Male Breast Reduction

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What is Gynecomastia?

Gynecomastia is a common condition that causes enlarged breasts in men, usually due to a hormone imbalance, puberty, aging, medications, and certain health conditions.

Males who feel uncomfortable revealing their chest contours, clothed or unclothed due to their gynecomastia are often good candidate. This procedure can help to boost self-confidence, as well as improve physical comfort for a better quality of life. The best way to determine if this procedure is right for you is through a consultation with Dr. Shienbaum.

Brandon Plastic Surgery is located 48 minutes from Bradenton, 15 minutes from Riverview and 18 minutes from Tampa.

Male Breast Reduction Treatment

The goal of gynecomastia surgery is to reduce the breast size in men with overly large breasts. When it comes to reduction methods, there are three main techniques used today, including liposuction, excision, and a combined approach.

Treatment Options

Liposuction- Can be used alone if fatty tissue is the main cause of your Gynecomastia. Liposuction involves placing a small cannula through incisions in the treatment area, which then suck out unwanted fat cells.

Excision- Is used alone if glandular tissue is the main cause of your Gynecomastia. Excision involves cutting out the excess glandular tissue to remove it for good.

Combination Approach- In some cases, a combination approach is needed that involves both liposuction and excision techniques to treat Gynecomastia.

The treatment technique that is right for you will depend on your individual Gynecomastia case and can be discussed during your consultation with Dr. Shienbaum.

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Gynecomastia Recovery

Following your Gynecomastia procedure, you will be bandaged and will need to wear a compression garment to help support your new chest contours and reduce swelling. For the first three days post-op, you must be at full rest at home. Be sure to avoid vigorous shoulder movements for the first few days, as this could negatively affect results.

 

The overall recovery for your Gynecomastia surgery depends on how severe your condition is and the extent of your procedure. The average patient is usually back to work after a week, however, this may vary depending on the type of work you do.

 

How long will my Male Breast Reduction procedure results last?

Gynecomastia surgical results are permanent, as long as your weight is stable. If your condition arose from the use of medication or anabolic steroids, future use would lead to recurrence.

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What is the cost of Gynecomastia surgery?

The cost of Gynecomastia surgery may vary greatly depending on the severity of your condition and the extent of treatment needed. Pricing can be discussed during your consultation appointment.

How do I know if I need Gynecomastia surgery?

When considering Gynecomastia surgery, the main thing to consider is how much the condition bothers you. If you are too embarrassed to take your shirt off at the beach, do not like wearing form-fitting clothing because it clings to your chests, or are feeling self-conscious due to your condition, you may be a good candidate for this procedure.

Can I have other procedures done along with my Gynecomastia procedure?

Yes, it is safe to undergo other cosmetic procedure along with Gynecomastia surgery. The most common includes liposuction, which can help to slim the stomach and eliminate love handles.

Can I have Gynecomastia surgery if I am overweight?

It is recommended that patients be at a healthy weight before undergoing any form of plastic surgery procedure. However, if you are near your goal weight you should be a good candidate. It is recommended that patients do not lose great amounts of weight after the procedure, as it could negatively impact the results.

Brandon Plastic Surgery is conveniently located 51 Minutes from Lakeland, one hour from Winter Haven and 35 minutes from Wesley Chapel.

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Gynecomastia FAQS

Can guys develop breasts?

Yes. Gynecomastia is an increase in the amount of breast gland tissue in boys or men, caused by an imbalance of the hormones estrogen and testosterone. Gynecomastia can affect one or both breasts, sometimes unevenly.

Can gynecomastia be cured without surgery?

A healthy diet can help you keep your ideal weight and live a long life. But if you're wondering if there is a gynecomastia treatment without surgery, the full answer is only a surgery can remove your gynecomastia.

Can gynecomastia grow back after surgery?

Generally gynecomastia surgery will take care of the problem permanently. Weight gain, steroids, hormones, or other factors could contribute to a recurrence of gynecomastia.

Can thyroid problems cause gynecomastia?

Hyperthyroidism can cause gynecomastia indirectly by changing the ratio of estrogen to testosterone.

Does gynecomastia go away with weight loss?

If someone is very overweight with gynecomastia consisting of just soft fat tissue in the chest region, it is possible to lose this with just regular weight loss via diet and exercise. However, hard breast tissue will not go away with normal weight loss, at least not completely.

Does gynecomastia surgery leave scars?

Depending on the techniques used, surgery for gynecomastia leaves scars which are in different places, and they may be more or less visible or acceptable to the man.

How do I know if I have gynecomastia?

You may have gynecomastia if you notice breast lumps or enlarged breasts, pain in the breast area, and breast tenderness.

How long do you have to wear a compression garment after gynecomastia?

Compression garments post Gynecomastia Surgery are worn for about 6 weeks. By this time the edema settles and also the skin starts to shrink. Sometimes you may need to wear it for a little longer than stipulated. Speak with your plastic surgeon in regards to how long you should wear your compression garment.

How long does it take to recover from male breast reduction?

Full recovery is about 6 weeks to get back to full activities, depending on the patient.

How long till swelling goes down after gynecomastia surgery?

After gynecomastia surgery, bruising and swelling are normal and usually increase slightly after the removal of any tape or foam. The bruising will decrease over 3-4 weeks, but may last as long as 6 weeks. The majority of the swelling will be gone within the first 3-4 weeks.

What causes gynecomastia in males?

Gynecomastia is caused by a hormone imbalance, which may be due to genetic factors, or medications.

When should I start massaging after gynecomastia surgery?

Wait until six to eight weeks after surgery before you began to massage the area. Prior to that, it may actually cause swelling. Consult with your plastic surgeon prior to doing so.

Can gynecomastia be treated non-surgically?

If gynecomastia is caused by being overweight, losing weight through dieting and exercise can be a solution. If you are not overweight, surgery is the only solution for gynecomastia.

Are gynecomastia results permanent?

It is possible, but not likely, for gynecomastia to return after surgery. This only occurs in a very small number of patients, and is usually caused by excessive weight gain or medication use.

Can gynecomastia be repeated?

If you are unhappy with the results of a previous gynecomastia surgery, you may repeat the procedure. Be sure to discuss your history with Dr. Shienbaum during the consultation.

Top gynecomastia surgeon in Tampa Florida ?

Dr. Shienbaum is a gynecomastia surgeon in the Tampa, Florida area with decades of experience. Review his before-and-after gallery to see previous patients' results.

Best gynecomastia surgery pre and post photos ?

Viewing before and after photos for gynecomastia surgery is a good way to understand realistic results and choose your plastic surgeon. See Brandon Plastic Surgery before and after photos in our gallery.

What are the alternatives to gynecomastia - male breast reduction surgery ?

For some patients, liposuction or other body contouring procedures may be a good alternative for gynecomastia surgery. This typically only applies to patients with pseudogynecomastia, or gynecomastia caused by excess fat rather than excess breast tissue.

Vaser male breast reduction gynecomastia surgery ?

VASER liposuction can be used during a gynecomastia surgery. This is an ultrasonic liposuction technique which can also enhance skin tightening.

What are puffy nipples ?

Gynecomastia, can cause men to have nipples that look to be larger, or puffier. This occurs when fatty or glandular tissue settles behind the areola, thus causing protrusive nipples or an enlarged breast area. Setting up an appointment with a Board Certified Plastic Surgeon would be the best step forward as they can help explain the specifics of the Gynecomastia surgery

Gynecomastia surgery without chest scars ?

Gyneocmastia surgery will result in some scarring. However, scarring should be minimal and well-concealed within the natural contours of the chest.

Should I loose weight before my gynecomastia male breast reduction ?

Before undergoing gynecomastia surgery, it is best to be at a healthy and stable weight. Male breast reduction is not considered a weight loss surgery.

Can gynecomastia recur after surgery ?

Excess fat, breast tissue, and loose skin are permanently removed during gynecomastia surgery. Gynecomastia should not recur following surgery.

Can Gynecomastia surgery be done with local or IV sedation ?

Gynecomastia surgery is typically done under general or IV (twilight) sedation. Local sedation is not typically recommended.

Can CoolSculpting remove gynecomastia ?

CoolSculpting can only treat areas of excess fat in the chest area. Patients with true gynecomastia will need a surgical procedure to remove the bothersome glandular tissue.

Can Liposuction remove Gynecomastia ?

Liposuction is often used to contour the chest for patients with excess fat in the area. Those with gynecomastia due to excess breast tissue will require male breast reduction surgery.

Is the gland removed entirely with Gynecomastia surgery ?

Gynecomastia surgery results in the removal of excess glandular breast tissue. A minimal amount of tissue remains to avoid a sunken or inverted nipple .

What is gynecomastia?

Gynecomastia is a condition characterized by the enlargement of male breast tissue, often resulting in a more prominent chest appearance. This enlargement can be caused by hormonal changes during puberty, imbalances in testosterone and estrogen levels, genetic predisposition, certain medications, or underlying medical conditions. Gynecomastia can affect one or both breasts and may present as excess glandular tissue, fat accumulation, or a combination of both. While not typically a serious medical issue, gynecomastia can cause psychological discomfort or self-consciousness in affected individuals. Treatment options include medication to adjust hormone levels or surgical procedures such as liposuction or glandular tissue excision to reduce breast size and improve chest contour.

Am I a good candidate for male breast reduction surgery?

Good candidates for male breast reduction surgery, also known as gynecomastia surgery, typically present with firm, excess breast tissue that persists despite efforts through diet and exercise. They should generally be in good overall health without significant medical conditions that could complicate surgery or recovery. Candidates often experience psychological discomfort or self-consciousness due to the appearance of enlarged breasts, which can impact their quality of life. During a consultation with a board-certified plastic surgeon specializing in gynecomastia, they will evaluate the severity of the condition, discuss treatment options, and determine if surgery is appropriate based on individual circumstances and desired outcomes.

What does male breast reduction surgery involve?

Male breast reduction surgery, or gynecomastia surgery, typically involves removing excess breast tissue and, in some cases, excess skin to achieve a more masculine chest contour. The specific surgical approach depends on the amount of glandular tissue versus fatty tissue present. Liposuction is commonly used to remove excess fat, utilizing small incisions through which a thin tube (cannula) is inserted to suction out fat deposits. For cases involving excess glandular tissue, direct excision techniques may be employed, where the surgeon makes incisions to remove the glandular tissue. In instances where significant skin laxity is present, excess skin may also be surgically excised to achieve a smoother chest appearance. The procedure is tailored to each individual's anatomy and aesthetic goals, aiming to create a flatter, firmer, and more proportionate chest contour while minimizing visible scarring. Recovery typically involves wearing a compression garment to support the chest area during healing and following post-operative care instructions provided by the surgeon to optimize results.

How do I prepare for gynecomastia surgery?

Preparing for gynecomastia surgery involves several steps to ensure a smooth and successful procedure. It's recommended to quit smoking well in advance of surgery to promote optimal healing and reduce the risk of complications. Your surgeon may also advise avoiding certain medications, such as blood thinners, herbal supplements, and aspirin, which can increase bleeding risks. It's essential to arrange for post-surgery care, including someone to drive you home after the procedure and assist with daily activities during the initial recovery phase. During consultations with your surgeon, openly discuss your goals and concerns regarding the surgery, including expectations for the outcome and any questions you may have about the procedure or recovery process. Following these preparations closely helps to ensure a safe surgical experience and enhances the likelihood of achieving satisfactory results from gynecomastia surgery.

Will gynecomastia surgery leave scars?

Gynecomastia surgery typically results in minimal scarring, which is often well-hidden and inconspicuous. The extent and visibility of scars depend on the surgical technique employed. For cases treated with liposuction alone, small incisions are made where the cannula is inserted to suction out excess fat, resulting in tiny scars that tend to fade over time. In instances where glandular tissue excision is necessary, additional incisions may be made around the areola or within natural skin creases to remove the tissue, resulting in slightly longer scars. However, these incisions are strategically placed to minimize visibility and can often blend into the surrounding skin or natural contours of the chest. Proper post-operative care, including avoiding sun exposure and following the surgeon's scar care instructions, can further promote scar healing and minimize their appearance.

What type of anesthesia is used for male breast reduction surgery?

Male breast reduction surgery, or gynecomastia surgery, is commonly performed under either local anesthesia with sedation or general anesthesia, depending on the specific circumstances of the surgery and the patient's preferences. Local anesthesia with sedation allows the patient to remain awake but relaxed during the procedure, while general anesthesia induces a temporary state of unconsciousness. The choice of anesthesia is typically determined by factors such as the extent of tissue removal required, the patient's medical history, and the surgeon's expertise. Your surgeon will discuss the anesthesia options with you during the consultation to ensure your comfort and safety throughout the procedure.

What are the risks and complications associated with gynecomastia surgery?

Gynecomastia surgery, like any surgical procedure, carries inherent risks and potential complications despite being generally safe when performed by a qualified surgeon. Risks include the possibility of infection and bleeding, although these are rare with proper surgical techniques and post-operative care. Asymmetry or uneven contours of the chest may occur, especially if there's difficulty in achieving perfect symmetry between the two sides. Additionally, while most patients achieve satisfactory outcomes, there's always a possibility of dissatisfaction with the aesthetic results. It's crucial to discuss these risks comprehensively with your surgeon during the consultation phase, ensuring you have a thorough understanding and realistic expectations before proceeding with gynecomastia surgery.

How long does gynecomastia surgery take?

Gynecomastia surgery typically takes approximately 1-2 hours to complete, though this can vary based on the individual patient's anatomy and the extent of tissue removal required. The surgical technique employed also influences the duration; procedures involving liposuction alone may be quicker compared to those combining liposuction with glandular tissue excision. During the surgery, the surgeon removes excess breast tissue and fat through small incisions, which are strategically placed to minimize visible scarring. Following the procedure, patients are typically monitored in a recovery area to ensure their well-being before they can return home the same day in many cases.

What is the recovery period like after male breast reduction surgery?

After male breast reduction surgery, the initial recovery period usually spans 1-2 weeks, during which patients may experience swelling, bruising, and some discomfort. Pain medications prescribed by the surgeon can help manage any discomfort during this time. It's common for patients to wear a compression garment to minimize swelling and support the healing tissues. While most individuals can resume light activities within a few days, strenuous exercise and heavy lifting should be avoided for several weeks to ensure proper healing. Complete resolution of swelling and the achievement of final aesthetic results may take several months as the tissues settle into their new contour. Regular follow-up appointments with the surgeon are essential to monitor progress and address any concerns throughout the recovery process.

Will I experience pain after gynecomastia surgery?

After gynecomastia surgery, it's common to experience mild to moderate discomfort, which can typically be managed effectively with pain medications prescribed by your surgeon. The level of discomfort may vary depending on the extent of the procedure and individual pain tolerance. The discomfort is often most noticeable during the first few days after surgery and gradually diminishes as the healing process progresses. Following post-operative care instructions, including wearing a compression garment as recommended and avoiding strenuous activities, can also help minimize discomfort and support the recovery process. It's important to communicate any concerns or unusual symptoms with your surgeon promptly to ensure appropriate management and a smooth recovery experience.

When can I return to work or normal activities after gynecomastia surgery?

After gynecomastia surgery, most patients can expect to return to work within approximately one week, depending on the nature of their job and the extent of the surgical procedure. Jobs that involve minimal physical exertion may allow for an earlier return, while those requiring heavy lifting or strenuous activity may necessitate a longer recovery period. It's advisable to avoid strenuous activities and exercise for several weeks to ensure proper healing and minimize the risk of complications. Your surgeon will provide specific guidelines tailored to your recovery progress, ensuring a safe and effective return to normal activities while supporting optimal healing of the treated area.

Will I need to wear a compression garment after surgery?

Yes, wearing a compression garment after gynecomastia surgery is typically recommended to help minimize swelling, provide support to the treated area, and facilitate proper healing. The compression garment helps to contour the chest and reduce fluid buildup, which can contribute to a smoother and more even appearance post-surgery. Your surgeon will provide specific instructions on when and how long to wear the compression garment based on your individual recovery progress and the extent of the procedure performed. Adhering to these guidelines can contribute significantly to achieving the desired outcomes of the surgery and ensuring a comfortable recovery experience.

How soon will I see the final results of male breast reduction surgery?

After male breast reduction surgery, initial swelling and bruising typically diminish within the first few weeks. However, it may take several months for the final results to fully manifest as the remaining swelling continues to subside and the chest area settles into its new shape. Factors such as the extent of tissue removal, individual healing processes, and adherence to post-operative care guidelines can influence the timeline for seeing the final results. Your surgeon will monitor your progress during follow-up appointments and provide guidance on when you can expect to achieve the optimal outcome from the procedure.

Can gynecomastia come back after surgery?

If gynecomastia surgery effectively removes excess breast tissue and addresses the underlying causes, recurrence is typically rare. However, maintaining a stable weight and hormonal balance are crucial factors in preventing potential regrowth of breast tissue. Significant weight gain or hormonal fluctuations can impact the surgical results over time. It's important for patients to follow their surgeon's recommendations for post-operative care and to lead a healthy lifestyle to optimize long-term outcomes following gynecomastia surgery. Regular follow-up visits with the surgeon can also help monitor any changes and address concerns promptly.

What should I do if I'm unhappy with the results of gynecomastia surgery?

If you're unhappy with the results of gynecomastia surgery, start by giving yourself time for full recovery, as swelling and residual effects can take a while to subside. Schedule a follow-up appointment with your surgeon to discuss your concerns openly and clearly. They can assess whether the results align with the surgery goals and determine if revision surgery is needed.

How much does gynecomastia surgery cost?

Gynecomastia surgery costs can vary widely, but generally, you might expect to pay anywhere from $3,000 to $8,000. In major metropolitan areas or for highly experienced surgeons, the cost might be on the higher end. This price typically includes the surgeon's fee, anesthesia, and facility charges, but it’s important to check if there are additional costs such as pre-surgery consultations, post-operative care, or follow-up visits. Insurance coverage may also affect out-of-pocket expenses, so it's a good idea to consult with your surgeon’s office for a more accurate estimate.

Is gynecomastia surgery covered by insurance?

Yes, gynecomastia surgery may be covered by insurance if it is deemed medically necessary. Coverage typically depends on whether the condition causes significant discomfort or functional impairment. Many insurance companies require documentation of these issues, including medical records and sometimes evidence that other treatments have been tried and failed.

How experienced is my surgeon in performing gynecomastia surgery?

To ensure your gynecomastia surgery is performed by a highly qualified professional, choose a board-certified plastic surgeon with specific experience in male breast reduction procedures. Verify their credentials, including their training and any relevant certifications. Request to see before-and-after photos of previous patients to gauge their skill and results. Additionally, reading patient reviews and scheduling consultations can help you assess their expertise and ensure you feel comfortable with their approach. These steps will help you select a surgeon who can provide optimal outcomes for your procedure.

What should I avoid before gynecomastia surgery?

Before gynecomastia surgery, avoid smoking, as it can impair healing and increase the risk of complications. Refrain from taking aspirin and certain herbal supplements, as they can elevate bleeding risk. It's crucial to follow your surgeon's specific pre-operative instructions meticulously, which may include dietary restrictions and adjustments to medications. Adhering to these guidelines will help ensure a smoother surgery and recovery process.

Can gynecomastia surgery improve my self-esteem?

Yes, gynecomastia surgery can significantly enhance self-esteem for many patients. By addressing the physical appearance of enlarged breasts, the procedure often leads to improved body image and self-confidence. Many individuals report feeling more comfortable and positive about their bodies after surgery, which can have a profound impact on their overall well-being and social interactions.

Will I have drains after gynecomastia surgery?

Drains are usually not required after gynecomastia surgery unless significant tissue removal is involved. Most patients undergo the procedure without the need for drains, but your surgeon will determine if they are necessary based on the extent of your surgery and individual healing needs. Your surgeon will provide specific advice and instructions tailored to your case.

Will I have sensation changes in my chest after surgery?

Temporary numbness or changes in sensation around the chest area are common after gynecomastia surgery and typically resolve as healing progresses. These sensations may be due to surgical trauma to the nerves, but most patients experience a gradual return to normal feeling over time. It's important to follow your surgeon’s post-operative care instructions and be patient with the healing process. If any sensation changes persist or cause concern, consult your surgeon for guidance.

Can exercise help prevent gynecomastia?

Regular exercise and maintaining a healthy weight can help reduce the risk of developing gynecomastia, particularly if the condition is associated with weight gain. Engaging in physical activity helps manage body fat and hormonal balance, which can be beneficial in preventing or mitigating gynecomastia symptoms. However, if gynecomastia is caused by factors unrelated to weight or lifestyle, exercise alone may not prevent it, and other medical or surgical interventions may be necessary.

Can gynecomastia surgery be combined with other procedures?

Yes, gynecomastia surgery can be combined with liposuction or other cosmetic procedures to achieve more comprehensive body contouring results. Many patients opt for these combined approaches to address multiple aesthetic concerns simultaneously, enhancing overall body shape and appearance. Your surgeon can help determine the best combination of procedures based on your specific goals and ensure a coordinated treatment plan for optimal outcomes.

When can I resume exercise after gynecomastia surgery?

After gynecomastia surgery, it's important to avoid strenuous exercise for several weeks to ensure proper healing and avoid complications. Your surgeon will provide specific guidance on when you can safely begin to gradually resume physical activities based on your individual recovery progress. Adhering to these recommendations is crucial for achieving the best results and minimizing the risk of adverse effects.

What can I do to minimize swelling after gynecomastia surgery?

To minimize swelling after gynecomastia surgery, it is essential to follow your surgeon's post-operative instructions carefully. This typically includes wearing a compression garment as directed, which helps control swelling and supports the healing process. Additionally, avoid activities that could increase swelling or strain the surgical area. Adhering to these guidelines will aid in a smoother recovery and better overall results.

Are there any long-term risks associated with gynecomastia surgery?

Long-term risks associated with gynecomastia surgery are rare but can include changes in nipple sensation, possible asymmetry, or recurrence of breast tissue if the underlying causes are not fully addressed. While most patients achieve satisfactory and lasting results, it is important to discuss potential risks and ensure that any contributing factors are managed to minimize the chance of these issues. Following your surgeon’s post-operative care recommendations can help mitigate these risks and support long-term success.

Can gynecomastia surgery affect nipple appearance?

Gynecomastia surgery is designed to preserve nipple appearance and sensitivity as much as possible. Surgeons use techniques that aim to maintain the natural look and feel of the nipples, but individual results can vary based on your specific anatomy and the extent of the procedure. It's important to discuss potential effects with your surgeon, who can provide detailed information and address any concerns about how the surgery might impact your nipple appearance.

What can I do if I have concerns or questions after surgery?

If you have concerns or questions after surgery, you should reach out to your surgeon, who will be available to address them and provide guidance. Following the post-operative care instructions provided is crucial, and don’t hesitate to contact your surgeon if you experience any unusual symptoms or need clarification on your recovery process. Open communication with your healthcare provider ensures that you receive the support and information necessary for a smooth and successful recovery.

How can I ensure the best possible results from gynecomastia surgery?

To ensure the best possible results from gynecomastia surgery, adhere closely to your surgeon's pre- and post-operative instructions, including attending all follow-up appointments. Maintaining a healthy lifestyle, including a balanced diet and regular exercise, can further support optimal healing and long-term results. Following these guidelines diligently helps achieve the best outcome and minimizes the risk of complications.

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