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Frank Agullo, MD En Español

Male: Breast Reduction

Men who suffer from enlarged breast tissue may qualify for gynecomastia surgery, also known as male breast reduction. Gynecomastia is characterized by abnormal male breast development, and as many as one in three men suffer from this condition. It can be excruciating to experience the embarrassment and physical discomfort associated with excess breast tissue, but gynecomastia surgery alleviates these concerns and can restore your confidence.

Do you...

  • Experience social anxiety around the beach or pool?
  • Try to hide your chest under large or baggy clothing?
  • Feel discouraged after trying to improve your chest with diet and exercise?
  • Worry about what your partner thinks of your chest?
 

Your neck, shoulders, back, arms, and upper torso will feel better and look more masculine after gynecomastia surgery.

Gynecomastia Surgery Techniques

Unlike women, men do not follow a predetermined breast size. The amount of breast tissue and fat that are removed during gynecomastia surgery will depend on how severe the case is.

To improve the appearance of enlarged male breasts, Dr. Agullo will use one or more of the following gynecomastia surgery techniques:

Liposuction With Gland Excision

  • The most common approach to male breast reduction
  • An outpatient procedure
  • Involves a small incision beneath the areola and the removal excess glandular tissue

Circumareolar

  • Appropriate for reduction of the areola size and correction of gynecomastia
  • Involves an incision around the areola
  • Combined with liposuction and gland excision
  • Sometimes done in two separate procedures

Breast Reduction

  • Appropriate for very advanced cases of gynecomastia
  • Involves three incisions: one around the areola, another that extends down to the bottom of the breast, and a third along the natural breast crease
  • Excess fatty tissue is removed, and the areolas are repositioned and reshaped, if necessary

Preparing for Your Surgery

gynecomastia
The best candidates for gynecomastia are non-smokers with no major health issues who have realistic expectations about the results.

Ideal candidates will also be pursuing gynecomastia surgery for their own self-motivated reasons. To prepare for your surgery, quit smoking at least two weeks before surgery and eat a nutritious diet. Avoid blood thinners and tanning or shaving the area for at least two weeks before surgery. Do your best to stay healthy, and if you develop any cold or illness, contact Dr. Agullo right away because this could interfere with the surgery and healing. Be sure to ask for time off work for recovery, and avoid scheduling your procedure around any major social functions. Plan to have someone drive you to and from the hospital. Lastly, avoid food and drink after midnight the day of your gynecomastia surgery. Don’t forget to bring any paperwork and your ID to the procedure.

Gynecomastia Surgery FAQs

arrowWhat kind of anesthesia is used for gynecomastia surgery?

Patients will be under either general anesthesia or IV conscious sedation for the procedure. IV conscious sedation may lead to faster recovery time and less nausea, but most patients will need to be under general anesthesia.

arrowWhat should I expect during gynecomastia recovery?

Following your procedure, you will be taken to the recovery room for observation. If surgical drains are inserted during surgery, they will be removed in a few days, at which point bandages and dressings will be changed. Most people return to light activities in one week. You may experience some bruising and swelling, but these side effects will dissipate after three to six weeks. A vest garment is used the first four weeks. Strenuous activities should be avoided for four weeks, and direct sun exposure should be avoided for about six weeks.

arrowWhat are the risks of gynecomastia surgery?

Gynecomastia risks are most often associated with smokers, drinkers, and individuals with undisclosed medical conditions. To reduce your risk of complications, you must be entirely open with Dr. Agullo about your medical history. Additional risks include amplified swelling, bruising, infections, changes in sensation, and adverse reactions to the anesthesia.

arrowHow Much Does Gynecomastia Surgery Cost?

Pricing varies depending on the extent of the treatment or surgery. You can see a list of the approximate prices of each procedure on our current fee schedule. Dr. Agullo charges a consultation fee of $100, which is applied to the cost of your treatment. Generally speaking, cosmetic plastic surgery is considered “elective” and is not covered by most insurance plans. The prices listed on our fee schedule represent the minimum cost of the procedures, including anesthesia and surgical facility fees, medical tests, garments, and recovery products. The cost of prescription medications, however, is not included. The exact price of each procedure can only be determined after a thorough consultation. All fees must be paid in full prior to the scheduled treatment.

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