Male Breast Reduction Surgery
What is Male Breast Reduction?
This is a surgical procedure used to correct a condition known as gynecomastia, or enlarged male breasts, by removing fat and/or glandular tissue from the breasts. In extreme cases, skin is removed as well. The physical result is a flatter, firmer and more masculine-looking chest. The psychological result is the enhancement of your self-image and self-confidence.
Who is a Good Candidate for Male Breast Reduction?
First and foremost, you must be in good health, have no active diseases or serious, pre-existing medical conditions, and you must have realistic expectations of the outcome of your surgery. Gynecomastia, occurs in as many as 40 - 60% of men. It may affect one breast or both. Good surgical candidates have firm, elastic skin that will reshape to the body's new contours. The cause of gynecomastia is not always known, but the incidence increases with certain drugs including anabolic steroids, use of marijuana or alcohol, and obesity. Thus, men who fall in these categories would not be considered good candidates for breast reduction. Impaired liver function and use of estrogen-containing medications may also cause gynecomastia. During your initial consultation, if a medical problem is identified as the cause, you will be referred to an appropriate specialist.
NOTE: If you smoke, recently quit smoking or have been unable to stop completely, or you are exposed to second-hand smoke, you may not be a candidate for surgery. Primary and secondary smoking decreases blood supply to the body's tissues, resulting in prolonged wound healing, skin loss, infection, increased scarring, and a number of other complications related to the kind of procedure performed. Click here for more information related to smoking.
How is the Procedure Performed?
The type of procedure used by your surgeon will depend on the degree of breast enlargement. The options include removal of the tissue under the breast, or suction lipectomy (liposuction) of the chest wall. In both instances, a small elliptical incision is made on the lower half of the nipple area (areola). For those men with tissue that is more glandular in nature, all breast tissue directly under the nipple is removed. If the tissue is more fatty in nature, liposuction can provide excellent results. In some people, ultrasonic assisted liposuction is an excellent approach. During liposuction, a small suction rod (cannula) is inserted into the incision to remove fat and other tissue.
List of Physicians Who Perform Male Breast Reduction
For details about education, experience, and specialty in this clinical area, please visit these physician profile pages:
Planning for Your Surgery
The first step is to schedule a personal consultation with your plastic surgeon. Communication is crucial in reaching your goals. You will have the opportunity to express your goals and the results you'd like to achieve. Together, you and your surgeon will reach an understanding about what you can expect from this procedure and the long-term benefits you will experience. Every patient is different, and your surgeon will choose the surgical technique and treatment plan that is right for you. During the initial consultation, you should expect:
- To provide a complete medical history, including information about previous surgical procedures; past and present medical conditions; and any medications or herbal supplements you are taking.
- Your surgeon to conduct a physical examination of your breasts and check for causes of the gynecomastia.
- To have measurements and photographs taken for your medical record.
- To discuss possible risks and complications of the procedure.
Preparing for Your Surgery
You will be given a pre-operative information packet that explains everything you should do and know before your surgery date. Your surgeon will give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. Whether your surgery is done on an outpatient or inpatient basis, you should arrange for someone to drive you home after your surgery, and to help you out for a day or two after you leave the hospital, if needed.
Where Your Surgery Will be Performed
Your procedure will take place at the University of Michigan Hospitals which provides state-of-the-art surgical suites and recovery areas. The majority of these procedures are completed on an out-patient basis.
Types of Anesthesia
You'll remain comfortable throughout the entire procedure. In most cases, general anesthetic is used so that you will sleep throughout the procedure; although local anesthesia with intravenous sedation is also an option for some patients.
After Your Surgery
Click here for information about how to care for yourself after the surgery and what to expect during your recovery. It is very important that you follow your surgeon's instructions in order to promote healing and progress towards your new physical appearance. Also, it is important that you attend all follow-up appointments scheduled so that your surgeon can assess your long-term results and answer any questions or concerns you may have.