Home | Men’s | Gynecomastia (Male Breast Reduction)
What is Gynecomastia?
Gynecomastia surgery (Male Breast Reduction) is a popular procedure for men with abnormal development of mammary glands resulting in breast enlargement. Dr. Rivela has performed many gynecomastia surgical procedures to remove excess breast tissue.
What causes gynecomastia? It can be the result of heredity, disease, issues with the adrenal gland or pituitary gland, use of certain drugs like anabolic steroids or prostate cancer treatment, or hormonal imbalances/hormone changes. It is not linked to breast cancer. It is common in men of all ages and can be detrimental to self-confidence and often causes emotional distress. Many men with this condition avoid certain physical activities that require removing their shirts and often find physical intimacy to be a problem. Gynecomastia may be present in either one or both of the breasts.
Characteristics of Gynecomastia (male breast enlargement) are:
- An excess of localized fat
- An excess of glandular tissue development
- A combination of localized fat and glandular breast tissue development and excess skin
A Rise in Gynecomastia
Recently, there has been a rise in gynecomastia cases, and it hasn’t been tied to either genetics or weight gain. Hormones in poultry, microplastics, and other hormone disruptors are likely contributing factors to the increase.
While this increase is something to be continually studied, it also means that if you’re struggling with gynecomastia and looking for male breast reduction, you’re not alone. Many men are right there with you.
Your Gynecomastia Consultation with Dr. Rivela
A one-on-one, personal consultation with Dr. Rivela is your time to ask and answer questions. Complete disclosure during the consultation is important for devising a procedural plan tailor-made for you.
Be ready to discuss:
- Medical conditions, drug allergies, and medical treatments
- Expectations and desired outcomes
- Available options for enlarged male breasts
- All medications, vitamins, herbal supplements, alcohol, tobacco, and drugs that you are currently taking or using
- Previous surgical history
Dr. Rivela may also:
- Evaluate your general health status,s including pre-existing conditions and risk factors
- Take photographs for your medical records
- Discuss your options and recommend a surgical course of action for your enlarged breasts and to treat gynecomastia
ns and recommend a surgical course of action
- Discuss likely outcome, risks, and potential complications associated with your surgery
If your condition is caused primarily by fatty tissue, liposuction is most likely the procedure of choice to re-sculpt bulging breasts into more attractive contours by removing unwanted localized deposits of fat cells. Additional skin removal may be required for extremely large conditions.
Who is a Candidate for Gynecomastia?
You may be a good candidate for Gynecomastia (Male Breast Reduction) if you are:
- Within the normal weight range
- Physically healthy
- Have realistic expectations
- A non-smoker and does not use drugs
- Bothered by feeling that one or both breasts appear too large
Adolescents may benefit from male breast reduction if breast development has stabilized but may require secondary procedures in the future should breasts further develop.
Your Gynecomastia Procedure
Dr. Rivela performs male breast reduction on an outpatient basis under general anesthesia. Depending upon the extent of correction, the procedure usually takes between 1-3 hours and is performed at either a hospital or outpatient surgery center.
Anesthesia: General
Location of operation: Hospital or surgery center
Length of surgery: 1-3 hours
Length of stay: Outpatient
Your Gynecomastia Procedure Recovery
Discomfort After: After surgery, you may expect moderate to severe pain requiring the use of prescription pain medication for between 5-14 days.
Swelling and Bruising: You may expect swelling and bruising which will begin improving within a couple of weeks.
Bandages: Upon completion of your surgery, bandages will be placed with removal taking place in 1-7 days. A support garment will need to be worn for a couple of weeks after surgery and if drains are placed, they will be removed in 7-10 days.
Work: You may return to work in 5-7 days.
Exercise: You are instructed not to participate in strenuous activities for 4-6 weeks after your procedure.
Driving: As long as you have discontinued pain medication, driving may be resumed in two weeks.
Final result: Final results will be seen anywhere from six months to a year after the scars have matured.
Male Breast Reduction FAQs
Can thyroid problems cause gynecomastia?
Yes, thyroid problems can indeed cause gynecomastia. Gynecomastia is the enlargement of breast tissue in males, and it can be linked to an imbalance of hormones such as estrogen and testosterone. Thyroid dysfunctions, including both hypothyroidism and hyperthyroidism, can disrupt this hormonal balance and ultimately lead to gynecomastia.
Does gynecomastia surgery leave scars?
Gynecomastia surgery, also known as male breast reduction surgery, can indeed leave scars, although these are often designed to be as minimal and hidden as possible. The extent and visibility of scarring can depend on the surgical technique used and an individual's healing process.
How can gynecomastia be prevented?
To help prevent gynecomastia, maintaining a healthy weight through regular exercise and a balanced diet can be effective since excess body fat can contribute to hormonal imbalances. Limiting the consumption of substances that can affect hormone levels, such as alcohol and drugs, can also be beneficial.
How do you shower after gynecomastia surgery?
Showering after gynecomastia surgery requires careful attention to protect the surgical site and promote healing. Typically, patients are advised to wait at least 48 hours post-surgery before showering to ensure the incisions have begun to heal. When you do shower, use lukewarm water and a gentle, unscented soap to avoid irritating the skin.
How long do you have to wear a compression garment after gynecomastia?
After undergoing gynecomastia surgery, it is typically recommended to wear a compression garment for about 4 to 6 weeks. The duration may vary depending on your individual case. Initially, it is usually advised to wear the garment around the clock, except when showering, to ensure optimal results.
How long does it take to recover from male breast reduction?
Recovery time from male breast reduction surgery varies from person to person, but most patients can expect a typical recovery period of about 3 to 6 weeks. During the first few days following the procedure, patients might experience some swelling, bruising, and discomfort, which can be managed with prescribed medications and proper post-operative care. It's crucial to follow Dr. Rivela's instructions closely.
How long till swelling goes down after gynecomastia surgery?
Swelling after gynecomastia surgery is a common concern and an expected part of the healing process. Typically, the major swelling begins to subside within two to three weeks after the procedure. However, some residual swelling can persist for several months and gradually improve over time.
Is gynaecomastia surgery painful?
The level of pain experienced after gynaecomastia surgery can vary among individuals, but most patients report mild to moderate discomfort rather than intense pain. This discomfort is often manageable with prescribed pain medications and tends to diminish significantly within the first few days to weeks following the surgery.
What causes gynecomastia in males?
Gynecomastia in males is primarily caused by an imbalance between estrogen and testosterone levels, leading to the enlargement of breast tissue. Other potential causes include the use of certain medications, such as anti-androgens, anabolic steroids, and some antidepressants, which can alter hormone levels.
When should I start massaging after gynecomastia surgery?
Typically, patients are advised to start gentle massage techniques around 4 to 6 weeks post-surgery. This timeline allows for initial healing and reduction of immediate post-operative swelling and discomfort. Massaging the area can help to soften any remaining scar tissue.
Who is a good candidate for Gynecomastia (Male Breast Reduction)?
Any adult male who is in good physical health, is a non-smoker and has realistic expectations about desired outcome. Gynecomastia surgery is an excellent choice for patients interested in removing excess fat and/or tightening muscles to create a more aesthetically pleasing appearance.
How should I prepare for Gynecomastia (Male Breast Reduction)?
As with any surgery, good overall health is key. Eat a balanced diet, exercise and get plenty of rest. Certain medications must be avoided before surgery, while others may need to be adjusted. Another important factor is having well-controlled blood pressure.nnIt is very important for smokers to stop smoking before the surgery. Smoking is proven to delay healing and can cause wound complications. Beyond these, Dr. Rivela will discuss with you everything required for a successful surgery at the consultation. Be sure to follow Dr. Rivela's instructions carefully to ensure a speedy recovery.
What factors should be considered when selecting a surgeon?
Always choose a surgeon who is certified by the American Board of Plastic Surgeons. Be sure he is trained and experienced in all areas of plastic surgery. He should have at least five years of surgical experience, no less than two being in the field of plastic surgery.nnDr. Rivela has trained under some of the country's leading plastic surgeons and has membership in numerous medical societies including the American Society of Plastic Surgery and he is accredited by the American Board of Plastic Surgery. As a skilled surgeon, he has successfully performed many Gynecomastia procedures.
Will the results be long lasting?
In many cases, the results are permanent, however, if Gynecomastia is the result of the use of steroids or weight gain, you must remain drug free and maintain your weight in order to obtain the best results.nnAlthough scars are permanent, they may be concealed in the natural contours of your breast and the improvement in the appearance of your upper body will enhance your confidence at the office or on the beach.
What can I expect during recovery?
Bandages will be applied after surgery. An elastic support garment may be used to support your chest contour during healing. A thin tube may be placed under the skin temporarily to drain excess fluid that may collect.nnYou will be given instructions on how to care for the surgical site, medications to take orally or apply during the healing process, and you will be informed of any specific concerns to be aware of during healing. You will also be instructed on when to follow up with Dr. Rivela.
