Gynecomastia is a medical term used to label the over development of the male breast. Abnormal male breast development is very common and is thought to be due to an imbalance of the hormones estrogen and testosterone and it is also seen in association with medical conditions like heart disease, kidney and liver disease and in patients that take certain prescription medications and marijuana.
Excessive breast development can also be seen patients who are overweight. If male breasts develop, it is important to seek medical advice to be sure the cause is not reversible. If the condition is deemed irreversible and the patient is healthy and emotionally stable, they should consider male breast reduction surgery. During the initial consultation, Dr. Casas will assess the development of your breasts and whether your abnormal breast development can be reversed without surgical intervention. During this time you will be asked to share your desired result so that Dr. Casas can understand your expectations and determine whether they realistically can be achieved. Together, you will decide when and if you are a good candidate for breast reduction surgery. The best candidates are patients who have diet and exercise resistant excessive male breast development and who also have elastic skin that will contract around the chest muscles after the breast tissue is removed.
Male breast reduction surgery is typically performed on an outpatient basis and under general anesthesia and involves using liposuction and sometimes direct removal of excessive breast tissue. Surgery takes about one hour per breast and involves the removal of gland, fat and rarely skin to achieve the best possible result. Scars are typically small and are always placed in the least visible location. Any surgical drains will be removed a day or two after surgery, at which time your dressings may also be changed or removed. Postoperative care involves wearing compression garments that are sold as work out gear for 2-4 weeks following surgery. Most patients return to work in 2-4 days. Any sexual activity should be avoided for a minimum of two weeks, and Dr. Casas may advise you to wait longer. After that, care must be taken to be extremely gentle with your chest skin for at least 4-6 weeks.
Manual Lymphatic Drainage, administered by massage, is used after each procedure to reduce swelling. The number of sessions is individualized. It is important that patients follow a healthy lifestyle leading up to and following procedures, including non-smoking, a healthy diet and daily vitamins. Click here to learn more.