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What is Gynecomastia Surgery?
Gynecomastia surgery or male breast reduction surgery is surgery performed on the male chest to reduce the volume and to provide a better contour to the chest. Male breast reduction surgery New York City patients will have variable amounts of excess glandular tissue and must be assessed for individualized treatment.
Sometimes male breast reduction surgery patients can be treated by liposuction alone, or liposuction can be combined with direct excision of the underlying excess fat or excess breast tissue. Direct excision of fatty tissue can be performed through a small incision along the areola-skin border on the chest.
For male breast reduction surgery patients that have had massive weight loss (i.e. post-bariatric surgery patients), excision techniques removing skin and subcutaneous fatty tissue is sometimes performed. There are several different male breast reduction gynecomastia techniques that can be used to accomplish this for Dr. Wallach’s Manhattan New York City Plastic Surgery patients. The male breast reduction surgical procedure usually takes between two and three hours with a recuperation time of one to two weeks.
- How to deal with a Prominent Male Chest
- When should you contact a doctor about Gynecomastia?
- Liposuction and Gynecomastia
Who is a Good Candidate for Gynecomastia Treatment?
A good male breast reduction surgery candidate in New York, NY is any male who is otherwise healthy and is unhappy with the appearance of his chest. When enlarged breasts with excess fat or excess breast tissue begin to affect your self-confidence, feel free to schedule a consultation with Dr. Wallach to know more about gynecomastia male breast reduction procedures available in New York City.
How Much Does Gynecomastia Surgery Cost?
The fee for male breast reduction surgery will vary based upon the extent of the cosmetic surgery procedure and includes charges for the plastic surgery procedure. This consists of surgeon fees and charges for the operating room. The male breast reduction surgery procedure can be liposuction only, or a combination of liposuction and direct excision of excess glandular tissue, or even involve removing skin and lifting the chest and making the areola smaller.
What Should I Expect During a Consultation for Gynecomastia?
When you schedule your consultation with board-certified plastic surgeon Dr. Wallach, he will talk to you to understand your goals and expectations from the male breast reduction surgery. Your consultation with Dr. Wallach will also consist of an examination to determine the extent of the surgical procedure required to reduce the appearance of male breasts.
Male breast reduction in New York is a cosmetic surgery procedure that consists of different techniques and your board-certified plastic surgeon Dr. Wallach will help you choose the best option for your unique needs.
What are the risks of gynecomastia surgery?
The risks of male breast reduction surgery include contour asymmetry or irregularity, partial or complete nipple loss, skin loss, fat necrosis, unfavorable scarring, dysesthesia, infection, fluid collections, hematoma, and the need for further plastic surgery.
How should I prepare for gynecomastia treatment?
During a consultation with Dr. Wallach, he usually tells his patients to eat healthily and exercise regularly, and avoid medications and herbal supplements that might cause bleeding.
What are the steps of a gynecomastia procedure?
Depending upon the cosmetic surgery procedure, your male breast reduction may include liposuction of the area, direct excision of the tissue, or skin or areola tissue removal or reduction.
What should I expect during recovery?
Most male breast reduction patients will have some soreness post-op. Dr. Wallach usually allows his male breast reduction patients to resume showering the next morning. He also instructs patients to avoid aerobic activity for about three weeks and then avoid exertional or upper body activity for about 6 weeks.
- Periareolar Incision Technique and Liposuction
- Male Breast Reduction Techniques
- Pedicle-Based Breast Reduction
- Free Nipple Graft Technique
Listed from moderate to severe deformities.
Liposuction is used for the treatment of the male breast or gynecomastia in men that have good skin tone and a moderate fatty condition. This can be performed using a tumescent technique under local anesthesia or if the patient prefers under general anesthesia. Plastic surgeons make one or two small incisions to gain access for the procedure. Commonly the cannula is also used to disrupt the chest fold to allow for adequate re-draping. New York, NY patients will wear a compression garment after the procedure to help minimize the risk of seroma (fluid) collection.
Recovery from male breast reduction liposuction is like other treated areas, and patients can usually go back to work in a few days. For more information regarding liposuction and gynecomastia, visit our blog.
Periareolar Incision Technique and Liposuction
For male patients in New York City with moderately good skin tone, a moderate amount of subcutaneous fat, but who also may have excess glandular tissue under the areola, may benefit from liposuction performed along with a periareolar incision.
A periareolar incision usually involves an incision along the border of the darker areola skin and the chest skin from the three o’clock position to the nine o’clock position. Plastic surgeons use this incision sometimes when patients have a component of glandular tissue under their areola.
Liposuction does not remove glandular tissue well, and therefore the open technique is usually necessary. Sometimes this is staged when the patient is not sure they want an incision along the border of the areola, or it is unclear if there is sub-areola component of breast tissue. Liposuction complements the male breast reduction procedure to treat the subcutaneous excess fat.
Male Breast Reduction Techniques
In general, formal male breast reduction techniques similar to those performed for women might be used in men for one of two situations: 1) where there is actually a breast gland similar to a woman’s, or 2) where a man has lost a significant amount of weight and has excess breast skin and soft tissue with ptotic (sagging) chest skin.
Pedicle-Based Breast Reduction
A technique for male breast reduction similar to what is performed in females is sometimes used for men as well. The nipple areola complex can be made smaller in diameter and “carried” on a pedicle of tissue. This pedicle, unlike what is performed for women, is thinned so that when it is placed into the appropriate position, it does not look like a female breast.
During this plastic surgery technique, plastic surgeons remove an ellipse of skin and the fat and breast tissue. The resulting scar is usually transverse with a small scar around the areola. For some thinner men with hanging loose skin, this may not be the ideal procedure, because even with the thin pedicle it still may look like a female breast. The benefit to this male breast reduction technique is that sensation to the nipple may be preserved.
“As an expert in the field of plastic surgery, one of the most rewarding aspects of my career has been listening to my patient’s stories about how having plastic surgery has changed their lives.”
Free Nipple Graft Technique
This gynecomastia male breast reduction technique uses similar incisions as used in the pedicle-based male breast reduction technique, but the nipple-areola complex is replaced as a free graft. There is no actual pedicle of breast tissue so there is less of a chance of having a chest that looks like a female breast. This is good for thinner men with mainly loose skin.
The remaining scars are similar to the pedicle-based technique in that there is a final transverse lower chest scar and a scar around the border of the areola. The main disadvantage to this gynecomastia male breast reduction technique is that the nipple-areola complex will be desensitized and may suffer from hypopigmentation (lighter skin) or even partial loss.