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Gynecomastia or Male Breast Reduction

Restore your confidence and masculine-looking chest.

If you have gynecomastia, you can’t take off your shirt at the gym or on the beach without feeling self-conscious. Even though the condition is embarrassing, enlarged breast tissue in men is very common. Luckily, it can be corrected with gynecomastia surgery, also called male breast reduction. Reduction methods include SAFELipo®  alone or SAFELipo® combined with excision, depending on the amount of excess breast tissue and the presence of excess skin. These procedures can restore your confidence and masculine-looking chest, so that you don’t ever have to hear the words “man boobs” again.

Drs. Gordon and Reid have helped many men over the years with this surgery. It’s a very gratifying procedure for both patient and surgeon. After your gynecomastia surgery, your clothes will fit better, you will feel free to bare your chest again, and you can participate in sports and other physical activities without embarrassment. Scars are easily hidden so that no one has to ever know you have had surgery.

 

Your Gynecomastia Concerns:

How long will my results last?

Gynecomastia surgical results are permanent, assuming your weight is stable. If your condition arose from the use of medication or anabolic steroids, further use could lead to recurrence.

How long does it take to see the final result?

  • As with most surgeries, you may notice a decrease in sensation in the treated area(s). This is more frequent if you required significant liposuction. Most men find the temporary loss of sensation to be insignificant. Sensation returns after a year for most.
  • In some patients with diminished elasticity (most commonly older patients), there may be excess skin or skin creases that are more noticeable postoperatively. Most of these creases will persist for six to twelve months and then diminish significantly, as the loose skin tightens with time and wound contraction.
  • After male breast reduction surgery, there is a phenomenon of spontaneous shrinking of the entire areola. The diameter of the areola will decrease ten to fifty percent from the original size. This usually occurs after significant amounts of glandular tissue are removed.
  • Be patient. It may be three months or more before the swelling abates and you can see the final results.

What will my scars be like?

Scars resulting from gynecomastia surgery vary, depending on the approach used and the elasticity of your skin. If your breasts are small and most of the excess tissue is fat, your scars will be tiny.  If tissue needs to be removed from behind your areola, the incision will be placed under the areola. If the areolas are large and need reduction also, then the incision goes all the way around the areola. In rare cases of excessive tissue and skin, the scar may be placed in the lower chest crease. We will teach you how to take care of your incisions and scars to optimize their appearance long term. If your scars are not progressing they way we’d like them to, we have several options available, like Laser Scar Therapy.

What are the risks of gynecomastia surgery?

Like all surgical procedures, male breast reduction involves certain risks, including the possibility of bleeding, infection, fluid collection, changes in skin and nipple sensation, contour irregularities and/or unfavorable scarring.

When can I get back to the gym?

We like for you to avoid vigorous exercise for several weeks after surgery to minimize bleeding and swelling. After 3 weeks if you are healing well, you can start some light cardio. At six weeks, you will be able to get back to your regular exercise program.

How long will I need to take off of work?

Most men treated with a combination of SAFELipo® and breast gland tissue excision take a week off from work, unless their job is strenuous, which might require taking 2 weeks off.

What can I expect after surgery?

Your recovery time after gynecomastia surgery depends on how severe your condition is and what procedure you had. Gynecomastia surgery usually has a relatively gentle recovery period. You will probably be asked to wear a compression garment for a few weeks while you heal. There will be some swelling and bruising, but any post-operative pain can be managed with pain medication.

Where will my gynecomastia surgery be performed?

Your chest reduction will be performed as an outpatient procedure at INSPIRE, our fully accredited, AAAASF, surgery center. A board-certified anesthesiologist will administer general anesthesia.

What’s the difference between Restora Austin gynecomastia procedures and others?

What differentiates our surgeons most from other practices that perform gynecomastia surgery is our aesthetic philosophy and our state-of-the-art equipment and techniques, like SAFELipo®. Drs. Gordon and Reid trained with the creator and inventor of SAFELipo®, Dr. Simeon Wall, Jr. and are the only certified SAFELipo® providers in Austin. They will evaluate your anatomy and desires, and create a surgical plan that is tailored specifically for you.

How is gynecomastia surgery performed?

The goal of gynecomastia surgery is to restore a normal male breast contour and to correct deformities of the breast, nipple or areola. Surgical options include SAFELipo®, excision or surgical removal of excess tissue or a combination of both approaches. Glandular breast tissue, especially the tissue behind the nipple, is denser than fatty tissue, and sometimes this tissue is excised through a small incision to give the best result. This will correct “puffy” nipples. The choice of surgical technique depends on your skin quality and the likelihood of skin redundancy after surgery. Skin shrinkage is greater in younger patients than older patients.

  • SAFELipo® contouring using PAL, or Power Assisted Liposuction works great in cases of mild to moderate gynecomastia with minimal excess skin. Drs. Gordon and Reid are the only certified SAFELipo® providers in all of Austin. In SAFELipo® breast reduction, there is less compromise of blood supply, nipple distortion and areola slough. In addition, postoperative complications are fewer with this technique than with open surgical resection; however, SAFELipo®  breast reduction is not effective for correcting severe glandular gynecomastia. The fatty and glandular components of your breast must be assessed before surgery.
  • Minimally invasive gynecomastia surgical procedures have gained popularity. In the “pull-through technique,” a very small incision (approximately 5 mm) is made at the areolar edge. Following SAFELipo®, the glandular tissue from the overlying areola is pulled through the incision. The major advantage of this procedure is a smaller incision.
  • If excision is necessary, the most common approach is the intra-areolar incision, or Webster incision, which extends along the circumference of the bottom half of the areola in the pigmented portion.
  • The length of your incision will be based on your anatomy and how much skin and tissue needs to be removed.
  • In severe gynecomastia, skin resection and moving the nipple (nipple transposition) may be necessary.

Am I a good candidate for gynecomastia surgery?

Most men with gynecomastia are candidates for breast reduction surgery, but the best candidates are near their ideal weight and have no significant health problems. If you are overweight, we might advise you to try to lose weight first. Sometimes, weight loss can alleviate a male breast condition without surgery if the excess tissue is fat and not glandular tissue. If not, substantial weight loss after surgery could cause further sagging of your skin, and a revisionary surgery could be necessary.

What causes gynecomastia?

In most cases, it is difficult to pinpoint the exact cause of gynecomastia. Certain drugs, like marijuana and anabolic steroids, hormonal changes and weight fluctuations can increase the size of the male breast. We see it frequently during puberty when there is a relative excess of estrogen compared to testosterone. Genetic factors also play a role.

Are you ready for your flat, masculine chest? Call Restora Austin today at 512.371.8817.

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Restora Austin is largely based on word of mouth referrals from happy patients. Although we are one of the busiest plastic surgery practices in Austin, we will always remain a boutique practice, where quality time spent with patients and building long-term relationships are our top priorities. Watch these patient testimonial videos to learn what you can expect when you visit our practice.

Testimonials

Kelly

My name is Kelly and Dr. Ashley Gordon did my procedures.

I went to many other doctors, did extensive research, did a lot of consultations… I just never had that feeling that everything was a complete package. So I was researching on the internet and I went from the Houston market to the Austin market, and Restora came up. It did not matter if there was one review, or 120 reviews, it was always five stars.

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