MALE BREAST REDUCTION Procedure Pictures
Gynecomastia (enlarged male breast tissue), known as “man boobs” effects an estimated 40-50% of the male population. The condition is typically caused by excess fat associated with obesity, but there may be some associated breast gland tissue present as well. For those affected, gynecomastia can cause significant embarrassment, emotional distress, and low self-esteem. Many men avoid removing their shirts, or find themselves choosing loose fitting clothing, and often avoid intimate relations. Fortunately, there is a surgical option available for men who are tired of dealing with gynecomastia and wish to regain their self-confidence.
If you are ready to learn more about male breast reduction, request a consultation online with Dr. Steele, or call our office at 712-224-8677. We serve patients in Sioux City, IA and surrounding communities and we welcome patients who wish to travel from Sioux Falls, SD and Omaha, NE.
Causes of Gynecomastia
Gynecomastia is most often associated with obesity, and is more appropriately termed “pseudogynecomastia” in these patients. A trial of weight loss can be beneficial for many men. In adolescent boys transitioning through puberty, hormonal changes can cause transient breast development that resolves, as they get older. Chronic marijuana use and anabolic steroid use are both associated with gynecomastia and must be stopped prior to any surgical intervention. There are other medications and medical conditions (testicular and pituitary gland masses) that must be ruled out prior to surgery. It is vitally important that you share all of your medical history prior to proceeding with any surgical procedure.
Benefits of Surgery
If time, or medication and lifestyle changes (diet and exercise, drug use cessation) have not improved your condition, surgical intervention may provide the following benefits:
- Removal of excess chest fat
- Removal of any breast glandular tissue
- Improved chest contour and tightened chest skin
Dr. Steele uses the most advanced liposuction techniques to contour your chest. Unlike most traditional gynecomastia procedures, Dr. Steele can avoid the large scar along the areola and place one or two small (1/4”) scars on the chest. These scars will heal very well and look like you had a small mole removed. In some cases there is residual glandular tissue under the nipple and areola. Using innovative, advanced surgical techniques, Dr. Steele can remove this tissue through the small remote incisions, thus avoiding the areola scar and areolar/nipple depressions sometimes seen with classical techniques. In the most severe cases of gynecomastia with nipple ptosis (sagging), Dr. Steele will perform liposuction first and then wait to see the degree of skin contraction over 3-6 months. Some men may then request further skin tightening; however, this requires more extensive and visible scarring. Fortunately, this is an extremely small group of patients.
All procedures start with liposuction under general anesthesia. Once all of the fat is removed, any glandular tissue is removed through the small, remote incisions and sent for pathologic analysis. The procedure lasts 1-2 hours. In larger cases, a small drain is placed and removed after 5-7 days. Foam pads are placed on the chest to encourage resolution of swelling/bruising and the patient is placed into a compression garment. Sutures are removed around one week. The garment is worn for 4-6 weeks, at which time the patient is transitioned to compression undershirts.
You can return to work to work within a few days. Exercise regimens are typically resumed by 4 weeks. Bruising will resolve by 2 weeks, but swelling will take 3-6 months for full resolution. While the scars are inconspicuous and well hidden, you may wish to use Biocorneum for optimal scar resolution.
MALE BREAST REDUCTION FAQS
Am I a good candidate for gynecomastia surgery?
Good candidates for surgery are close to their ideal body weight and have failed conservative measures such as diet and exercise. Additionally, medical causes of any breast gland development such as medications, drug use, and hormone secreting tumors must be excluded. Ideal patients are non-smokers as well.
Will this surgery help my pecs?
All men have some degree of soft tissue covering their pectoral muscles. Reduction of the overlying tissue will expose the natural contour and shape of the chest muscles. Strength training will obviously improve pectoral appearance once the tissue has been removed.
Is liposuction always required?
Yes, in my hands. Because there is always a fat component to the gynecomastia deformity Dr. Steele always uses liposuction to contour the chest. Stubborn, residual gland tissue under the areola is removed in pieces through the remote incisions. For patients with significant sagging and skin laxity, liposuction is the first stage. Once skin contraction is complete, a second stage may be necessary to remove excess chest skin, and a nipple graft may be necessary.
How bad are the scars?
The scars aver very small, 3-5mm. They will heal very well and over time become almost invisible. Dr. Steele will provide scar care instructions for optimal scar outcome.
When will I see results?
You will note significant improvement immediately, but final results are noted around 3-6 months, once the swelling has resolved.
Are my results permanent?
Generally, yes. Significant weight gain may result in a recurrence of fat deposits, and use of certain drugs/medications may stimulate the development of breast gland tissue.
What are the risks of surgery?
Modern anesthesia is very safe. General risks are the same as other procedures: bleeding, fluid accumulation (seroma), infection, and bad scars. Risks specific to male breast reduction include asymmetry, skin dimpling/irregularity, over/under treatment, change in nipple sensation, and recurrence.
When can I exercise?
Normal activities and light walking can be resumed immediately. Cardio and weight lifting can begin around 4 weeks postop.