Correction of Enlarged Male Breasts

Correction of Enlarged Male BreastsIf excess glandular tissue is the primary cause of the breast enlargement, Dr. Lesavoy will  excise, or cut it out, with a scalpel.  The excision may be performed alone or in conjunction with liposuction.  In a typical procedure, an incision is made in an inconspicuous location — either on the edge of the areola or in the underarm area.  Working through the incision, Dr. Lesavoy cuts away the excess glandular tissue, fat, and skin from around the areola and from the sides and bottom of the breast.  Major reductions that involve the removal of a significant amount of tissue and skin may require larger incisions that result in more conspicuous scars.  If liposuction is used to remove excess fat, the cannula is usually inserted through the existing incisions.

If your gynecomastia consists primarily of excessive fatty tissue, Dr. Lesavoy will most likely use liposuction to remove the excess fat.  A small incision, less than a half-inch in length, is made around the edge of the areola or in the underarm area.  A slim hollow tube called a cannula which is attached to a vacuum pump is then inserted into the incision.  Using strong, deliberate strokes, Dr. Lesavoy will move the cannula through the layers beneath the skin, breaking up the fat and suctioning it out.  Patients may feel a vibration or some friction during the procedure, but generally no pain.

MaleBreastCorrection2In extreme cases where large amounts of fat or glandular tissue have been removed, skin may not adjust well to the new smaller breast contour.  In these cases, the excess skin may have to be removed to allow the remaining skin to firmly re-adjust to the new breast contour.

In some cases, a small drain is inserted through a separate incision to draw off excess fluids.  Once closed, the incisions are usually covered with a dressing.  The chest may be wrapped to keep the skin firmly in place.

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