What is gynecomastia?
Gynecomastia is a condition in which an individual's breast gland tissues enlarge due to an imbalance of testosterone and estrogen. This hormone disparity causes more tissue growth, generally observed in young male adolescents who are going through puberty. Thankfully, the body typically rights itself eventually and this anomaly will remedy itself with time.
Aside from hormonal imbalances, gynecomastia can become a permanent condition in older men and thus necessitating male breast reduction surgery. Although not necessarily serious or hazardous to health, boys and men may suffer physical discomfort due to the presence of enlarged breasts. The psychological implications are also great because this issue may lead to feelings of embarrassment or insecurity with one's personal appearance.
Gynecomastia is often identified by an accumulation of granular tissue directly under the nipple which may create a feeling of tenderness in that area. Moreover, as this condition progresses, one may experience further enlargement and distortion to the breast region.
What causes gynecomastia?
Gynecomastia could have a variety of potential causes, including but not limited to:
>PHYSIOLOGIC CAUSES
>Gynecomastia is most often seen in boys who are between 12 and 16 years old, but it usually resolves naturally by the time they reach 18. For around 25% of those affected, this condition doesn't require any treatment - just a little bit of patience! As long as your son waits until he's fully grown up, his gynecomastia should vanish on its own accord.
>PHARMACOLOGIC CAUSES
Gynecomastia may be a result of taking certain medications, drugs, or supplements which have been medically proven to cause this health issue among males.
Some of the primary offenders are medications such as finasteride, cyproterone, and spironolactone that counteract symptoms like baldness and an enlarged prostate. These drugs work by inhibiting male hormone production in the body.
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
Gynecomastia due to pharmaceuticals can be eliminated by discontinuing the drug or supplement that is leading to it. If the signs and symptoms are still present, further treatment will have to be considered.
>PATHOLOGIC CAUSES
>Gynecomastia can be an indication of a range of serious medical issues, such as tumors discovered in the brain, breasts, testicles or adrenal glands. As well as this it can also be triggered by persistent diseases associated with the liver , thyroid and kidneys. Therefore before any treatment options are considered to treat Gynecomastia it is essential that all potential causes have been fully diagnosed medically.
>IDIOPATHIC CAUSES
>In some cases, gynecomastia may be hereditary; if your brother, uncle or father has had it in their lifetime, you may experience the same. Fortunately for those with idiopathic causes of gynecomastia - that is to say without any other health issues present - there are still ways to effectively treat this condition even after puberty ends. Don't worry!
>PSEUDOGYNECOMASTIA
>Men who are exhibiting the hints of gynecomastia may not be dealing with this condition after all. Those concerned about abnormal fat buildup in their breasts could, in reality, have pseudogynecomastia as opposed to its counterpart. This is frequently seen among men who are overweight or obese and those who lost weight but did not witness expected skin retraction around the chest area.
HOW DOES MALE BREAST REDUCTION (GYNECOMASTIA REPAIR) WORK?
For any man suffering from gynecomastia, there are a variety of male breast reduction procedures to choose from. Liposuction and breast reduction surgery can be used alone or in combination with each other depending on the patient's needs - no two cases are alike! That is why it is important to consult an expert so that they can craft your personal treatment plan which best meets all of your requirements.
From a local anesthetic to numbing the anticipated incisions, to general anesthesia for sedation - male breast reduction surgery is carried out with meticulousness. Excess fat and glandular tissues are meticulously extracted, while any unneeded skin is removed if required.
Upon completion of the procedure, patients should wear a compression garment to reduce swelling and aid in recovery. This medical process is outpatient based, so upon finishing the surgery, you can return home.
>What incisions are there with gynecomastia surgery?
>All gynecomastia surgery for male breast reduction necessitates incisions, which are carefully placed to make the scars as inconspicuous as possible. Our team strives to place these cuts either along natural contours of the chest or pigmented spots around the areola region in order to minimize visibility. Additionally, if there’s excessive skin on the breasts, we may need additional incisions so that a more masculine look can be achieved. Incisions may also be done underarm depending on your case.
>WHAT TECHNIQUES ARE USED FOR GYNECOMASTIA?
>In cases where gynecomastia is caused by an abundance of breast tissue, the most effective form of treatment typically is liposuction. A cannula, a long and slim tube that enters through several small incisions in the skin, acts as a tool for performing this procedure.
The cannula eliminates the fat deposits before suctioning them out for removal. When planning a liposuction procedure, it is essential to choose the right technique that meets the patient's needs and expectations. By carefully evaluating each individual case, we can identify the most effective method of treatment to best address their concerns.
If gynecomastia is due to excess fat or skin, excision techniques are necessary for sure correction. For those who desire a masculine chest with natural contours and appearance, repositioning of the nipple or an alteration in size of the areola through excision may be required.
Combining liposuction with excision techniques is a popular approach for many patients seeking to attain their desired bodily aesthetic.
PLASTIC SURGERY FOR MALE BREAST REDUCTION
Gynecomastia treatment surgery is a reliable way to reduce abnormally enlarged breasts in men. Liposuction and excision are the gold standard techniques for removing male breast tissue, however more extreme cases might require removal of extra skin as well as repositioning of nipples.
Making a decision about plastic surgery for gynecomastia isn't always straightforward, so male patients must carefully assess their symptoms and health before choosing to move forward with the procedure. Male breast reduction surgery may be the most suitable option for treating this condition depending on individual factors.
Contact UsARE YOU A CANDIDATE FOR GYNECOMASTIA SURGERY?
Determining whether surgery is the best route for gynecomastia treatment can be key in attaining a successful outcome. We must carefully examine each male patient to ascertain if they are eligible for breast reduction via surgical means, as this may not always be the optimal fit for every individual's circumstances and symptoms of gynecomastia.
In order to determine the necessity of this kind of surgical procedure for a male patient, it is important to consider the following criteria:
- Surgery is the only solution for gynecomastia, as other treatment options are not effective.
- The patient is in exemplary physical health with no life-threatening illness or condition currently present.
- The patient is a non-smoker, abstaining from all forms of recreational drugs.
- The size and development of the breast has reached a steady, mature state.
- The patient is not pleased with their current appearance and believes that gynecomastia surgery is the most viable course of action.
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 the introductory consultation, we can determine your gynecomastia symptoms and construct a personalized treatment plan for male breast reduction surgery. A physical examination will allow us to comprehend the magnitude of your enlarged breasts and provide an accurate diagnosis. The final step of the medical assessment is to exclude any pathological source for gynecomastia. This can be done via extensive laboratory tests and, in some instances, imaging scans of the breasts. Then, possible treatment options will be discussed with you and recommendations made on how to tackle this issue.
During the consultation, it is essential for the patient to ask any and all questions he may have about his condition, possible results of treatment, or anything else that worries him. This will allow us to determine whether surgery is a viable option or if other treatments are more suitable in this case. Now's your chance; don't hesitate–ask away!
After settling on a course of treatment, the consultation will also address any additional issues related to the look and shape of your breasts. Removing excess skin, repositioning nipples, as well as reducing areola or nipple size may be necessary - all details that can be discussed in depth prior to undergoing surgery.
HOW TO PREPARE FOR THE SURGERY?
It's vitally important to remember that an ideal candidate for gynecomastia surgery is someone who is in good general health. To ensure the best outcome of your procedure, it may be necessary to make some lifestyle changes before undergoing the operation. This way you can guarantee a seamless recovery and successful results!
Here at WiserMD, we firmly believe in taking every possible precaution to guarantee your safety and satisfaction. To ensure this goal is reached, Dr. Wiser performs a thorough lab analysis of your body's condition before surgery commences. Should abnormalities be found during the examination stage, his team will prioritize remedying them first before proceeding with any surgical procedures - guaranteeing you get the best care available!
After surgery, your body requires more nutrients to best support the immune system during recovery. At WiserMD, you will be provided a customized nutritional supplement that is tailored to replenish and optimize your body for optimal healing.
Here at WiserMD, we strive to provide the best care for our patients. We understand that infections following male breast reduction surgery are rare, yet Dr Wiser is taking extra precautions in order to make sure that chance further diminishes. He prescribes all his patients with an evidence based special anti-septic soap a week before their procedure and encourages them to shower regularly during this period; this helps reduce the bacteria population on skin which is one of the main causes of infection after surgery. With these measures taken, you can trust us when it comes to keeping your safety as top priority!
Amongst all the alterations, diet is a particularly essential one. Saying no to excessive sweets and saying yes to more fruits and vegetables has been around for ages - ever since we were kids! When planning for gynecomastia surgery however, these rules become even more vital in order to achieve optimal health as well as self-honor.
Exercise is an integral part of achieving success before surgery. Reducing alcohol consumption and avoiding nicotine are two essential steps you should take beforehand. Furthermore, it's important to avoid taking any steroidal supplements or hormones prior to the procedure.
Healthy habits lead to successful healing after breast reduction surgery, so take the steps now that will ensure a speedy and prosperous recovery. Lifestyle changes you make today will have long-term rewards for your health!
RECOVERING FROM GYNECOMASTIA SURGERY
Since each patient is unique, their recovery time can vary after a male breast reduction. Generally speaking, though, it takes around four to six weeks for one's body to heal and revitalize itself following the procedure. Any treatments or procedures used during the operation that are specifically tailored to an individual may impact this healing period as well so be sure to consult with your doctor prior!
For successful post-operative outcomes, it is essential to give yourself sufficient time for recovery and healing following a gynecomastia surgery. This includes taking breaks from work, staying at home and abstaining from any kind of physical activity - especially exercise.
The initial 48-72 hours’ post-surgery can bring agony, soreness and distress to the chest area. To ease these symptoms, a physician might suggest taking pain medication as needed. There may also be swelling present in the chest and compression garments should be worn to reduce it. Dr Wiser has developed new methods of managing pain by blocking sensation toward the breasts for 12-24 hours after surgery which proves to be successful in decreasing discomfort levels.
After the surgery, any pain, discomfort and swelling should slowly begin to decrease while you carefully resume your normal activities. It's important to remember that it won't be possible for you to jump back into a full routine immediately.
After the procedure, it is essential to attend a post-op consultation that covers all of the protocols you should follow for successful healing over upcoming weeks. Remember to wear compression garments and take any medications prescribed by your doctor during this time period.
HOW MUCH DOES MALE BREAST REDUCTION COST IN BROOKLYN?
Trying to identify the cost of male breast reduction in Brooklyn before any consultations or assessments are conducted is much like attempting to estimate recovery time without an individualized treatment plan. Since every patient's requirements and options vary, it can be challenging to determine expenses until a course of action has been established.
Only after a full consultation to determine the severity of the condition and what procedures are necessary to address it, can you expect an accurate cost estimate for treatment.
Not only can Dr. Wiser's team accurately identify your insurance coverage, but many plans also provide comprehensive or partial reimbursement for gynecomastia surgery according to the limits of each policyholder’s plan. Let them help you navigate what steps are necessary in order to make this life-changing procedure affordable and accessible so that you can enjoy a renewed confidence like never before!
Why Choose Dr. Itay Wiser as Your Gynecomastia Surgeon?
A prestigious figure in the world of plastic surgery, Dr. Itay Wiser has been licensed and certified both in New York and Israel. His credentials are nothing short of impressive; he is an author with more than fifty peer-reviewed scientific publications to his name, as well as serving as Chief of Plastic and Reconstructive Surgery at Mount Sinai Elmhurst Hospital. Going above that mark even further, Dr. Wisner previously completed needed reconstructive microsurgery fellowships specializing in aesthetic/reconstructive breast surgery through Lenox Hill Hospital alongside a Lymphedema surgery fellowship program from Memorial Sloan Kettering Cancer Center too!
Boasting a wealth of know-how in Gynecomastia treatment, Dr. Wiser has completed over 500 cases involving male breast reduction via various surgical techniques both domestically and internationally.
As a devoted scholar, his passion lies in patient reported outcome measurement. It is this research which has granted him the opportunity to present at renowned plastic surgery conferences worldwide.
Contact UsFREQUENTLY ASKED QUESTIONS ABOUT MALE BREAST REDUCTION SURGERY
Have questions regarding male breast reduction procedures? Here are some of the most frequently asked queries to help you understand more about this process:
How long does the surgery take?
Depending on the quantity of tissue that needs to be removed, gynecomastia procedures typically take somewhere between one to two hours. Consequently, this time frame can alter depending on the extent of treatment necessary.
When can I return to work?
It's imperative to take a break for two to three weeks from strenuous physical activities after any medical procedure, however many people are able to return back to work in only a few days if their job does not require lots of exertion. Just remember that it is always best practice to exercise caution at all times.
Can gynecomastia return after surgery?
The positive results of gynecomastia surgery can be long-lasting, though the condition may return if initial causes or lifestyle habits are not changed. It is essential to make necessary lifestyle changes before undergoing the procedure in order to ensure that once complete, you live a normal and healthy life going forward.
Thanks to Dr Wiser's superb surgical strategies, the reported return rate is a mere 1%.
Can you build muscle after gynecomastia surgery?
Absolutely, you can develop muscles even after a male breast reduction operation. But it is essential to be exceptionally careful when resuming any form of exercise for roughly four to six weeks so that the recovery process from surgery goes smoothly and completely.
Can exercise get rid of gynecomastia?
The answer is a resounding "it depends!" If your gynecomastia mostly consists of fat tissue, then exercise can be an excellent way to reduce male breasts without going under the knife. On the other hand, if it's largely made up of glandular tissue, only surgery will give you satisfactory results and help eliminate your condition.
How can I sleep after gynecomastia surgery?
During the initial recovery period, it is advised to sleep on your back at a 45-degree angle as this can be highly beneficial; however, sleeping in any position other than on one's back should be avoided for two or three weeks.
