Gynecomastia comes from the Greek word meaning “woman-like breasts”. Although rarely discussed openly, gynecomastia is surprisingly common affecting nearly 40-60% of men. This condition can be emotionally devastating leading to shame, humiliation, and a sense of demasculinization. From childhood taunting to anxiety over taking off his shirt at the beach, the man with gynecomastia deals with psychological stress every day. While there are certain medical causes of gynecomastia that should be ruled out, for most, the condition’s cause is unknown. For men who feel self-conscious about their appearance, breast reduction surgery can help. The procedure removes fat and or breast glandular tissue while in extreme cases excess skin is also removed. The goal is a chest that is firmer, flatter with an overall improved, more masculine contour.
In a majority of cases, the predominant tissue component responsible for gynecomastia is excess fatty tissue. For this type of gynecomastia, breast contouring can be achieved using only ultrasonic liposuction techniques (UAL). With the latest technological advances using the Lysonix Ultrasculpt device, the dense fatty tissue of the breasts can be safely and easily removed via tiny incisions in the armpit or under the breast fold without the need for invasive surgery and potentially long scars. The fibrofatty tissue is ultrasonically liquefied and suctioned out allowing the skin of the breast to recontour (for more information on UAL refer to the Liposuction section of this website). In those cases, where a small, central bud of breast glandular tissue also contributes to the gynecomastia, a small incision is made at the lower border of the areola and this tissue is surgically removed. Lastly, for those cases where an enormous excess of skin is also present, a formal breast reduction technique is necessary. Obviously, with these techniques a longer, more visible scar results which is the tradeoff to eliminate the contour deformity of enlarged, hanging breasts.
During the initial consultation, a detailed history will be obtained, followed by a thorough breast examination. The treatment plan will then be individualized depending on the severity of the gynecomastia, its’ tissue type and the quality of the skin envelope. The specific proposed procedure will then be explained including the risks, complications and the anticipated results.