Gynecomastia · Male Breast Reduction
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Gynecomastia - Male Breast Reduction

The surgery
If excess glandular tissue is the primary cause of the breast enlargement, it will be excised, or cut 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 under arm area. Working through the incision, the surgeon 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.

Plastic surgery technique for excision of male glandular breast tissue

Glandular tissue must be cut out,
usually through a small incision
near the edge of the areola.

If your gynecomastia consists primarily of excessive fatty tissue, your surgeon will 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--the dark skin that surrounds the nipple. Or, the incision may be placed 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, the surgeon moves 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.

In 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, excess skin may have to be removed to allow the removing skin to firmly re-adjust to the new breast contour.

Sometimes, 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.

Plastic surgery technique for liposuction of male fatty breast tissue

Fatty tissue can be removed by
liposuction. A small, hollow tube
is inserted through a tiny incision,
leaving a nearly imperceptible scar.

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Gynecomastia Patient Information  entire document for printing
Highlights: About Surgery for Gynecomastia
                      Preparing for Surgery
                      Pre-operative Instructions
                      Post-Operative Care
                      Activity Restrictions
                      Recovery Time
                      Resuming Normal Activities

Pre-operative Instructions  entire document for printing
Post-operative Instructions  entire document for printing
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The Shape of Things to Come Manhattan New York Male Breast Reduction - Gynecomastia Copyright Dr. Scott J. Zevon, Board Certified Plastic Surgeon of New York City at Central Park Plastic Surgery
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The shape of THINGS to comeSM - Dr. Zevon is a board certified plastic surgeon practicing in New York City. At his plastic surgery office in Manhattan, he performs cosmetic surgery procedures such as liposuction, tummy tuck, face lift, and eyelid surgery. Dr. Zevon also specializes in breast surgery procedures such as breast augmentation, breast implants and breast lift. Visit Dr. Zevon's extensive archive of plastic surgery before and after photographs.

New York City · Gynecomastia · Male Breast Reduction: Board-certified plastic surgeon Scott J. Zevon MD maintains this website to provide general health information to the public, not medical advice to individuals. If you are interested in a cosmetic surgery procedure, please contact us at our Manhattan plastic surgery office to schedule a consultation with Dr. Zevon.