Breast Reduction (Gynocomastia)
Breast reduction, technically known as reduction mammaplasty, is a surgical procedure
designed to remove fat, glandular tissue, and skin from the breasts, making them
smaller, lighter, and firmer. This procedure can also reduce the size of the
areola, the darker skin surrounding the nipple.
(enlargement of the male breast) is not an uncommon condition,
affecting as many as 40 percent of men. This condition may affect
either one or both breasts. The majority of the cases have no
known cause while the others might be related to the use of certain
drugs and or medical conditions.
goal of breast reduction is to create smaller, better-shaped
breasts in proportion with the rest of the body.
is male breast reduction performed?
type of procedure used by your surgeon will depend on the degree
of breast enlargement. The options include removal of the tissue
under the breast, or liposuction of the chest wall. In both instances,
a small elliptical incision is made on the lower half of the
nipple area (areola). For those men with tissue that is more
glandular in nature, all breast tissue directly under the nipple
the tissue is more fatty in nature, liposuction can provide excellent
results. In some people, ultrasonic assisted liposuction is an
excellent approach. During liposuction, a small suction rod (cannula)
is inserted into the incision to remove fat and other tissue.
some cases, a repeat procedure is necessary to remove tissue
that was missed during the first procedure. In a few cases, if
there is a large amount of extra skin, it may be necessary to
remove this tissue, which may result in a large scar.
long does male breast reduction take?
procedure usually takes one to two hours.
type of anesthesia is used?
breast reductions are performed under local anesthesia combined
with a sedative to make you feel drowsy and relaxed. General
anesthesia may also be used, causing you to be asleep during
the whole procedure.
is the procedure performed?
procedure is usually performed on an outpatient basis, in the
surgeon's office-based surgical suite, an outpatient surgery
center or hospital.
can I return home and resume normal activities?
breast reduction is done on an ambulatory basis but in some cases
may require an overnight stay. However, it is necessary that
you have someone pick you up after the procedure and assist you
with your daily activities for the first 24 hours.
men return to their usual activities in one week. However, you
must not lift anything for the first two weeks and do no heavy
lifting for the first four weeks. Avoid raising your arms above
your head for at least two weeks.
do I prepare for the male breast reduction procedure?
your initial consultation, your surgeon will discuss the changes
that you would like to make to your appearance. Since the appearance
of your breasts is a matter of personal perception and preference,
you will need to discuss your concerns in detail so your surgeon
can determine the appropriate alternatives. Your surgeon will
explain how your age, the size and shape of your breasts, and
the condition of your skin may affect the results of this procedure.
You also should make arrangements ahead of time for someone to
drive you to and from your procedure and to assist you with your
daily activities during your recovery period.
to your surgical procedure, the surgeon will perform a complete
health history and physical. This will include examining and
measuring your breasts, as well as photographing them as a frame
of reference during the surgery and afterwards. Your surgeon
may also require you to have a mammogram (breast x-ray). Knowledge
of your allergies, medications and previous surgeries should
be brought to your surgeon's attention at this time. Specific
instructions to assist you in preparing for this procedure will
be given to you after the health history and physical is complete.
Depending on your individual health status, the instructions
may include guidelines regarding your diet, alcohol intake, smoking
and which medications to take or avoid. Your experience will
be much smoother if you remain compliant with your surgeon's
precautions are necessary during recovery?
activities can be resumed within a few days, although your chest
will be sore. Most people are able to return to work within three
to seven days, and resume more strenuous activities in two to
three weeks. You should avoid exposing the operated area to the
sun for at least six months to prevent permanently altering the
physical activity and exercising (especially lifting, pulling
and pushing motions) should be avoided for at least six weeks.
This will help the scars to heal. Your doctor will advise you
on the level of physical activity that is appropriate for you.
Some degree of swelling and bruising may last for three to six
are the possible complications after male breast reduction
surgery has some potential risks, including the risks of bleeding,
reaction to the anesthetic, and infection. In this surgery, serious
complications are quite rare. Other potential risks include;
excessive fluid loss, skin injury, rippling of the skin, excessive
scarring, pigmentation changes, altered sensation. Like all body
contouring surgery, it is possible that either too much or too
little tissue can be removed. In these cases, a second procedure
may be necessary.
results can I expect after male breast reduction surgery?
the chest is temporarily swollen and bruised after the surgery.
You may also experience numbness or a burning sensation. You
will probably be given a compression garment to wear for several
weeks after the surgery. If you have severe pain or discharge
in the surgical area, or if you experience muscle aches, dizziness
or a general ill feeling with fever, nausea or vomiting, you
should call your doctor immediately. After healing, most men
are very happy with the results.