Gynecomastia, a condition of over-developed or enlarged breasts in men, is common in men of any age. It can be the result of hormonal changes, heredity conditions, disease, or the use of certain drugs. Gynecomastia can cause emotional discomfort and impair self confidence. Some men may even avoid certain physical activities and intimacy simply to hide their condition. Gynecomastia may be present unilaterally (one breast) or bilaterally (both breasts). Serving patients in Southwest Washington and Portland, PeaceHealth Medical Group performs male breast reduction surgery to correct symptoms of gynecomastia, including excess localized fat, excess glandular tissue development, or a combination of both excess fat and glandular tissue. Male breast reduction surgery for gynecomastia may use liposuction, excision, or both depending on the individual needs of the patient.
"DM - I am at 7 weeks PO breast augmentation and I feel great. I had very little pain first 3 days and after that i've been having just zingers here and there that lasted for a few seconds. Dr Gabriel is an amazing surgeon and if I were to do it again, I would in a flash. I am very happy with the work he did, the size is perfect for my body frame and my confidence went up."- Anonymous / Vitals / Jul 26, 2018
"Great team to work with. Dr. Gabriel is best in town. His attention to detail is precise. Bed side manners are professional, gentle, caring and knowledgeable. He takes time to answer all questions and never rushes through patients. Takes the time with each patient, very accommodating. He earned my trust, and loyalty. Five stars for the team."- M. / Healthgrades / Jul 24, 2018
"Mommy Makeover - Great team to work with. Dr. Gabriel is best in town. His attention to detail is precise. Bed side manners are professional, gentle, caring and knowledgeable. He takes time to answer all questions and never rushes through patients. Takes the time with each patient, very accommodating. He earned my trust, and loyalty. Five stars for the team."- Anonymous / Vitals / Jul 24, 2018
"Best Decision I Ever Made. Dr. Gabriel and Co. Are Like Family Now! - I’ve received two surgeries after losing over 100lbs to address excess skin on my midsection and back. For many reasons I had put off these surgeries for over 10 years. When I finally decided to take the leap I was still pretty nervous and worried. Those feelings however, went away the first time I met with Dr. Gabriel. Dr. Gabriel and his team made every experience working with them an e..."- G. / RealSelf / Jul 22, 2018
"The Best! - Dr. Champaneria is amazing! He takes his time and really pays attention to details! I’ve seen other providers over the years and have never been that happy With the results. I’ve been seeing him for a couple of years now and I wouldn’t trust my face with anyone else!"- C. / RealSelf / Jul 12, 2018
Before surgery is recommended, the surgeon will perform a variety of tests and possibly prescribe medications to see if any improvement occurs. If the breast enlargement persists, surgery is an option. Mild cases of gynecomastia are corrected with liposuction. Small incisions are made surrounding the areola where suction tubes (cannulas) are inserted to extract fat and breast tissues. When the enlargement is severe, a longer incision is done to excise breast tissues and loose skin. Skin tightening may also be incorporated and the nipples repositioned so that they are proportional to the new chest shape.
Male breast reduction surgery uses general anesthesia and is performed in an accredited surgical facility. The operation lasts up to an hour. It is normal to have bruising and swelling around the chest area for the first couple of weeks. A compression garment must be worn for about 2 weeks to help with reshaping and healing. Most patients are able to return to their normal routine after a few days but must avoid any strenuous physical activities, especially ones that will put pressure on the chest. Results are generally satisfactory with patients regaining their confidence in situations where their chests are bared.
Plan Your Procedure
- Recovery Time
- 2-3 Weeks
- Average Procedure Time
- 1 Hour
- Post-op Follow-up
- Procedure Recovery Location
Male Breast Reduction FAQs
Is This Gynecomastia?
This condition must not be confused with a false gynecomastia, also known as pseudogynecomastia, in which the enlargement is caused by fat deposits instead of breast tissue development. The plastic surgeon will be able to determine this by physical examinations or lab tests during the initial consultation. If it is a case of excessive fat tissues on the chest, the approach in treatment is the same when removing excess fat tissues in any part of the body. Proper diet and exercises are initially recommended before considering any surgical treatment. However, if the issue persists, a liposuction – sometimes even combined with a lift – may be performed to reshape the chest.
Will My Pecs Show?
Gynecomastia, unfortunately, hides the normal chest muscles that lie underneath the layers of overdeveloped breast tissue. For those who have severe gynecomastia, it is even possible that the overgrowth of breast tissue has developed into internal scarring. With a breast reduction surgery, all excess fat and breast tissues will be removed and the pectoralis muscles will be spared so that they can become more visible. With proper diet and exercise after the surgery, men will be able to tone and strengthen their chest muscle to regain the chest’s natural form.
Is Lipo A Must?
Liposuction is the primary approach in extracting fat or any soft tissues. Because it uses a small cannula to vacuum the fat out, it is a less invasive approach compared to excising the tissue, which requires longer incisions. There are liposuction options that are even less invasive. These options will be provided with more details prior to the surgical plan so the patient can consider all factors and ultimately decide which technique is preferred.
Will There Be Scars?
If the breast reduction technique uses liposuction, the incisions will be minimal and will be placed around or near the areola. The plastic surgeon will make every effort when it comes to making the incisions and suturing to minimize the effects of scarring.