Gynecomastia

This is a very common condition present in many men of all ages and to varying degrees. It is consistently enormously disturbing and upsetting to my patients. Time and again I see men of all ages that never take their shirt off in public, or in private, for that matter. I have patients that say they have always wanted it corrected but did not know there is a surgery for this. I am very sympathetic to how distressing this can be and I really so appreciate the opportunity to repair this problem to completely normal with a very predictable and safe operation.

Men complain of large, pointed, unnatural breasts. There may be firmness under the nipple region. This may be something you were born with or acquired later in life. There are many potential causative factors that may contribute to gynecomastia, but most of the time it is just excess fat. Most men desire a rounder, more prominent and more muscular appearing chest. Many men want a very chiseled and defined look with cut-in edges of pectoralis muscle and more. Occasionally there may be associated nipple and areolar issues that I can help you with at the same time. The relevant anatomy here is present in multiple layers, and I need to address two of them at the time of surgery. The male chest shape is determined, first, by the curvature of the underlying ribs (they can be really curved), secondly by the thickness and position of the pectoralis muscle (this can be quite thick), thirdly, by the amount of fat overlying the muscle (THIS is usually the problem), fourthly, by the size and distribution of the male breast gland (this is often present), and, fifthly, by the nature of the skin and it’s elasticity. Surgery for gynecomastia always involves suction of the fatty layer, and almost always, removal of most of the remnant of the male breast gland. Surgery involves a light general anesthetic, performed where I do surgery, which is in a hospital setting. In addition, a local anesthetic used for liposuction is injected into the tissues, called tumescent anesthesia. Very small incisions are used to suction the fat. Ultrasonic liposuction is necessary as this fat does not want to come out easily. After this I remove the breast gland from a 1” incision around the areola, if this is necessary. The surgery is safe and predictable. There is a very mild swelling after surgery. There are only a few stitches. You can return to work in as little as 1-2 days, and to some physical exercise in the second week.

Surgery for gynecomastia is very common in my practice. I have performed hundreds of these procedures over the years with consistently beautiful and natural results. I have special expertise in this procedure and spend a great deal of time discussing your anatomy, listening to your expectations, and interpreting for you what your anatomy and body will allow me to do in a safe and predictable way. In addition, I build a system into every surgery that, initially, allows you to recover much quicker and, secondly, serves to preserve your surgical results. This system includes a special diet, vitamins, supplements, special garments, skin products, physical training and knowing what to avoid. Together, all of this allows me to create results that are consistently very beautiful, quick to heal, exceptionally natural, and with minimal incisions. I am delighted to surgically provide you with such a profound body image change, and one that has consistently so pleased my patients and changed their lives.

Please take a few minutes to read a very informative article on Gynecomastia I wrote in the Articles Section of the website.
 

For before and after images of this procedure click here

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