Gynecomastia is a condition characterized by stubborn excess fat or excess glandular breast tissue in the male chest. Men can develop gynecomastia during infancy, puberty, or adulthood, and this condition is often resistant to diet and exercise. Gynecomastia may be caused by a hormone imbalance such as the relative excess of estrogen, or it may be a side effect of certain medications or drug use. To correct gynecomastia, patients have the option of undergoing male breast reduction, commonly known as gynecomastia surgery, to restore their natural masculine chest appearance. Gynecomastia surgery is performed to remove stubborn excess fat, glandular breast tissue, and skin. Depending on the patient, this may involve liposuction, excision, or a combination of techniques for optimal skin tightening results.Schedule a Consultation
Gynecomastia Surgery Options
Liposuction involves removing fat through a small incision either along the areola or within the armpit. Dr. Bonaldi inserts a hollow tube (cannula) into the incisions to disrupt the fat cells and remove them using suction. This procedure can be performed alone or in conjunction with excision during gynecomastia surgery to achieve the desired results.
In cases where the patient has excessive glandular tissue, excision can be performed to sculpt the chest contours. The excess tissue is removed, and skin can be trimmed and tightened if needed. Liposuction may also be performed to remove unwanted fat. This comprehensive approach produces a firmer and flatter chest appearance.
Addressing Your Concerns
After surgery, patients will be sore for a few days with minimal pain. To enhance the patient’s comfort and help the chest heal, a compression garment is recommended to be worn throughout the recovery process. Typically, patients may return to work or school within a few days but should refrain from exercise for three weeks. You will be provided with a recovery timeline tailored to your procedure during your consult visit.
The severity of scarring that may develop depends on the extent of correction required, but following all aftercare instructions can help scars fade over time. The incisions used for liposuction may result in tiny, nearly imperceivable scars. Dr. Bonaldi is careful to place the incisions used for skin and tissue removal within the natural contours of the chest or along the edges of the areolas to minimize visible scarring.
The cost of gynecomastia surgery varies depending on the technique(s) used, anesthesia fees, and surgical fees. During your consultation appointment, Dr. Bonaldi will calculate a cost estimate for your procedure based on your unique needs.
Most patients experience mild to moderate discomfort following this procedure. Pain can be managed with over-the-counter medication, as advised by Dr. Bonaldi.
Frequently Asked Questions
Do I have to quit smoking before my gynecomastia surgery?
Yes, patients must avoid smoking for at least four weeks before and after surgery. Tobacco use increases the risk of complications and impairs healing.
How long will my gynecomastia surgery results last?
The results of gynecomastia surgery are meant to be permanent; the fat, glandular tissue, and skin are gone for good. However, weight gain, steroid use, and certain medications could result in a recurrence of gynecomastia. It is important that patients maintain a healthy lifestyle with a proper diet and regular exercise for lasting results.
What are the risks and complications associated with gynecomastia surgery?
Experiencing complications after gynecomastia surgery is rare, but potential risks may include hematoma, infection, changes in sensation, and scarring.
When will I see the results of my gynecomastia surgery?
Bruising may persist for two to three weeks, and it can take three months or longer for all residual swelling to subside and reveal your final results.
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Louis A. Bonaldi MD
6630 South McCarran Blvd. Suite B20
Reno, Nevada 89509
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