Gynecomastia in Male Breast Reduction Surgery

This condition is not the same as a false gynecomastia, also known as pseudogynecomastia, in which the enlargement is caused by fat deposits instead of breast tissue development. Dr. Khoobehi will be able to determine this by a physical examination during the initial consultation. If it is a case of excessive fat tissues on the chest, the approach in treatment is the same when removing excess fat tissues in any part of the body. Proper diet and exercises are initially recommended before considering any surgical treatment. However, if the issue persists, a liposuction – sometimes even combined with a lift – may be performed to reshape the chest.

Gynecomastia, unfortunately, hides the normal chest muscles that lie underneath the layers of overdeveloped breast tissue. For those who have severe gynecomastia, it is even possible that the overgrowth of breast tissue has developed into internal scarring. With a breast reduction surgery, all excess fat and breast tissues will be removed and the pectoralis muscles will be spared so that they can become more visible. With proper diet and exercise after the surgery, men will be able to tone and strengthen their chest muscle to regain the chest’s natural form.

Liposuction is the primary approach in extracting fat or any soft tissues. Because it uses a small cannula to vacuum the fat out, it is a less invasive approach compared to excising the tissue, which requires longer incisions. There are liposuction options that are even less invasive. These options will be provided with more details prior to the surgical plan so the patient can consider all factors and ultimately decide which technique is preferred.

If the breast reduction technique uses liposuction, the incisions will be minimal and will be placed around or near the areola. Dr. Khoobehi will make every effort when it comes to making the incisions and suturing to minimize the effects of scarring.