Male breast reduction – Gynecomastia

Treatment of Gynecomastia by Liposuction and/or surgical excision

Gynecomastia describes disparate and overly developed male breasts that affect almost 50% of the world’s male population. Usually, there is a hormonal imbalance at the bottom of this accompanied by excess fat that develops in a man’s breast area or the breast skin sags after weight loss, which can lead to the impression of “man boobs”.  This can have a serious psychological impact and interfere with the quality of life.

Male breast reduction surgery is a fast and safe way to get rid of the unwanted surplus tissue that usually consists of a mixture of glandular tissue, fat, and skin. Our surgeon will first diagnose your specific condition, the probable reasons for the problem and the best, individual, way to fix it.

A male breast reduction is the most effective known treatment for this condition. This cosmetic surgery procedure removes excess fat and/or glandular tissue to restore a flatter, firmer and more masculine contour to the chest.

Gynecomastia surgery procedure

Medications are administered for your comfort during the surgical procedures. The options include intravenous sedation or general anaesthesia. Your doctor will recommend the best option for you. You are asleep.

An incision of 0.3 to 0.5 cm is made under or on the side of the male breast to insert a canola to safely remove the fat by liposuction.

Breast tissue removal
An incision of 2~3 cm is made around the areola, to safely remove the fat tissue or glands.

Liposuction Technique for male breast reduction

The best liposuction techniques to remove fat from men’s breast is; Waterjet lipo method + Power Liposuction method.

In cases where gynecomastia is primarily the result of excess fatty tissue, liposuction techniques alone may be used. This requires insertion of a cannula, a thin hollow tube, through several small incisions. The cannula is moved back and forth in a controlled motion to loosen the excess fat, which is then removed from the body by vacuum suction.

There are various liposuction techniques that may be used, also laser enhanced liposuction. The technique most appropriate in your case will be defined prior to your procedure.

Recovery time after Liposuction treatment

The recovery process following liposuction is typically quite tolerable. Patients are often given a compression garment to wear for the first few weeks after surgery; this helps to minimize swelling and offers support to the healing tissues. While vigorous exercise is typically off-limits for about 3 weeks, many men return to work or school within several days after their procedures.

Excision technique for Man Boobs

More severe cases of gynecomastia may require surgical tissue excision to achieve optimal results. Additionally, patients who have stretched, sagging skin around the breasts or glandular tissue that has to be removed will usually require this approach. Tissue excisions allow a cosmetic surgeon to remove a greater amount of glandular tissue and/or skin and fat that cannot be successfully treated with liposuction alone. Excision also is necessary if the areola will be reduced or the nipple will be repositioned to a more natural male contour. Incision patterns vary depending on the specific conditions and surgical preference.

Male breast reduction with tissue excision is typically performed as an outpatient procedure using general anesthesia or local anesthesia with sedation. The recovery process is similar to that for liposuction; however, it is common for patients to experience soreness and some swelling. Typically, patients feel ready to return to work within 1 week of surgery, and a gradual return to exercise is usually permitted after the first couple of weeks.

Combination of Liposuction and excision techniques for gynecomastia surgery

In most cases, gynecomastia is treated with a combination of both liposuction and excision techniques depending on your personal condition.

After the male breast reduction operation

After gynecomastia surgery, you should notice an immediate improvement in the shape and appearance of your chest. While you may feel sore for a few days, pain is usually minimal.  While your cosmetic surgeon will likely prescribe some pain medication, many men find that over-the-counter options, such as Tylenol, is sufficient. If you are given a compression garment, wear it. This will enhance your comfort and help your chest heal optimally.

Post-surgery care

  • The first 24 hours after surgery is recommended eating soft food such as soups.
  • Taking a shower is possible after 7 days, important to keep the incision area dry.
  • Not staying in hot areas too long.
  • Swelling and bruising occur depending on each individual, avoid laying on stomach.
  • Do not lift arms up more than 90 degree
  • Avoid carrying or lifting heavy items for 1 week.
  • Drinking alcohol and smoking will delay the healing of wounds
  • Exercise after 4 weeks
  • Medical compressions garment wear for 4 weeks

If you are suffering from gynecomastia, a male breast reduction could be the right solution to correct this condition and help you feel more confident in your appearance.

Our specialist for breast fat removal will be able to give a more accurate quotation for your inquiry, after viewing your photographs (front and side view).

We recommend a minimum of 7 to 8 days stay after the surgery, to finish all the post-op treatment including the stitch removal.

Our Thai Board Certified Plastic Surgeon has 12 years of experience in performing surgeries on African American, Hispanic, Indian, Arabic, Caucasian and Asians.

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