Gynecomastia is a medical term that comes from the Greek words for “women-like breast.” Though this oddly named condition is rarely talked about, it’s actually quite common. Gynecomastia affects an estimated 40 to 60 percent of men.
For men who feel self conscious about their appearance, breast reduction surgery can help. The procedure removes fat 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 discouraged for obese men, or for overweight men who have first not attempted to fix the problem with exercise or weight loss. Also, individuals who drink alcoholic 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.
Correction of enlarged male breasts may be performed under general, or in some cases local anesthesia plus sedation. More extensive correction may be performed under general anesthesia, which will allow the patient sleep through the entire procedure.
If Gynecomastia consists primarily of excessive fatty tissue, Dr. Marouk 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 is places in the underarm area. A Cannula attached to a vacuum pump is then inserted into the incision. Using strong, deliberate stokes, the Dr. Marouk moves the Cannula through the layers beneath the skin, breaking up the fat and suctioning it out.
The pain after treatment of gynecomastia is usually fairly mild. It may feel like a strenuous chest work out. Most patients describe this as more sore than painful. A dose range of pain medicine is taken after surgery so, one may adjust the amount of medicine to suite there comfort level.
A double ace wrap will be placed around the chest for compression. This will help with discomfort and decrease bruising. This will be removed the next day and a compression type garment will be placed. The longer the compression garment is worn, the faster the swelling and bruising will subside. Most men will buy a tight nylon/spandex undershirt (i.e. body glove) to wear under work clothing.
Refrain from strenuous activity for the first 10 days. Most men return tow ork in 2 – 3 days and are at full activity by day 14.
All sutures are disolvable and hidden beneath the skin. Any bruising usually resolves by day 14.