What is gynecomastia?
Gynecomastia is a condition of over-developed or enlarged breasts in men that can occur at any age. The condition can be the result of hormonal changes, heredity, obesity or the use of certain drugs.
Gynecomastia is characterized by:
Excess localized fat
Excess glandular tissue development
Sometimes excess breast skin
Presence unilaterally (one breast) or bilaterally (both breasts)
Also known as male breast reduction
The goal of gynecomastia treatment is to reduce breast size in men who are embarrassed by overly large breasts. Reduction methods include liposuction, cutting out excess glandular tissue or using a combination of liposuction and excision. If you are treated by a board-certified plastic surgeon, gynecomastia can be effectively and safely improved or corrected completely.
When to Consider Gynecomastia Treatment
If you are reluctant to remove your shirt in public, to swim, to participate in sports or to exercise at a gym.
If you want to improve your overall body proportions.
If you experience psychological discomfort associated with “man boobs” or large breasts.
If you want to increase your social confidence.
How is a gynecomastia treatment procedure performed?
The goal of gynecomastia surgery is to restore a normal male breast contour and to correct deformities of the breast, nipple or areola. Surgical options include liposuction, an excision (surgical removal of tissue) or a combination of both approaches. Glandular breast tissue is denser than fatty tissue and is not appropriate for liposuction.
The choice of surgical technique depends on the likelihood of skin redundancy after surgery. Skin shrinkage is greater in younger than older patients.
The most common approach is the intra-areolar incision, or Webster incision, which extends along the circumference of the bottom half of the areola in the pigmented portion.
The length of your incision will be based on your anatomy.
In severe gynecomastia, skin resection (surgical removal of part of an organ or structure) and moving the nipple (nipple transposition) may be necessary.
Ultrasonic liposuction has improved the results of gynecomastia correction. In liposuction-assisted breast reduction, there is less compromise of blood supply, nipple distortion, and areola slough. In addition, postoperative complications are fewer with this technique than with open surgical resection; however, liposuction-assisted breast reduction is not effective for correcting glandular gynecomastia. The fatty and glandular components of your breast must be assessed before surgery. Few patients can be sufficiently treated with liposuction only.