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Male breast reduction - gynecomastia surgery

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Male breast reduction quick links & FAQ's

Male breast reduction is a surgery that reduces, through different techniques, development of breast tissue in men, called gynecomastia. gynecomastia occurs in as many as 40 - 60% of men. The cause is not always known, but the incidence increases with certain drugs (digitalis, anabolic steroids, Tagamet, and spironolactone), use of marijuana or alcohol, and obesity. This condition can cause extreme embarrassment, social inhibition and self-consciousness for boys and men who suffer from it. Between 1992 and 1998, the number of men undergoing breast reductions doubled -- increasing from 5,000 per year to 10,000 per year.

If you think that you have this condition, you should consult with your physician to rule out a more serious condition such as liver or endocrine disease. If you are otherwise healthy, breast reduction surgery may significantly help your appearance and self-image. This procedure is used to remove fat and/or glandular tissue from the breasts. In extreme cases, skin is removed as well. The result is a flatter, firmer and more masculine-looking chest.

What some of the most common benefits of male breast reduction?

This procedure can improve the appearance of the chest in cases where diet and exercise have failed. The results of the procedure are significant and permanent. Most men who have had surgery for gynecomastia have been very satisfied with the results.

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What will happen at the initial consultation?

During the consultation, you and your surgeon will discuss the changes that you would like to make in your appearance. Your surgeon will explain the different options available. He/she will discuss the procedure in detail, explain the risks and limitations, and explain the type of anesthesia that will be used.

The surgeon will then examine photographs of your chest for reference during surgery and afterwards. He/she may also require you to have a mammogram (breast x-ray). Be sure to ask all the questions you have about the surgery, and ask to see photos of the doctor’s recent patients, before and after surgery. Also ask for, and follow up on, patient references. Learning everything you can about your options, risks and benefits is the key to making an informed decision. See Questions to ask your doctor.

Note: Some insurance companies will pay for breast reduction if it's considered medically necessary. However, be aware that they may have specific requirements such as a letter from your surgeon, a referral from your general practitioner, and/or photos or other documentation. Be sure to find out what your insurance company requires if you intend to use insurance to pay for this surgery.

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How is male breast reduction performed?

The type of procedure used by your surgeon will depend on the degree of breast enlargement. The options include removal of the tissue under the breast, or liposuction of the chest wall. In both instances, a small elliptical incision is made on the lower half of the nipple area (areola). For those men with tissue that is more glandular in nature, all breast tissue directly under the nipple is removed.

If the tissue is more fatty in nature, liposuction can provide excellent results. In some people, ultrasonic assisted liposuction is an excellent approach. During liposuction, a small suction rod (cannula) is inserted into the incision to remove fat and other tissue.

In some cases, a repeat procedure is necessary to remove tissue that was missed during the first procedure. In a few cases, if there is a large amount of extra skin, it may be necessary to remove this tissue, which may result in a large scar.

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