Male Breast Reduction (Gynecomastia)

Palm Beach Plastic & Cosmetic Surgery offers male breast reduction surgery to treat gynecomastia in men for an improved quality of life.

Male Breast Reduction (Gynecomastia) | Palm Beach Plastic and Cosmetic Surgery | Call 561-833-4122

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Fredric M. Barr, M.D. | Palm Beach Plastic and Cosmetic Surgery | Call (561) 833-4122

Dr. Barr
M.D., F.A.C.S

Male Breast Reduction to Address Gynecomastia in West Palm Beach, Florida

Although it can impact self-esteem, gynecomastia is usually a benign (non-cancerous) condition of over-developed or enlarged male breasts that can occur at any age. Hormone changes, such as fluctuations in estrogen, the female hormone, and testosterone, the male hormone, can cause gynecomastia, though a hormonal imbalance is not the only culprit.

Heredity, obesity, or the use of certain prescription medications can cause this excess breast tissue. Certain drugs, such as antidepressants, antibiotics, chemotherapy, prostate cancer medicines, ulcer or cardiovascular medicines can cause the development of excess breast tissue in men.

Some medical conditions may also cause gynecomastia, including:

  • Liver disease
  • Kidney disease
  • Lung cancer
  • Adrenal or pituitary gland tumors
  • Congenital disorders present at birth
  • Thyroid disorders
  • Injury or trauma
  • Significant weight gain

Whether due to hormonal changes, certain medications, medical conditions or genetics, gynecomastia can create emotional discomfort and impair self-confidence. Some men may even avoid physical activity and intimacy simply because their enlarged breasts are a source of embarrassment.

Fortunately, there is a solution. At Palm Beach Plastic & Cosmetic Surgery, our Board-certified plastic surgeon, Dr. Fredric M. Barr, M.D., F.A.C.S., performs male breast reduction surgery, an outpatient procedure that provides an effective treatment for removing excess breast tissue in the male breast and achieving optimal results.

Characteristics of Gynecomastia

About half of all men today have excess breast tissue in one or both breasts. As reported by the American Society of Plastic Surgeons, according to statistics compiled by the National Institutes of Health (NIH), nearly 50 to 60 percent of adolescent males and 65% of men between the ages of 27 and 92 deal with gynecomastia.

While often not a serious medical problem, enlarged breasts in men can be painful. They can also cause embarrassment — especially among young boys who may be teased about their breasts. Gynecomastia in young men is largely due to the hormonal changes in sex hormones that occur during puberty. The excess breast tissue disappears without treatment in two years in 75 percent, and within three years in 90 percent of boys.

Gynecomastia is a condition characterized by the enlargement of the glandular tissue in the male breast, resulting in a localized increase in the size of one or both breasts. The common characteristics of gynecomastia include:

  1. Breast Tissue Enlargement: Gynecomastia causes the glandular tissue in the male breast to swell, leading to a noticeable increase in breast size and sometimes causing tenderness or sensitivity.
  2. Excess Localized Fat: When men accumulate excess localized fat in the chest area, it can create the appearance of enlarged breasts. This condition is often referred to as pseudogynecomastia, where the enlargement is primarily due to an increase in fatty tissue rather than glandular tissue. Pseudogynecomastia can be caused by factors such as weight gain, hormonal imbalances, or genetics.
  3. Excess Breast Skin: In cases where there’s significant enlargement of the male breasts, or if the enlargement has been present for an extended period, men can develop excess breast skin. Gynecomastia causes the breast tissue to expand, stretching the overlying skin.
  4. Symmetrical or Asymmetrical: Gynecomastia can affect one breast (unilateral) or both breasts (bilateral), and the enlargement can be symmetrical or asymmetrical.
  5. Firmness: The enlarged breast tissue in gynecomastia may feel firm or rubbery when touched, differentiating it from the softer fatty tissue commonly found in female breast enlargement.
  6. Nipple and Areola Changes: In some cases, gynecomastia can cause the nipples to become more prominent and the areolas to enlarge or become more puffy in appearance.
  7. Tenderness or Pain: Gynecomastia may be accompanied by tenderness or discomfort in the affected breast tissue, though this is not always the case.

In gynecomastia, breast enlargement typically occurs on both sides of the chest. However, if it is one-sided, firm, and hard, see a doctor immediately to rule out male breast cancer.

Gynecomastia Surgery

Because teenage boys tend to outgrow gynecomastia, we do not recommend male breast reduction surgery for them. The best candidates for a breast reduction are men coping with a loss of self-esteem due to their overabundance of breast tissue.

Performed by Dr. Barr at our outpatient surgery center, this male breast reduction procedure offers adult men the opportunity to experience a more masculine, firmer, flatter chest. Our plastic surgeon performs this surgery under general anesthesia to ensure comfort and prioritize safety. Depending on the type and severity of the patient’s gynecomastia, Dr. Barr makes strategic small incisions in inconspicuous locations, such as around the edge of the areola or in the natural chest contours, to minimize visible scarring.

Our plastic surgeon then proceeds to remove excess glandular tissue, fat, and skin from the breast area to achieve a more masculine chest appearance. This effort may involve techniques such as liposuction, surgical excision, or a combination of both, tailored to the patient’s unique anatomical features.

In cases where gynecomastia has led to changes in the position or size of the nipples, Dr. Barr may reposition and resize the nipples for a more natural aesthetic outcome.

Finally, addressing skin often involves reshaping and tightening the remaining skin to create a smoother, more toned chest contour.

Before and After Gynecomastia Surgery

Before your gynecomastia surgery, you will have a consultation with our patient counselor and Dr. Barr at our plastic surgery office in West Palm Beach. Gynecomastia patients should be in good general health and at a healthy weight. Although obesity can cause the appearance of male breast development, weight loss rather than surgery is the best solution in such a case.

Blood tests to determine hormone levels, a physical exam, and a discussion of your medical history will take place before gynecomastia surgery to rule out potential medical issues as the cause of the growth of breast tissue.

Once we determine that gynecomastia surgery is the right course of action, the patient should avoid blood-thinning medications like aspirin or ibuprofen that can make it difficult for blood to clot after the surgery. If needed for pain, take pain medications like acetaminophen.

At least two weeks before the gynecomastia surgery, the patient must stop smoking and avoid alcohol consumption, as both impede the healing process. On the day of the surgical procedure, the patient should have someone transport him to and from the clinic, and then stay with him for at least the first full day after the surgery.

Recovery Time for Gynecomastia Surgery

Following surgery, Dr. Barr will bandage the area and give you a garment to wear in order to make sure the skin does not move. While you may have some bruising and swelling, discomfort is minimal and easily managed with medication. Wearing a pressure garment for two weeks can reduce swelling. Dr. Barr will remove your stitches after two weeks. As long as your work and normal activities are not too demanding, you can resume them in just two days. However, avoid heavy lifting or strenuous exercise for at least three weeks.

Although you will notice immediate results after the male breast reduction surgery, expect the final outcome in three months to half a year. Scars will naturally fade away within a year or nine months. With gynecomastia surgery, complications are rare and easily treated. Our male breast reduction surgery has left countless patients satisfied with their transformed appearance.

Gynecomastia Surgery FAQs

How Much Does Male Breast Reduction Surgery Cost?

The cost to remove excess breast tissue and excess skin depends on the surgical correction needed to produce the desired result. In severe cases, the cost will be higher due to the complexity of the surgery. During your consultation with our patient counselor and our plastic surgeon, we will discuss costs based on your unique circumstances, including the amount of excess fatty tissue and excess skin to be removed.

Does Health Insurance Cover Male Breast Reduction?

While many insurance companies do not cover gynecomastia surgery because it is often considered a cosmetic procedure, there are instances where insurance may cover a portion of the costs if deemed medically necessary. Check with your provider for information about your policy.

How Long Does Male Breast Reduction Take?

This outpatient surgery generally takes about two hours under general anesthesia.

How Long Will My Results From The Male Breast Reduction Last?

This procedure offers permanent results. However, gaining weight, accumulating excess fat, and aging can affect the longevity of results.

Palm Beach Plastic & Cosmetic Surgery Prioritizes Your Safety During a Reduction Mammaplasty for Men

For men seeking a breast reduction, we invite you to schedule a consultation with our patient counselor at (561) 833-4122(561) 833-4122 or by completing our online form. With care and compassion, we will listen to your concerns and goals, and our surgeon will advise the best course of action based on your unique needs. At Palm Beach Plastic & Cosmetic Surgery, you can expect five-star service with the assurance that safety and honesty are at the core of our practice.

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