Male Breast Reduction (Gynecomastia)
Gynecomastia, which is the overdevelopment of male breasts, affects an estimated 40 to 60 percent of men. It can be the result of hormonal imbalance, obesity, certain drugs or heredity, and can affect one or both breasts.
Candidates for breast reduction are men who have large or sagging breasts that make them feel physically and/or emotionally uncomfortable. Breast reduction can be performed on men whose breast development is complete; are in good health, both physically and emotionally; do not smoke; and are not overweight. Ideally, candidates have firm, elastic skin that will reshape itself to fit the contours of their breasts postsurgery.
Male Breast Reduction Procedure
Male breast reduction is usually performed on an outpatient basis, and typically takes 1 to 3 hours. Male breast reduction is performed using liposuction and/or excisional surgery.
If the enlarged breasts are caused primarily by excessive fatty tissue, the tissue is typically removed with liposuction, during which a cannula (a thin, hollow tube) is inserted through extremely small incisions, and then moved back and forth to loosen excess fat, which is suctioned out using a vacuum or a cannula-attached syringe. The incisions are made around the lower halves of the areolas or in the underarms.
If the enlarged breasts are caused primarily by excess glandular tissue, surgery is required. Incisions are made to allow for tissue to be removed. Severe gynecomastia requires repositioning the areolas/nipples and excising excess skin. Sutures are used to close the incisions, which are then bandaged, and the area is typically covered by a compression garment. Larger excisions will require a drain for up to a week.
Recovery from Male Breast Reduction Surgery
Following male breast reduction surgery, there is bruising, swelling and discomfort. Discomfort usually dissipates after a few days, and can be lessened with prescribed pain medication. To help reduce swelling, the compression garment is worn for about 2 to 6 week. Swelling and any skin discoloration partially subside after 1 or 2 weeks, at which time stitches are removed.
Patients typically return to work within a week. Light aerobic exercise can be performed after a week, but strenuous activities should be avoided for 4 to 6 weeks.
Risks of Male Breast Reduction
In addition to the risks associated with surgery and anesthesia, those related to male breast reduction include the following:
- Skin injury
- Loss of nipple sensation
- Asymmetrical breasts or nipples
- Incomplete resection to avoid large incisions
- Sagging skin
The results of gynecomastia surgery are usually permanent, as long as the patient's weight remains stable. If drugs were the cause of the condition, the patient must permanently stop taking them to maintain results.