Gynecomastia affects an estimated 40 to 60 percent of men. It may affect only one breast or both. Though certain drugs and medical problems have been linked with male breast overdevelopment, there is no known cause in the vast majority of cases.
For men who feel self-conscious about their appearance, breast-reduction surgery can help. 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 to correct Gynecomastia can be performed on healthy, emotionally stable men of any age. The best candidates for surgery have firm, elastic skin that will reshape to the body’s new contours. Surgery may be discouraged for obese men, or for overweight men who have not first attempted to correct the problem with exercise or weight loss. Excessive drinking and smoking 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 as an option.
The initial consultation with Mr Klein is very important. Mr Klein will need a complete medical history, so check your own records ahead of time and be ready to provide this information. First, Mr Klein will examine your breasts and check for causes of the Gynecomastia, such as impaired liver function, use of estrogen-containing medications, or anabolic steroids. If a medical problem is the suspected cause, you’ll be referred to an appropriate specialist.
Surgery for Gynecomastia is most often performed as an outpatient procedure. In some cases an overnight hospital stay may be recommended.
Gynecomastia may be performed under general anesthesia, or in some cases, under local anesthesia plus sedation. You’ll be awake, but very relaxed and insensitive to pain.
When Gynecomastia is performed by a qualified plastic surgeon, complications are infrequent and usually minor. Nevertheless, as with any surgery, there are risks. During your consultation the procedure will be explained in detail, including the risks and limitations.
Gynecomastia surgery usually takes about an hour and a half to complete. However, more extensive procedures may take longer. If excess glandular tissue is the primary cause of the breast enlargement, it will be excised, or cut out, with a scalpel. The excision may be performed alone or in conjunction with Liposuction. In a typical procedure, an incision is made in an inconspicuous location—either on the edge of the areola or in the under arm area. Working through the incision, Mr Klein cuts away the excess glandular tissue, fat and skin from around the areola and from the sides and bottom of the breast. Major reductions that involve the removal of a significant amount of tissue and skin may require larger incisions that result in more conspicuous scars. If liposuction is used to remove excess fat, the cannula is usually inserted through the existing incisions. If your Gynecomastia consists primarily of excessive fatty tissue, your surgeon will likely use Liposuction to remove the excess fat. A small incision, less than a half-inch in length, is made around the edge of the areola – the dark skin that surrounds the nipple. Or, the incision may be placed in the underarm area. A slim hollow tube called a cannula which is attached to a vacuum pump, is then inserted into the incision. Using strong, deliberate strokes, the surgeon moves the cannula through the layers beneath the skin, breaking up the fat and suctioning it out. In extreme cases where large amounts of fat or glandular tissue have been removed, skin may not adjust well to the new smaller breast contour. In these cases, excess skin may have to be removed to allow the remaining skin to firmly re-adjust to the new breast contour.
|A. Many men have Gynecomastia – enlarged breasts caused by excess glandular tissue or fat (or both).|
|B. Glandular tissue must be cut out, usually through a small incision near the edge of the areola.|
|C. Fatty tissue can be removed by Liposuction. A small, hollow tube is inserted through a tiny incision, leaving a nearly imperceptible scar.|
|D. Following surgery for Gynecomastia, the patient has a more masculine chest contour.|
Whether you’ve had excision with a scalpel or Liposuction, you will feel some discomfort for a few days after surgery. However, discomfort can be controlled with medications prescribed by Mr Klein. You’ll be swollen and bruised for awhile and in fact, you may wonder if there’s been any improvement at all. To help reduce swelling, you’ll probably be instructed to wear an elastic pressure garment continuously for a week or two, and for a few weeks longer at night. Although the worst of your swelling will dissipate in the first few weeks, it may be three months or more before the final results of your surgery are apparent.
Gynecomastia surgery can enhance your appearance and self-confidence. Before you decide to have surgery, think carefully about your expectations and discuss them with Mr Klein. The results of the procedure are significant and permanent. If your expectations are realistic, chances are you’ll be very satisfied with your new look.