Gynecomastia results from an increase in glandular tissue and/or fat in the male breast. This often occurs at times of hormonal changes, such as adolescence or increasing age, and with fluctuations in weight. It can be present in up to two-thirds of adolescent boys and resolves spontaneously in the majority of these cases. It may be asymmetric or occur on only one side.
Enlarged male breasts can be embarrassing and uncomfortable for men who suffer with this condition. At the Plastic Surgery Institute of Washington, we perform our Washington DC gynecomastia surgery to restore a more masculine, firm appearance to the chest.
Why Choose Plastic Surgery Institute of Washington?
- We deliver care and service above and beyond what patients expect from a high-end plastic surgery provider.
- Our highly skilled, board-certified plastic surgeons value exceptional quality and individualized patient care.
- We have a practice that is attentive to the unique concerns and goals of male patients, as demonstrated by our ever increasing percentage of men who seek out our surgeons.
Causes of Gynecomastia
In most cases, there is no underlying cause for the gynecomastia, aside from natural hormonal changes. However, it should be noted that this condition can be caused by drugs such as steroids or marijuana, and by testicular or pituitary tumors, or other systemic diseases.
Male Breast Reduction Surgery
Our Washington DC male breast reduction procedure is performed on an outpatient basis, typically under general anesthesia. There are several approaches to the treatment of gynecomastia, depending upon the relative amounts of glandular tissue and fat.
- If there is a small amount of glandular tissue alone under the nipple-areolar complex, it can be excised through a small incision on the periphery of the areola.
- If there is both excess fatty tissue and breast tissue, this may be treated by initially using liposuction to remove the fatty component. The patient is then reassessed, and if there is a significant amount of remaining glandular tissue, it can be directly excised in the same procedure. If an excision is performed, a temporary drain may be placed to prevent fluid accumulation.
VASER Liposuction for Male Breast Reduction
A state-of- the-art technique utilized by our surgeons is VASER ultrasonic liposuction, which allows for better removal of both the glandular and fatty components through small incisions on the chest, as well as better skin tightening. In more severe cases, direct excision may still be needed. At the end of the procedure, the patient is placed in a dressing consisting of gauze padding and ace bandages wrapped around the chest.
Recovery from Male Breast Reduction Surgery
In the initial 24 hours after your Washington DC gynecomastia surgery, it is normal for drainage to occur, staining the dressing on the outside. You will be seen in a few days after surgery for dressing removal and drain removal, if applicable, and a compression garment placed over the area. This garment should be worn 24 hours a day except while showering for the first two weeks, then only during the day for an additional two weeks.
Limitations during Recovery
You will be asked to limit the use of your arms, keeping your elbows by your sides for about two weeks from the day of surgery. After that time, you may gradually start resuming your normal level of activity with the expectation of being back to normal at approximately three to four weeks. You may resume weightlifting and contact sports in about one month after the procedure, and after being given the go-ahead by our plastic surgeon.
Male Breast Reduction Risks and Complications
Although they are uncommon, risks and complications may occur after male breast reduction in Washington, D.C., including, but not limited to:
- Sensory changes of the nipple and surrounding skin (increased, decreased, or lost)
- Actual loss of the skin or nipple (very rare)
- Persistent asymmetry
- Need for revision surgery in the future
On occasion, fluid may accumulate beneath the skin, which is known as a seroma. If this occurs, the fluid can be withdrawn by needle aspiration in the office.