Gynecomastia is a medical term referring to over projection of the nipple and areola, often in association with enlargement of the male breast. It is a common condition affecting many men who describe feeling embarrassed by what they perceive as “female-like” breasts. They often feel uncomfortable in a t-shirt and are reluctant to remove their shirt in public. Gynecomastia can affect only one breast, or both.
Surgical correction requires removal of fat and/or glandular tissue from the breasts, and sometimes removal of excess skin. The result is a chest that is flatter, firmer, and more masculine in appearance. The best candidates for this surgery have firm, elastic skin that will reshape to the body’s new contour. The surgery will include tissue excision, liposuction, or both. The incision is made a third of the way around the areola (the disk around the nipple) and is usually very inconspicuous.
After the surgery, you’ll need to wear a compressive garment for several weeks. Most of the swelling will resolve within 2 weeks but you may not appreciate the final result for up to 3 months. Any discomfort is well-managed with medication, and most men only require this for a few days. All sutures are buried and dissolvable, and you will be able to shower any time after your surgery. We will ask you to decrease your activities significantly for the first two weeks, and then gradually increase them over the following 4 weeks. Major repetitive arm motions should be avoided for 4 to 6 weeks.
Gynecomastia surgery is real surgery. Before you decide, it’s important to learn about any possible complications, even though they are rare. These will be fully explained to you during your private consultation with Dr. Bowman. At that time, you will have an opportunity for a careful and complete discussion of your options and what is involved. You will benefit from asking all your questions, and you will have an opportunity to browse through our before and after photographs.