Male breast reduction surgery for gynecomastia is a very well tolerated procedure with very little discomfort and downtime. Gynecomastia, or excess male breast tissue, has several different levels with more severe gynecomastia requiring slightly more extensive surgery. For minimal gynecomastia, Baltimore gynecomastia specialist Dr. Jeffrey Schreiber uses ultrasound-assisted liposuction though a tiny incision underneath the breast is typically used to remove the excess breast tissue beneath the nipple/areola and skin of the breast.
With a moderate amount of gynecomastia, ultrasound-assisted liposuction is utilized along with direct excision of tissue beneath the nipple and areola. Fortunately, the excess tissue can usually be removed though the same tiny incision used for the liposuction underneath the breast.
For those with severe gynecomastia, excess skin is present in addition to excess breast tissue below the nipple/areola and surrounding skin. Treatment of this severe form of gynecomastia usually involves direct removal of all of the excess skin as well removing the nipple/areola and placing it back on as a graft. Massive weight loss after dieting or gastric bypass surgery typically results in gynecomastia that is severe enough to warrent this type of treatment.
Reasons for Considering Male Breast Reduction or Gynecomastia Surgery:
- Excess breast tissue underneath the nipple and areola.
- Excess breast tissue underneath the skin of the actual breast.
- Disproportionate body frame attributed to oversized breasts.
- Protrusion of the nipple and areola caused by excess tissue.
- Loose, hanging skin over the breast resulting from massive weight loss.
Techniques for gynecomastia surgery vary, as mentioned above. However, gynecomastia expert, Dr. Schreiber, states that most procedures can be done as an outpatient under sedation anesthesia. For minimal to moderate gynecomastia, a small incision is made along the folds underneath the breast to make the tiny scar as inconspicuous as possible. Then, a type of liposuction that utilizes ultrasonic waves to help remove the fat is used to shape the breast and make it flatter by removing the excess breast tissue. After the liposuction is completed, any excess tissue beneath the nipple and areola is gently removed through the same incision used for the liposuction. Several small stitches are placed and the procedure is completed. A compression garment is also placed to keep swelling down to a minimum and to keep the breasts flat.
When severe gynecomastia is treated, an incision is made along the lower fold of the breast. Then, all of the excess breast tissue and skin is removed. In order to keep the nipple and areola in the appropriate location, the nipple/areola is removed and replaced in the correct location as a skin graft. A compression dressing is then placed over each nipple to help the graft heal and a compression garment is also used to help shape and to keep the breasts as flat as possible. Most of the time, dissolvable sutures are used, but some may have to be removed in the office one week later.
New! Visit the American Society of Plastic Surgeons website for more information about Gynecomastia Correction (Male Breast Reduction.)
Dr. Schreiber performs gynecomastia correction at Northwest Hospital in Randallstown, Maryland, and at the SurgiCenter of Baltimore in Owings Mills, Maryland. Both of these facilities are easily accessible from Towson, Baltimore City, Baltimore County, Pikesville, Ruxton, Lutherville, Howard County, Annapolis, and Washington D.C.
Insurance Coverage for Male Breast Reduction
Insurance does not cover gynecomastia correction as it is viewed as a cosmetic procedure. However, financing options are available. If you are interested in exploring this option, please contact Dr. Schreiber’s Patient Coordinator, Jean, to learn more about how to apply.
Generally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing process and reduce the recovery time. Recovery takes 1-2 weeks, and this includes no exercise for the entire time. Bandages and a compression garment are applied immediately following surgery to aid the healing process and to minimize movement of the breasts. Once the bandages are removed, the compression garment is used for 2 more weeks, but showering is allowed. Patients sometimes report minor pain associated with surgery. Any pain can be treated with oral medication. Antibiotics are also prescribed to help prevent any infection. While complications are rare, patients can minimize potential problems by carefully following the instructions given after surgery.