Healthy individuals who do not smoke and are without illness or medical conditions that will hinder the healing process are ideal candidates for gynecomastia surgery. Typical symptoms for suitable candidates include:
- Excess fat in the breast tissues
- Swelling or enlarged breast area
- Loose or excess skin around the breasts
- Feeling uncomfortable about breast size or shape
Prior to undergoing gynecomastia surgery, you will meet with your surgeon for an initial consultation to discuss the details of the procedure. During your meeting, your surgeon will gladly answer any questions or address any concerns you may have. Once measurements, observations, and discussion have concluded, your surgeon will provide customized recommended treatments and procedures for your body. Prepare to discuss some or all of the following topics with your surgeon:
- Your expectations and goals for surgery
- Any underlying medical conditions you may have, including allergies and previous medical procedures or treatments you’ve undergone
- Any medications you currently take, including vitamins, daily regimens, or personal habits (drinking alcohol, recreational drug use, etc.)
- Any other related content that may be relevant to your surgery
Gynecomastia Surgery Techniques
Your surgeon will determine specific techniques to appropriately correct your gynecomastia after your initial consultation to ensure the best results.
Gynecomastia is often the result of excess fat tissues in the breast area. In these cases, using a liposuction technique may be sufficient for reducing the breasts and removing any excess fat buildup. This process requires anesthesia, and then the surgeon will make several small incisions and insert a cannula, which is a thin hollow tube. The cannula gently loosens fat tissues by rubbing back and forth in short, controlled movements. Simultaneously, the excess fat is gently removed using a tiny suction device. While there are numerous liposuction options, your surgeon will discuss which process is recommended for your surgery.
Utilizing an excision technique is commonly recommended when severe excess breast tissue or skin are present and need to be removed. Excision is a better option when there is loose skin that liposuction will not sufficiently remove, which can also benefit when the areola requires reduction or relocation. While under anesthesia, the surgeon makes incisions and removes excess fat and skin. Options for your incision technique are customized and will be discussed before surgery.
Combining procedures provides benefits of both liposuction and excision to extract excess fat and skin. By completing both liposuction and excision techniques, the skin will be tighter from the removal of excess skin and glandular tissue.
Recovery and Results
Directly following the gynecomastia surgery, patients typically spend one hour in the hospital to recover and are discharged with prescriptions and postoperative instructions. Patients will require bandages or dressings directly applied to the incisions and held intact with elastic bandages or support garments. These procedures are encouraged to help reduce swelling and bleeding. Swelling and bruising will occur around the breast area and decrease within a few weeks. In some instances, patients will require a small, thin tube attached under the skin to help drain fluids that may accumulate. It is crucial that during the healing process, all instructions are adhered to as directed by your physician. Limited movement and minimal physical exertion will accelerate the healing process to provide the desired results you’ve been anticipating.
Breast tissue will be reduced and appropriately curved to the correct proportion with your body. Increased self-confidence will follow as the healing process subsides. Scars will slowly fade away in a few months and can take up to a year to disappear; however, if any remain visible, they are often hidden by the natural contours of the male chest. Once swelling reduces, the chest will be flatter, firmer, and more masculinely defined. Maintaining a healthy, active lifestyle will assist in retaining the outcome of gynecomastia surgery.