Gynecomastia

What is Gynecomastia?

Gynecomastia, or the development of enlarged breasts in males, can be a major source of self-consciousness in men and teenagers alike. This condition is often caused by a hormonal imbalance, and can affect one or both breasts. Gynecomastia is not a serious condition, and can easily be corrected with gynecomastia surgery, or male breast reduction.

Am I a good candidate for Male Breast Reduction surgery?

Candidates for gynecomastia surgery include males whose excess breast tissue cannot be corrected through alternative treatments, and whose breasts are done growing. It is important that patients are healthy, non-smokers who have realistic expectations of the surgery. Men who consume great amounts of alcohol or marijuana may not be ideal candidates for this procedure, due to these drugs being thought to contribute to gynecomastia.

Gynecomastia – Patient 165
A student in his later teens who has been bothered by female appearing breast development ( gynecomastia) since the age of puberty.  He was bothered with his shrt off and wore additional shirts to camouflage the appearance.  He is shown before and again, 8 months after bilateral gynecomastia excision with power assisted liposuction using the S.A.F.E. technique combimed with direct excision of breast tissue through an incision along the lower areola.
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Gynecomastia – Patient 164
An early ( 6 week) result for a man in his late 20’s with gynecomastia since the age of 17, most likely from weight lifting supplements.  He is shown before and again, just 6 weeks after treatment with a combination of power assisted liposuction using the S.A.F.E. technique, combined with a direct excision of breast tissue through a peri-areloar incision Scars are typically at their thickest and reddest at 6 weeks and will now soften and fade over the next 2 years. Tattoos have been blurred for his privacy
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Gynecomastia – Patient 163
A man in his late 30’s with gynecomastia since puberty.  He was heavier as a child and had a maximum weight of 250 lb.  He took some anabolic prohormones in his early 20’s and developed some tenderness and increasing fullness of his breasts.    He has reduced his weight to 190 lbs but continues to have female appearing breasts which are prominent in fitted shirts and also bother him with his shirt off.  He wears extra shirts to try and camouflage the appearance. He is shown before and again, 6 months after surgery with power assisted liposuction using the S.A.F.E. technique combined with direct excision of breast tissue through a periareolar incision. Although he continues to have mild skin laxity from decreased skin elasticity following his weight loss, his appearance is greatly improved.  The only reliable way to tighten loose skin would be to place a visible scar on his chest which would not be worth the tradeoff.
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Gynecomastia – Patient 162
A young man in her late teens with bilateral gynecomastia since puberty.  He is shown before and again 4 months after a combination of power assisted liposuction using the S.A.F.E. technique ( Separation/aspiration/Fat Equalization) combined with a direct excision of breast tissue through a periareolar incision.
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Gynecomastia – Patient 161
A man in his late 20’s who developed mild gynecomastia following a year of Finasteride use.  He is 5’ 8 ‘ and 162 lbs.  He is shown 2 months after bilateral chest liposuction with the
removal of 200 cc of fat from his right chest, and 250 cc of fat from his left chest, to help balance his asymmetry.   External Ultrasound was used initially to soften the fat, and then Power Assisted liposuction was  used.  Initial fat undermining was performed with a Becker cannula not attached to suction to loosen the fat.  A Becker cannula has small “fins” a the tip to help break up the fat.
Then liposuction was performed.  At the end of the procedure, fat equalization was performed by again using the Becker cannula to smooth and redistribute the remaining fat.  At 2 months, he still has some swelling that will continue to improve over the next 6 months.  The liposuction access incisions in the upper chest are at their reddest and most noticeable at 6 weeks after surgery and then will fade and improve over the next 24 months.
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How is gynecomastia surgery performed?

Male breast reduction surgery in Boston and Worcester, Massachusetts is performed under general anesthesia while using a selection of techniques. The first technique is the liposuction technique, where a cannula or thin hollow tube is inserted through small incisions. Dr. Hall moves the cannula back and forth, removing excess fatty tissue through vacuum suction. The second technique is the excision technique, in which an incision is made to remove excess tissue and skin, resulting in a breast reduction. Both the liposuction technique and excision technique can be combined to perform this procedure as well. The technique that is most appropriate in your specific case will be defined during your consultation with Dr. Hall.

What should I expect during recovery?

After surgery, dressings will be applied to any incisions, and a support garment may be worn to aid in support and reduce swelling. A small tube may also be placed to drain any excess fluid or blood that collects. Dr. Hall will give you specific instructions for breast surgery recovery, and it is imperative that you follow them for a rapid and safe recovery.

“Dr. Hall and all of his staff are very welcoming and supportive. In addition, I am extremely pleased with the results of my procedure. I have already referred a friend to Dr. Hall!”

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