What is gynecomastia?
A hormone imbalance between testosterone and estrogen can lead to Gynecomastia, an enlargement of breast gland tissue. Generally occurring in young male adolescents going through puberty, this condition may cause anxiety but is normally self-correcting with time. Fortunately, the body has a way of righting itself when it comes to these imbalances.
For elderly men, gynecomastia has the potential to become a permanent condition - prompting the need for male breast reduction surgery. Not only is this physically uncomfortable and bothersome, but it can also cause psychological distress such as insecurity or shame about one's appearance. Therefore, prompt attention should be paid to not just physical symptoms of hormonal imbalance, but emotional ones too.
Gynecomastia can be identified by the presence of granular tissue beneath the nipple which may cause a feeling of tenderness in that region. As this condition progresses, one may additionally experience further breach enlargement and distortion to their breast area.
What causes gynecomastia?
Gynecomastia can be caused by a variety of causes:
PHYSIOLOGIC CAUSES
Boys between the ages of 12 and 16 are most common victims of gynecomastia, yet there is a silver lining: for about 25% of those afflicted with this condition, no treatment is needed! All that's required is to be patient until your son reaches 18, when his gynecomastia should naturally vanish.
PHARMACOLOGIC CAUSES
Numerous medical studies have revealed that medications, drugs, or supplements can be a root cause of Gynecomastia in males.
A few of the most common medical causes are drugs like finasteride, cyproterone, and spironolactone which combat conditions such as baldness and enlarged prostate. These medications function by curbing male hormone production in our bodies.
Gynecomastia is often caused by pharmacological agents, including the following:
- Antibiotics (Isoniazid, Ketoconazole, Metronidazole)
- Blood pressure medications (Amlodipine, Verapamil, Enalapril, Nifedipine)
- GI medications (Cimetidine, Ranitidine, Omeprazole)
- Hormones (Anabolic steroids, Estrogen, Growth Hormone)
- Psychiatric medications (Valium, Phenothiazine, Amitriptyline)
- Cannabis users may also experience the symptoms of gynecomastia
If you are experiencing gynecomastia as a result of pharmaceuticals, the best course of action is to discontinue that particular drug or supplement. If your signs and symptoms remain, further treatment may be necessary for successful resolution.
PATHOLOGIC CAUSES
Gynecomastia can be indicative of a variety of underlying medical issues, like tumors in the brain, testicles, breasts and adrenal glands. Furthermore, it may also be caused by chronic diseases related to the kidney, thyroid and liver. Therefore before any treatment is considered for Gynecomastia it is imperative that all potential causes have been accurately medically identified.
IDIOPATHIC CAUSES
If you or your family have a history of gynecomastia, it's possible that you may be at risk of developing the condition. However, even those with idiopathic causes - cases where no other health concerns are present - can still find relief after puberty has ended! So don't fear; there is hope and help available in treating this issue.
PSEUDOGYNECOMASTIA
If you've noticed the signs of gynecomastia, don't panic; it may not be gynecomastia at all. Many men are surprised to find out that their abnormal fat accumulation in their chest is actually pseudo gynecomastia instead. This condition tends to affect overweight or obese individuals and those who have lost weight but did not experience anticipated skin retraction around their chests.
HOW DOES MALE BREAST REDUCTION (GYNECOMASTIA REPAIR) WORK?
When it comes to gynecomastia, men have the opportunity to choose from various male breast reduction procedures. Liposuction and surgery are two of the most common options but can be custom-tailored for each individual's needs - as every case is different! To get started on your personal treatment plan that meets all of your desired outcomes, an expert consultation should be held with a doctor or surgeon who specializes in this area.
A local anesthetic is administered to ease the incisions, and general anesthesia ensures sedation for male breast reduction surgery. With careful precision, unwanted fat and glandular tissues will be safely extracted, followed by removal of unneeded skin if needed.
Once you have completed your procedure, it is important to put on a compression garment in order to reduce any swelling. As this medical process can be conducted as an outpatient treatment, after the surgery concludes you are free to head back home.
WHAT INCISIONS ARE THERE WITH GYNECOMASTIA SURGERY?
At our clinic, we are committed to making the incisions for male breast reduction as unobtrusive as possible. We place them in natural contours of the chest or along pigmented spots around the nipple area whenever feasible - this ensures that any resulting scars will be nearly invisible. If there is an excessive amount of skin on your breasts, additional cutting may be required so you can have a more masculine appearance following surgery; underarm incision might also become necessary depending on your individual case.
WHAT TECHNIQUES ARE USED FOR GYNECOMASTIA?
If gynecomastia is caused by excessive breast tissue, the preferred treatment method is often liposuction. A cannula, a narrow tube inserted through tiny incisions in the skin, serves as an instrument to carry out this process.
Through the use of a cannula, we can gently and effectively remove fat deposits from targeted areas. In order to ensure successful results for patients undergoing liposuction procedures, it is important that we evaluate each case individually so as to select the most suitable technique which will deliver desired outcomes. With careful examination and consideration of personalized goals, you can trust us with providing the best treatment plan tailored specifically for you!
If gynecomastia is caused by too much fat or skin, excisional procedures are essential to achieve a precise remedy. For those looking for an aesthetically pleasing and masculine chest shape with natural contours, repositioning the nipple and reducing the size of the areola through surgical removal may be necessary.
For countless patients trying to achieve their desired body contour, combining liposuction with excision techniques is an ideal approach.
PLASTIC SURGERY FOR MALE BREAST REDUCTION
Gynecomastia treatment surgery is a dependable way to address an excessive amount of breast tissue in men. For most cases, liposuction and excision are the preferred methods for removal; however more demanding circumstances may necessitate additional skin to be removed as well as repositioning of nipples.
Deciding whether or not to have plastic surgery for gynecomastia is a complicated endeavor, and men suffering from this condition must thoroughly evaluate their symptoms and health before proceeding with the operation. Depending on various considerations within each individual case, male breast reduction could be the optimal solution.
Contact UsARE YOU A CANDIDATE FOR GYNECOMASTIA SURGERY?
Meticulous assessment of each male patient is necessary to determine if surgery is the most desirable route for successful gynecomastia treatment. Surgery may not be a suitable option in all cases, so it's critical that we consider every individual's particular symptoms and circumstances before making an informed decision.
When assessing the necessity of this type of surgery for male patients, it is critical to consider the following elements:
- Surgery is the only reliable option for gynecomastia, as other treatments have proven to be inadequate.
- The patient is in excellent physical condition and shows no signs of any life-threatening illnesses or conditions.
- The patient does not have a history of smoking or using recreational drugs.
- The breast has fully grown and developed to its final size.
- The patient is unsatisfied with their current physical appearance and has determined that gynecomastia surgery will be the most effective solution.
GYNECOMASTIA / MALE BREAST REDUCTION BEFORE & AFTERS
These are photos of real male patients who have undergone gynecomastia surgery for male breast reduction.
WHAT IS DISCUSSED DURING THE GYNECOMASTIA SURGERY CONSULTATION?
During our introductory meeting, we can recognize your gynecomastia symptoms and develop a tailored treatment plan for you. After conducting a physical assessment to understand the extent of your enlarged breasts, we will use both lab tests and imaging scans (where necessary) to rule out any pathological source. Thereafter, potential solutions to this condition will be discussed with you so that together we can figure out the best way forward.
During your consultation, make sure to inquire about any questions or worries you have regarding your condition and its potential treatments. This will enable us to evaluate if surgery is the best course of action for you or if alternate forms of therapy might be more appropriate in this situation. Don't miss out on an opportunity- ask all that comes to mind!
Following determination of a suitable treatment plan, you and your doctor can then discuss any other concerns regarding the appearance and design of your breasts. You may need additional measures such as taking away extra skin, repositioning nipples or diminishing areola/nipple size - all subjects that may be discussed in detail before going through surgery.
HOW TO PREPARE FOR THE SURGERY?
If you are considering a gynecomastia surgery, it is absolutely critical to make sure that your overall health is in top shape. Making some lifestyle modifications prior to the operation can ensure an easy recovery and exceptional results! Therefore, you should always prioritize your wellbeing if interested in this procedure.
At WiserMD, we are committed to providing the best possible care and keeping you safe - always. To ensure the highest standard of safety and comfort, Dr. Wiser completes a thorough lab evaluation of your body before any surgery begins. Should there be anything identified during this stage that requires further attention or treatment, his team will prioritize remedying them first so that you get the safest procedure available!
As you recuperate from a medical operation, your body needs additional nutrients to fortify its immune system. At WiserMD, we will supply you with a personalized dietary supplement specifically designed to nourish and optimize your physique for maximum healing.
At WiserMD, we are dedicated to providing our patients with the highest quality of care. We understand that infections associated with male breast reduction surgery can be exceptionally rare; however, Dr Wiser is taking additional measures to guarantee a decrease in this chance even further. Our top priority is always patient safety, and that's why Dr. X prescribes an evidence-based anti-septic soap to all his patients one week prior to their procedure; this helps combat bacteria on the skin which can lead to post-surgery infections. Additionally, we strongly encourage daily showering during this period in order to further reduce the risk of infection. Rest assured you are in safe hands with us!
Diet is a particularly critical part of the changes you should make. We were taught this as children - to say no to too much sugar and yes to more fruits and veggies! When preparing for gynecomastia surgery, however, these rules become even more important in order for us to maintain optimal health while giving ourselves respect.
Exercise is a critical component for success in advance of any surgery. Alcohol intake should be substantially reduced and nicotine-based products must be avoided in the days before the operation. In addition, it's imperative to abstain from taking steroidal supplements or hormones prior to undergoing surgery.
Establishing healthy habits now will guarantee a successful recovery from breast reduction surgery and long-term rewards for your health. Take the necessary steps today to ensure that you are able to heal quickly - the results of these lifestyle changes will be worth it!
RECOVERING FROM GYNECOMASTIA SURGERY
Every person's body is one-of-a-kind, so their recovery time after a male breast reduction can be different. Generally, though it takes about four to six weeks for the body to rejuvenate and heal following the surgery. Additionally, any procedures or treatments that are personalized to an individual during the operation may have an effect on this healing period - be sure you speak with your doctor ahead of time!
In order to maximize the results of your gynecomastia surgery, it is imperative that you give yourself enough time to recover. This includes taking a break from work and avoiding strenuous activities like exercise or physical labor. Make sure to stay home and rest up so that your body has ample opportunity for healing after the procedure!
The first few days after surgery can be excruciatingly painful, often causing soreness and distress around the chest area. To ease this suffering, a doctor may prescribe pain medication as needed. Swelling in the chest is also common but wearing compression garments will help reduce it. Dr Wiser has recently developed an innovative way to manage post-surgery pains by blocking sensations near the breasts for 12-24 hours which proves quite effective at reducing discomfort levels.
Following the surgery, you should experience a gradual decrease in pain, swelling and discomfort as you slowly resume your normal activities. However, it is paramount to keep in mind that regaining pre-surgery levels of activity won't be achievable overnight.
It is essential that you attend a post-op consultation to discuss the protocols necessary for successful healing in upcoming weeks. To ensure proper recovery, wear compression garments and take all medications prescribed by your physician during this period.
HOW MUCH DOES MALE BREAST REDUCTION COST IN LONG ISLAND?
Estimating the cost of a male breast reduction in Long Island without prior individualized assessments and consultations is similar to attempting to guess recovery time with no specific care plan. Every patient's requirements are different, making it difficult to determine expenses before having a full treatment strategy established.
Before you can plan a budget for treatment, it is essential to consult with an expert and evaluate the severity of your condition. Only then will you get an accurate price estimation for the relevant procedures.
With Dr. Wiser's knowledgeable team, you can rest assured that your insurance coverage will be accurately identified and many plans provide partial or comprehensive reimbursement for gynecomastia surgery depending on the limits of each policyholder's plan. Let them help guide you through this life-changing process to make it more accessible and affordable so that you may experience renewed confidence beyond anything before!
WHY CHOOSE DR. ITAY WISER AS YORU GYNECOMASTIA SURGEON?
Dr. Itay Wiser is an esteemed name in the realm of plastic surgery, and his credentials are beyond impressive. Possessing both New York and Israeli licensure as well as certification, Dr. Wiser's accomplishments include being an author with fifty-plus peer-reviewed scientific articles to his credit and having served Chief of Plastic and Reconstructive Surgery at Mount Sinai Elmhurst Hospital. Exceeding expectations, Dr. Wisner completed the necessary reconstructive microsurgery fellowships specializing in aesthetic and reconstructive breast surgery at Lenox Hill Hospital as well as a Lymphedema surgical fellowship program from Memorial Sloan Kettering Cancer Center/
Dr. Wiser is an experienced specialist in Gynecomastia treatment and has successfully conducted more than 500 cases of male breast reduction across the globe with different surgical approaches.
As an enthusiastic learner, his enthusiasm lies in patient-reported outcome measurement. His undertakings have enabled him to be invited to present at celebrated plastic surgery symposiums across the globe.
Contact UsFREQUENTLY ASKED QUESTIONS ABOUT MALE BREAST REDUCTION SURGERY
Want to know more about male breast reduction procedures? Check out the answers to these commonly asked questions and get informed:
How long does the surgery take?
Gynecomastia procedures can last anywhere from one to two hours, depending on the amount of tissue that needs to be removed. The length of time may vary if more extensive treatment is needed.
When can I return to work?
After any medical procedure, it's important to take a two-to-three week break from strenuous physical activity. However, if your job does not require much effort or labor, you're typically able to go back after only a few days – just remember that prudence is key in all cases!
Can gynecomastia return after surgery?
Gynecomastia surgery can bring about long-lasting positive results, but only if the underlying causes or behaviors are altered. Making necessary lifestyle changes before opting for this procedure is essential to make sure that you experience a normal and healthy life post-surgery.
Due to Dr Wiser's impeccable surgical techniques, the return rate has been reported at just 1%.
Can you build muscle after gynecomastia surgery?
Undoubtedly, you can still build muscle after a male breast reduction surgery - however, it is critical to be especially careful when resuming any exercise for around 4-6 weeks following the procedure. Doing this will ensure that your recovery progresses smoothly and fully.
Can exercise get rid of gynecomastia?
When it comes to getting rid of gynecomastia, the answer is, "It depends!" If your male breasts are largely made up of fatty tissue, exercise can be a great way to reduce them without resorting to surgery. However, if they contain more glandular tissue than fat – then surgical intervention may be necessary for successful long-term results and eliminating the condition altogether.
How can I sleep after gynecomastia surgery?
Getting adequate rest is crucial during the recovery process, and sleeping on your back at a 45-degree angle can be particularly helpful. Nevertheless, it's best to abstain from slumbering in any position other than lying flat for two or three weeks afterwards.
