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 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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Gynecomastia – Patient 160
A man in his late teens with gynecomastia since the age of 12. He is shown before and again, 6 weeks after bilateral gynecomastia treatment using the S.A.F.E. technique ( Separation Aspiration Fat Equalization) with power assisted liposuction with the removal of 500 cc of lipoaspirate from each side of the chest combined with the direct excision of 30 grams of tissue from the right breast and 40 grams from the left. He is pleased with his early result. Scars are typically at their thickest and reddest at 6 weeks and will then soften an fade over the next 2 years.   Update: Our patient is now seen 4 ½ months after surgery.  Scars have continued to fade and he is pleased with his normal contour.
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Gynecomastia – Patient 159
An Asian man in his later 20’s with gynecomastia that started at the age of 17-18 while smoking marijuana. He is bothered by the appearance of his chest in fitted shirts and with his shirt off. He is shown before and again, just 6 weeks after bilateral gynecomastia surgery including liposuction with the S.A.F.E. ( Separation Aspiration Fat Equalization_ technique combined with a direct excision of breast tissue from an incision at the areola. Scars are typically at their worst at 6 weeks and will now continue to fade and improve over the next 2 years. He is thrilled with his new contour.
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Gynecomastia – Patient 158
A man in his later 20’s with gynecomastia following prohormones that he took at the age of 19 for body building. He is bothered in fitted shirts and with his shirt off. His left chest is larger. He is shown before and again, 4 months after correction with 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. He is thrilled with his normal appearance after surgery and can now wear fitted shirts and take his shirt off at the beach.
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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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