Gynecomastia

Even when you’re at a healthy weight, it can feel embarrassing to take your shirt off in public. What’s worse, “man-boobs” are often the butt of jokes or ridicule. If diet and exercise don’t produce the results you’re hoping for, it can feel like there are few options. It’s important to know that a board-certified plastic surgeon can assess your health and recommend the right options for you to boost your confidence with a flat, masculine chest.

What is Gynecomastia?

Gynecomastia is the medical term for enlarged male breasts. It can have a variety of causes, like excess weight gain or loss, genetics, drug use, or a hormone imbalance. However, sometimes a cause is not found, making it difficult to find solutions. It most often effects men that are near puberty or middle age. Gynecomastia surgery is one option that your plastic surgeon can help you explore, and it often involves surgical excision, liposuction, or a combination of both.

Gynecomastia Surgery Candidates

When opting for gynecomastia surgery, it’s important to discuss your treatment options with your plastic surgeon and regular physician. In many cases, gynecomastia can be treated with simple lifestyle changes (like losing weight or cutting out substances like alcohol or marijuana) or changing your medications. Most men experience gynecomastia at some point, usually during puberty, when hormone fluctuations are common.

If surgery is the right option for you, then it’s important that your weight is stable and within your ideal range. Also, your body should not be subject to changes in hormone levels, since both of these factors can affect your results. You should be in overall good health and able to undergo surgery, so Dr. Diktaban will make sure to discuss your medical health during a consultation.

What Happens During Gynecomastia Surgery?

There are generally two types of gynecomastia surgery, which are liposuction, surgical excision, or a combination of both. The best way to judge which option is best for you is by determining what’s causing your gynecomastia. If it’s caused by fat tissue, then liposuction may be sufficient. On the other hand, enlarged breast tissue will require surgical techniques. Dr. Diktaban may also recommend certain options based on how elastic the surrounding skin is. If you have looser skin, then BodyTite can be used to tighten skin at the same time. Either option can be performed in our in-house, certified surgical facility.

The liposuction method can be performed under local anesthesia with a very small incision. During this technique, Dr. Diktaban will insert a cannula and surgical vacuum to gently break up fatty tissue and remove it. Once complete, the incisions are closed, and you’ll be fitted with a compression garment for your recovery.

During the surgical technique, incisions are used to remove the breast tissue because liposuction alone cannot remove firm breast tissue. Men who have lost a lot of weight might have excess, hanging skin that requires excision in order to reposition the nipple and areolae. The result is a flatter, more lifted chest profile.

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Results and Recovery

Your recovery timeframe will depend on the type of surgery. For example, liposuction alone may require less downtime than a more invasive procedure. In either case, you can expect to take at least one week away from work. You’ll be instructed to wear a compression garment during this time, as well as taking prescribed medications to manage swelling and discomfort. You should avoid extensive activity and get plenty of rest, resuming your exercise regimen once Dr. Diktaban clears you for it. Swelling will continue to subside in the months following your procedure, but most patients see their full results within three to six months. To get the most out of your results, it’s important to maintain your weight and a healthy lifestyle, as well as avoiding medications or drugs that can cause gynecomastia.

Schedule a Consultation

Gynecomastia can take a toll on your confidence, making it hard to feel like you’re at your best. To learn more about your options for gynecomastia and male breast reduction, we invite you to contact our Manhattan office by calling or filling out our online form.

Frequently Asked Questions

Should I lose weight before gynecomastia surgery?

This depends on your specific circumstances. If excess weight is causing your gynecomastia, then losing weight can help! On the other hand, gynecomastia that is caused by enlarged breast tissue won’t respond at all to diet and exercise. In either case, losing weight can help you establish habits to maintain your weight after surgery.

Does gynecomastia go away over time?

In some cases, yes— but very rarely. It’s common for men to experience gynecomastia during puberty because of hormone fluctuations. This means that some men see a reduction in their gynecomastia as they leave puberty and their hormones level out. In other cases, gynecomastia remains because of underlying causes.