Gynecomastia

Men who suffer from gynecomastia, which is the abnormal enlargement of breasts or “female-like breasts,” can turn to Dr. David Kim for male breast reduction. This condition is due to the over-development of glandular tissue either because of excessive estrogen or moderate testosterone. It can also be indicative of other medical conditions such as an overactive thyroid, problems with the pituitary gland, adrenal gland or testes; certain medications; or additionally, alcohol, marijuana, methamphetamine and heroine.

Cosmetic surgery can help reduce the development of gynecomastia by removing fat and glandular tissue. In extreme cases, skin can be removed to aid in a flatter, firmer, and better contoured chest. Gynecomastia can occur in males of all ages.

Ideal Candidates

Patients should be in good physical and emotional health, and have a realistic outlook on surgery. Ideal patients should also be of normal weight and have firm, elastic skin.  Poor candidates, on the other hand, are men who are overweight, consume excessive alcohol, and use recreational drugs. As with any surgery, smoking at least two weeks before surgery is crucial to the outcome of a patient’s results.

What to Expect From This Procedure

An initial consultation may require blood to rule out other underlying medical conditions. The surgery to correct gynecomastia will consist of an incision made to the areola (the darker skin around the nipple). Through this incision, excessive glandular tissue and fat will be removed. The skin will then be sculpted to provide a better contoured appearance, and the incision will be closed with stitches. The chest will be wrapped and dressed with a small drain, which may be inserted to remove excessive fluids. After one to two weeks, the stitches should be removed.

If gynecomastia is due to excessive fat deposits, liposuction may be performed. Again an incision will be made in the areola or in the underarm area, in which a cannula (a slim hollow tube) attached to a vacuum will be inserted to remove the fat.

Possible Risks

Some of the potential complications associated with gynecomastia include infection, excessive bleeding, adverse reaction to anesthesia, and fluid retention in the surgical area. Scars and discoloration of the skin may form, and slight peck asymmetry is a possible risk (although an asymmetrical appearance can most likely be corrected with additional surgery). Some temporary effects include sensitivity or numbness.

Recovery

A patient may feel discomfort for a few days; however certain medication can help to alleviate any pain following surgery. Proper pressure garments will help to minimize any bruising and swelling. It is important to stay out of the sun the first six months, because sunlight can permanently affect the patient’s skin by causing it to darken. The resulting scars need to be protected for proper healing.