Double Board-Certified Plastic Surgeon in Dallas, TX
Male breast reduction is a procedure that corrects male breast enlargement (gynecomastia). Gynecomastia usually begins after puberty and may persist despite out-growing your teenage years or attempts at diet and exercise. Increasingly, men with this problem are undergoing male breast reduction as the appearance of enlarged breasts can be embarrassing and may diminish one’s confidence.
Who is a candidate for male breast reduction?
Healthy normal-weight men who have enlarged breasts despite attempts at diet and exercise may be candidates for male breast reduction. If you are obese, it is advised that you go down to your normal weight before proceeding with surgery. This is especially true as fat cells contain an enzyme called aromatase that converts testosterone to estrogen, increasing your estrogen to testosterone ratio and possibly contributing to your gynecomastia. Also, it is important to rule out some identifiable causes of gynecomastia like marijuana, steroids, excessive alcohol consumption and certain medications. Please consult with your medical doctor if this is the case.
How is male breast reduction performed?
This procedure is typically performed under general anesthesia and can be done in several different ways depending on your anatomy. If you have just excessive fatty tissue at your breasts, liposuction alone through tiny hidden incisions would do the trick. If you have fatty tissue and some thicker glandular tissue, liposuction with excision of your glandular tissue through a small well-positioned incision at the areola border would be recommended. Finally, if your breasts are very large and include excess skin in addition to the excessive underlying tissue, your incision would be completely around your areola +/- an additional transverse incision at the base of the chest. This last method is seldom used as most cases fall within the first two scenarios. Plus much of your skin (if you have residual excess skin after surgery) will contract down to your chest as you heal and wear a compression garment.
What to expect after surgery?
Dr. Farris and his staff at Farris Plastic Surgery will provide specific instructions regarding your surgery.
You will be able to go home on the same day of surgery. Postoperative pain is limited. You will be advised to wear a compression garment for 3 weeks. Avoid strenuous activity for 3 weeks. Most swelling and bruising go away by the second week. Avoid exposure to sunlight and consider sunscreen for the first 6 months if exposed. Apply Vitamin E cream to your scars after the third week to optimize your scar healing.
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