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 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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Gynecomastia – Patient 157
A Hispanic male in his early 30’s with breast development in his early 20’s after taking weight lifting supplements. He is bothered by the appearance of his chest with his shirt off He is shown before and again, 5 months after bilateral gynecomastia surgery with liposuction using the S.A.F.E. technique ( Separation Aspiration Fat Equalization) combined with excision of breast tissue from an incision around the areola. Scars get thicker for 6 weeks and then soften and fade over the next 12 months or longer. At 5 months the scars continue to fade well with the recommended use of topical silicone and he is thrilled with his new contour.
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Gynecomastia – Patient 156
A man in his later 40’s with bilateral gynecomastia since he was a body builder in his early 20’s. He is bothered by the appearance in fitted shirts and with his shirt off. He wears compression shirts to camouflage the appearance of his chest. He is shown before and again, 6 weeks after Power-assisted liposuction using the S.A.F.E. technique (Separation/Aspiration/ Fat equalization) combined with the direct excision of breast tissue through an inferior per-areolar incision. At 6 weeks he is thrilled with his correction. The skin of patients in their 40’s does not contract as well as patients in their 20’s but is usually better in appearance than placing a visible scar on the chest to tighten the skin further and allows him to feel comfortable removing his shirt at the beach. He has a prominent rib cartilage on the left side which is more visible with the hands on the head view.
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Gynecomastia – Patient 155
A young man is his later teens who has had female breast development when he was 11 or 12. He is bothered by the appearance of his chest in fitted shirts and with his shirt off. He is shown before and again, 6 weeks after bilateral chest liposuction using the S.A.F.E. technique (Suction Aspiration Fat Equalization) combined with a direct excision of breast tissue through and incision around the areola. Scars are at their reddest at 6 weeks and then begin to fade and improve over the next 2 years. He is thrilled with his new contour. Update: Our patient is now seen 3 months after his surgery. Scars typically become thicker and redder for 6 weeks and then fade and improve over the next 2 years. He is thrilled with his new chest and his scars are fading as expected with topical silicone to help.
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Gynecomastia – Patient 154
An early ( 6 week) result in a 32 yo man with gynecomastia from over the counter weight lifting supplements that he took at age 18. He is bothered by the appearance of his chest with his shirt off and also in fitted shirts. He is shown before and again, 6 weeks after SAFE liposuction using power assisted liposuction combined with a direct excision of breast tissue through an incision under the areola. At 6 weeks the scars are still the pinkest and will now typically fade and improve over the next 2 years. He is thrilled with his improvement.
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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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