumed.

What kind of anesthesia is used for the procedure?

General anesthesia is the preferred method of achieving adequate pain control and sedation. In healthy patients, general anesthesia is extremely safe with very low complication rates. You will be entirely asleep for the duration of the procedure and awaken in recovery before you know it. Anesthesia is delivered by a Board-Certified anesthesiologist who cares for you before, during, and after surgery so that you have a comfortable and safe experience.


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