Male breast reduction is a surgery designed to improve gynecomastia, a condition characterized by an enlarged, female-like chest in men. The human body comes in all shapes and sizes and in so many configurations. For example, some men are naturally leaner in the chest area, while other men have a more robust chest. Estimates today indicate that up to 60 percent of men may be affected by gynecomastia at some point during their life, that and other aesthetic concerns, have made gynecomastia surgery a popular procedure among mens in New York.
To date, medical science still does not have an answer for why some men may develop gynecomastia while others do not. There are suspected links to a number of medical conditions and also certain medications, including ulcer medicines, antibiotics, antidepressants, blood pressure drugs and herbal preparations. As well, in some cases, heredity disorders may be at the root of gynecomastia, while in other cases the process of aging combined with gravity can lead to a mild case of gynecomastia. Research continues in an effort to better understand how and why gynecomastia occurs.
If you are currently suffering from the effects of gynecomastia, male breast reduction surgery can help you achieve your appearance goals and allow you to better enjoy your body. If you are considering scheduling a consultation about gynecomastia surgery with Dr. Roland, this informative article offers more information and answers to commonly asked questions.
The Gynecomastia surgery
Gynecomastia surgery, is a body contouring procedure designed to produce a leaner look to the upper chest. This is typically achieved by removing excess mass (tissue, fat, skin) from the upper chest area.
This tissue removal can often be done using liposuction for a less invasive procedure. Sometimes it may be necessary to perform excision as well to remove skin and non-fatty tissue. Sometimes both procedures are combined to achieve your desired results.
Good Candidates for Gynecomastia
Provided you are in optimal health in all other ways and you have realistic expectations for the results of your procedure, you are likely to be a good candidate for male breast reduction surgery.
However, there are certain less common cases where Dr. Roland may recommend that you postpone your male breast reduction procedure as follows:
- If you are just beginning or are still in the middle of a major weight reduction regimen.
- If you are currently recovering from another major medical procedure.
- If you are taking medications that may thin your blood or prevent clotting.
- If you are taking medications that include steroids (these can cause excess skin, tissue and/or fat to recur in the upper chest area at a later date).
- If you are currently being treated for a serious health condition (cancer, auto-immune disorder, etc.)
- If you are a heavy tobacco or alcohol user and are unwilling to reduce or cease use for a period of time before and after your procedure (heavy use of alcohol and/or tobacco can inhibit your body’s natural healing abilities).
If any of these issues apply to you currently, be sure to speak to Dr. Roland about the best time for scheduling your male breast reduction surgery.
Preparing For the Initial Gynecomastia Consultation
When you meet with Dr. Roland for your consultation, you will be able to share your appearance concerns and goals for surgery. You can even bring in photographs that highlight your appearance goals if you wish.
Dr. Roland will want to take a full personal and medical history to make sure you are a good candidate for having gynecomastia surgery. He will also perform a physical exam of your upper chest area to get a better understanding of how your skin and tissue are distributed.
Dr. Roland will take some “before” photos and may make some notes on these photos regarding the physical exam and his plans for the gynecomastia surgery.
You can also get all of your questions answered and find out about financing options, if desired, during your consultation. Before you leave, you will know how to prepare for your male breast reduction procedure and will also be able to schedule your surgery date if you are ready to do so.
What Happens During a Male Breast Reduction Procedure?
In most cases, Dr. Roland will schedule all gynecomastia procedures at an area outpatient surgical center or hospital, with every effort being made to choose the location that is most convenient for your needs.
General anesthesia is typically used for male breast reduction since it is most comfortable for patients. However, you will need to make arrangements to be driven home after surgery.
The procedure itself typically takes two hours or less to complete. The method used will depend on your needs and goals. For example, if most of the excess that will be removed is fatty tissue, liposuction is one of the top choices to achieve this. However, if excess skin and glandular tissue needs removal as well, there may be the need to do excision surgery as well.
Before you leave the surgical center or hospital, a drainage tube may be inserted to ensure any excess fluid can quickly and easily drain. This will help ease swelling and prevent unnecessary discomfort.
Male Breast Reduction Frequently Asked Questions
If you are considering scheduling a consultation with Dr. Roland to have male breast reduction surgery, you probably have lots of questions. In this section, we share some of our patients’ most commonly asked questions about this procedure to help you prepare for your consultation.
How can I prepare for having a Gynecomastia surgery?
The best way to prepare for having a male breast reduction procedure is to stay in good health, reduce tobacco and/or alcohol use (if applicable), get plenty of rest, and continue your daily fitness routine (if applicable).
What is the recovery from a Gynecomastia surgery like?
The most commonly reported, temporary, post-surgical symptoms include feelings of soreness, tightness, swelling and general discomfort in the upper chest area. These symptoms will generally begin to disappear after 48 to 72 hours and any discomfort can be controlled with medication.
Before your scheduled procedure date, Dr. Roland and his staff will make sure you have all the necessary prescriptions to have the most comfortable recovery. You will be fitted with a compression garment that will need to be worn for a number of weeks. This will aid in ensuring the best results from your procedure by helping your skin conform to its new dimensions across the upper chest.
Are there any possible risks or complications from having a Gynecomastia surgery?
As with any procedure requiring invasive measures (incision and/or excision), there is always a slight risk of infection. As well, there is a slight risk of having an adverse reaction to the anesthetic used. This is why it is important to review your medical history with Dr. Roland during your consultation.
There is also a risk of bleeding, accumulation or loss of fluid, asymmetry of results, scarring and incomplete healing. If these rarer side effects are of concern, please talk with Dr. Roland during your consultation.
How long before I can see the full results of my procedure?
Due to swelling and the need to wear a compression garment for up to four weeks following your Gynecomastia surgery, you will not be able to see the full results of your procedure immediately.
Also, since there may be some minor amount of residual swelling in the area as the skin and tissues continue to heal, you will likely need to wait at least 4 to 6 weeks before you can enjoy the full impact of your Gynecomastia surgery.
How long before I can return to work and my regular daily activities?
Most gynecomastia patients choose to return to work within one week after their procedure. However, if your career or daily life requires heavy lifting or a greater than average amount of physical labor, you may need to be prepared to take additional time away from work.
It can be helpful here to schedule your gynecomastia procedure near the end of the week to minimize time away from work.
As well, it is important to minimize intense physical athletic or sports activities for at least 4 to 6 weeks after your procedure. This includes all contact sports. If you are concerned about these restrictions, it is a good idea to talk with Dr. Roland about your options during your consultation.
Learn More about Dr. Roland
Dr. Donald Roland is one of New York City, NY’s, most respected and sought-after plastic surgeons. Dr. Roland is board certified Plastic Surgeon by the American Board of Plastic Surgery and is a Fellow of the American College of Surgeons.
Dr. Roland completed his medical school education at New York University School of Medicine and his post-doctoral training at Albert Einstein College of Medicine, where he continues to serve as an Assistant Clinical Professor of Plastic and Reconstructive Surgery. Dr. Roland’s areas of expertise include noninvasive facial rejuvenation, complex surgical procedures, body contouring, and the use of pulsed magnetic energy on surgical sites to promote new blood vessel formation, to name just a few.
Dr. Roland maintains affiliations at a number of prestigious outpatient surgical centers and hospitals for the convenience of his patients. He also performs procedures at his New York City, NY, practice office. Contact us by phone at 212-744-9400 or online at www.donaldrolandmd.com.