Gynecomastia is a term that derives from the Greek words meaning “woman-like breasts”. The condition can start in adolescence and may persist or can develop in adults due to weight gain, anabolic steroid use, hormonal imbalance, marijuana use, or medication side effects. In the majority of cases there is no known cause.
For men who feel considerable self-consciousness and embarrassment, breast reduction surgery can be very helpful.
The male breast reduction procedure removes fat and glandular tissue from the breasts with liposuction and at times direct excision through a small incision at the areolar border leaving inconspicuous scars. In extreme cases excess skin may need to be removed.
- Emotionally stable men without significant medical problems and with realistic expectations.
- Men with firm, well toned skin that will retract well after glandular removal.
- Men who are not using anabolic steroids or marijuana, which may cause gynecomastia.
A firm-fitting vest is placed at the conclusion of the procedure and is usually worn for 2 to 3 weeks. Pain is usually not excessive and is well controlled with oral medications. Drains may be placed if an open procedure is required and are removed usually after 3 to 5 days. Stitches are dissolvable. A certain degree of swelling and bruising is expected. Although the majority of this resolves after 2 weeks it will take approximately 3 months for the final result to be evident.
Patients may resume most activities and return to work within a week. Exercise and other heavier activity should be avoided for about 3 weeks.
Gynecomastia correction is performed on an out patient basis under either general anesthesia or local anesthesia with IV sedation. A typical male breast reduction procedure takes approximately 2 hours.
If you would like to learn more about male breast reduction, read our Frequently Asked Male Breast Reduction Questions.
If you feel that you may benefit from breast reduction, please contact Philadelphia breast surgeon Dr. Bottger for a confidential consultation.