Gynecomastia is a condition in which the breast tissue of some men becomes enlarged or over developed. It can occur in men of all ages, and can be the result of hormonal changes, genetics, illness, or the use of certain drugs. This chest fullness can be caused by localized fat, excess glandular tissue, or a combination of both fat and glandular tissue. Gynecomastia may be present unilaterally (one breast) or bilaterally (both breasts).
Surgical procedures offered to improve male chest contour include localized liposuction, direct excision of glandular tissue, or a combination of the two. In extreme cases, mastectomies with nipple grafting are necessary. Once Dr. Smith has examined you and taken a thorough medical history he can decide which type of surgery will be necessary.
The extent or pattern of scarring will vary depending on the surgical procedure performed. Most gynecomastia patients will be asked to wear a support/pressure vest for 6 weeks after their surgery. Some patients will also have small drainage tubes for 3 – 5 days post-operatively. You will be provided with specific and appropriate information to care for incisions, dressings, drains and your garment post-op.
Post-operative pain is managed quite well with medication and we ask that you to rest at home for 7 – 10 days after your surgery. You should refrain from any strenuous lifting or strain on the upper body while healing.
You will be typically seen in office 5 – 10 days after your surgery. Our nursing staff will help with incision care and scar management to help you achieve the best possible result.
As with any surgery, there are some risks. Complications can include infection, bleeding (hematoma), asymmetry of breast size or shape, fat necrosis, delayed healing, altered nipple sensation, or loss of the nipple areolar complex. Revisions or secondary procedure are also sometimes necessary.
Dr. Smith will see you 4 – 6 months post-op to assess your result and take photographs.