Gynecomastia Surgery

Gynecomastia Reduction

Gynecomastia surgery, also known as male breast reduction, is the surgical correction of overdeveloped or enlarged breasts in men. The surgery reduces breast size in men to flatten and contour the chest.

Goals Of A Gynecomastia

Candidates For Gynecomastia

What to Expect at your Consultation

Dr. Perrotta, Dr. Luppens, and Dr. Kerestes will devote as much time as necessary to discuss your individual goals and needs with you. After a focused physical examination, your surgeon will provide preliminary recommendations and explain what you can expect from surgery.

Once your surgeon determines his surgical plan, our aesthetic coordinator will produce a written quote, which lists all costs of your proposed surgery so that there are no surprises. At that time, an appointment is set for your pre-op visit.

Pre-Op Visit

Much is covered during your pre-op visit. First, one of our highly trained medical assistants will take pre-op photos. Next, your surgeon will explain the surgical technique to you and thoroughly inform you as to what you can expect, including any potential complications. Note that all procedures involve some risk, but major complications are rare. Dr. Perrotta, Dr. Luppens or Dr. Kerestes will then obtain a more complete medical history from you and perform a final pre-op physical examination, including a check of your vital functions to ensure that you are physically fit for surgery. All informed consents for surgery will be filled out at this appointment and final payments are due at this time. You will be notified 24 hours prior to your surgery with your arrival time.

The Procedure

If the breasts are large but there is not a significant amount of excess skin, removal of breast tissue and surrounding fat usually suffices. The plastic surgeon achieves this by sharp dissection or liposuction. If there is also a significant amount of excess skin, the plastic surgeon also removes some skin in the form of a donut or some other configuration. Most cases require local anesthetic plus IV sedation. Large cases require general anesthesia.

Post-Op Recovery

The O.R. team applies light dressings and either an elastic garment or ace bandages. Initial discomfort subsides daily and can be controlled with oral medication. Most patients are able to return to work after approximately one to two weeks. Scars will usually fade in 6-12 months.

FAQ’s

Who is a good candidate?

Good candidates for gynecomastia surgery include men and adolescent males who have overdeveloped or enlarged breasts, which might consist of excess breast tissue, fatty tissue, and skin.

When will I see the results?

Results from gynecomastia surgery are visible immediately after the procedure. Still, the final contour of the chest becomes apparent once swelling and bruising have subsided, typically within a few weeks.

How long do the results last?

Gynecomastia surgery usually produces permanent results provided that no significant weight fluctuations or hormonal imbalances could affect breast tissue volume.

What should I do before and after?

Before the surgery, patients should follow their surgeon’s guidelines regarding medications, fasting, and preparation for recovery. Post-operatively, it is essential to wear any prescribed compression garments, manage pain with appropriate medications, and limit physical activity as advised to support healing.

Is there any downtime or side effects?

Recovery typically involves a few days of downtime, during which patients may experience discomfort, swelling, and bruises. Most patients can return to work and light activities within a week, but full recovery and return to strenuous activities can take up to a month.

What can I expect?

The surgeon will discuss surgical goals and the specific technique used, depending on the extent of tissue removal required. The procedure might involve liposuction, tissue excision, or both and is generally performed under local anesthesia with IV sedation or general anesthesia for more significant cases. Post-surgery follow-up visits are essential to ensure proper healing and satisfactory results.

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