Frank Agullo, MDBoard Certified Plastic Surgeon

Male: Breast Reduction

Breast Reduction (for men)

Breast reduction surgery in El Paso, TX is not just a procedure for women. Men who are self-conscious about having too much fat in the chest area may be good candidates for male breast reduction surgery. Also known as gynecomastia, the plastic surgery procedure is not uncommon. As many as one in three men in North America suffer from a form of abnormal breast development or enlarged tissue. Not only is it embarrassing for a man to have breasts, it can truly be painful to experience the neck or back pain associated with carrying around extra weight. There are special contraptions you could wear, but why go through all of that trouble and discomfort?

Men, now you can get relief from lack of confidence or physical discomfort associated with having male breasts. Dr. Frank Agullo is a Clinical Associate Professor of Plastic Surgery at the Paul L. Foster School of Medicine; Texas Tech University Health Sciences Center and an Affiliate Professor at the University of Texas at El Paso. He has thoroughly studied the unique plastic surgeries techniques for men and has performed hundreds of male breast reduction procedures. Your whole neck, shoulder, back, arm and upper torso will feel better and look more masculine after male breast reduction surgery.

What can men expect with breast reduction?

A private consultation with Dr. Agullo is the first step. He will examine your chest and assess your health to see if you are someone who truly needs the male breast reduction surgery. He will take measurements, take photographs and look over your medical records, including your medical history and family’s. At that time he may see how pliable your skin is and how the elasticity will affect your healing time. Depending on your current health, size and shape of your breasts, as well as your current health, it may be necessary to relocate the areolas, much the same as the breast reduction surgery for women.

Before coming to see Dr. Agullo for the consultation, ask yourself these questions:

  • Do you avoid the beach or pool because of having a fear in social settings?
  • Can this anxiety be correlated with the shape of your chest?
  • Does your chest make you self-conscious enough to want to hide under large or baggy clothing?
  • Do you worry about what your spouse or mate thinks of your chest?
  • Do you feel like you have “Man Boobs” but are too embarrassed to admit it?
  • Have you tried firming up your chest and pecks by traditional methods of exercise and diet but have not seen any results?

You can expect that after the male breast reduction surgery, your chest will look more masculine and trimmed down to a proportional physique. You will not be able to lift heavy objects for a while, so keep that in mind when scheduling your man breast reduction El Paso surgery.

El Paso male breast reduction techniques

The technology to help with gynecomastia has made it easier for men to achieve male breast reduction. Unlike women’s breast reduction, men do not follow a predetermined breast size. So how much tissue and fat are trimmed will depend upon how severe their case may be. The surgeon will use one or more of the following two techniques to lift, reduce, remove fatty tissue and diminish the size of the bosoms. Here are two common techniques (and a few that are used less frequently):

    • Liposuction: This is the most common technique to remove the fatty tissue and improve the shape of the chest area. Dr. Agullo will often combine either Vaser or Smart liposuction at the same time. The surgeon will remove excess glandular tissue by cutting it during an outpatient procedure through a small incision beneath the areola.
    • Incisions: Most male breast reduction surgeries can be done with liposuction and a small incision beneath the areola. More advanced cases may require additional incisions to eliminate the redundant skin and subcutaneous tissue. In the most advanced cases, similar to the women’s variable of breast reduction surgery, the surgeon will apply one incision around the male areola, a second vertical incision underneath the bosom, and a final incision within the natural crease. He will take out the extra fatty tissue and skin, shifting the areola to a higher place for a natural appearance. Depending on whether the sagging has stretched the areola, he can decrease the size of the areola to a more natural male appearance. This is done as a shaping process.

Although not as imperative in men as in women, the sensation of the nipples and areolas can be preserved in most cases.

Preparation for gynecomastia surgery in El Paso

Men wanting breast reduction surgery often feel self-conscious, uncomfortable, or have masculinity issues. They are tired of wearing clothes that are too big, avoiding the pool or beach, or just feeling embarrassed whenever they need to remove their shirts. Breast reduction for men is a surprisingly common procedure that can be done in a couple of hours at an accredited plastic surgery clinic.

At least two weeks ahead:

      • Quit smoking at least two weeks prior to gynecomastia surgery and don’t start again for at least two weeks thereafter to avoid the chance for slow healing, poor circulation or blood clots.
      • Don’t spend time in the sun for at least two weeks.
      • Stop taking aspirin or medications that may contain blood thinners, such as Motrin, Ibuprofen, Advil, etc. Vitamin E, Green tea, Gingko, and St. John’s Wort herbal products should also be avoided for at least two weeks prior.
      • Tell the doctor if you get sick with a cold, skin infection or any type of stomach/other illness.
      • Schedule the time off from work that you will need to heal properly. Keep in mind that lifting heavy objects will be off limits until the doctor’s approval, so if your job requires manual labor of any kind then notify your managers of your surgery.

On the day of:

      • Bring a relative, friend, or companion to and from the male breast reduction surgery. It will take a couple of hours to prepare and a couple of hours to perform the procedure, as well as time spent in the recovery room. You can’t drive yourself home, it is simply not allowed.
      • Don’t digest any food nor drink any beverages after midnight on the day before gynecomastia.
      • Wear a loose button-up shirt so that you can get your clothes on after the surgery without struggle or pain.
      • Avoid lotions or shaving in the area of your surgery for at least a day beforehand.

During gynecomastia repair at El Paso Cosmetic Surgery, you will be either undergoing IV conscious sedation – or “twilight sedation” – or general anesthesia. Conscious sedation means you will have some awareness, whereas general anesthesia you will not. Either way, most patients have no recollection of the surgery. With IV conscious sedation, more patients experience speedier recovery, less nausea, headaches, and other symptoms often associated with general anesthesia.

Dr. Frank Agullo can go over both of these options with you during an initial consultation. Most men prefer to be completely under general anesthesia during a breast “chest” reduction surgery, in which case we have a board certified anesthesiologist on our team. Breast reduction surgery for men in Southwest Texas, El Paso, Las Cruces, and Chihuahua is nothing to be ashamed of and will give you the male physique you’ve been longing for.

What risks to male breast reduction are there?

Believe it or not, getting a breast reduction for a man is becoming a more than ordinary surgical procedure. The risks are minimal, and Dr. Frank Agullo is board certified and highly recognized as one of El Paso and Albuquerque region’s leading plastic surgeon for male and female cosmetic procedures.

Risks are most associated with smokers, drinkers or people suffering from any type of medical problems from the past that were not made available to the doctor. It is wise to tell your doctor everything and to be honest about the way you live your lifestyle. He can help you weigh the pros and cons to see if breast reduction for men is right for your case.

Although unlikely, some risks of male breast reduction are:

      • Infection
      • Circulation or blood flow issues, including clots
      • Slow healing
      • Temporary loss of nipple sensation, rarely permanent.

Worst case scenario; if revisionary surgery is necessary, the chest area of your body will still look much better than having “unmanly” bosoms where they don’t belong. You can ask your doctor if any of your habits or lifestyle activities and health may pose you at a greater risk than someone else.

Male gynecomastia surgery recovery

Of course, you’ll most likely feel sore for a few days after surgery, which is quite normal. But if you feel any abnormal complications or symptoms, please notify your doctor right away.

Male breast reduction is not too time consuming. Although it will take a while to feel like yourself again, you will only be in the operating room for a couple of hours. The staff will make you feel comfortable, put you at ease and get you ready for the procedure. You will also be in the recovery room under observation following your gynecomastia procedure.

If there were any surgical drains used during your male breast reduction surgery, they will be taken out within a few days. Dressings, bandages or gauze should be changed once the drains are removed. Your chest will be bruised, swollen and perhaps even discolored for at least a few weeks. This is nothing to be alarmed about and it is perfectly normal.

Rest assured, every precaution will be taken to make your healing smooth sailing. And soon enough, you’ll be able to take your shirt off in public – either at the beach or pool – without worrying about people staring or wondering about your gender.

Getting a boost of confidence (FREE!) with your male breast reduction.

How much is breast reduction for men?

Chances are, the insurance provider will not cover gynecomastia. If medically necessary, Dr. Agullo will help you with the preapproval process. The cost of male breast reduction varies a great deal, but in the El Paso vicinity it can run between $5,700 – $8,000 depending on the reduction techniques, choice of anesthesia, prescriptions, tests and post-surgical undergarments, surgeon and hospital facilitation.

Dr. Frank Agullo uses modern liposuction gynecomastia techniques to the appearance of the male body. He has achieved a double board certification in plastic surgery and general surgery; as separate certifications. He has a published book chapter on male gynecomastia surgery and multiple articles on body contouring.

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