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What is Gynecomastia?
Gynecomastia is a very common condition affecting forty to sixty percent of men. Gynecomastia refers to enlargement of the male breast. The term comes from the Greek “Gyne”: woman, and “Mastos”: breast. One or both breasts may be affected. Most of the time there is no cause, although sometimes gynecomastia can be linked to a hormonal problem, steroid use, various medications, or marijuana use.
Gynecomastia can be an embarrassing and psychologically debilitating problem. Gynecomastia surgery can help men in this situation. Gynecomastia surgery, or male breast reduction surgery, removes fat and or glandular tissue from the breasts, and in extreme cases excess skin is removed as well. This results in a more appropriately contoured chest.
individual results may vary
Is Gynecomastia Correction Right for You?
The best candidates for male breast reduction surgery are men who are healthy and emotionally stable, and have firm, elastic skin that will reshape to the body’s new contours.
Overweight men may be counseled to attempt to correct the problem with exercise and weight loss first if they have not already done so. When an underlying cause can be identified, such as with anabolic steroid use or marijuana use, usually correction of the underlying cause is attempted prior to surgical treatment.
Your Gynecomastia Consultation with Dr. Weinrach
The initial consultation with Dr. Weinrach is very important. Dr. Weinrach will take your medical history and perform a physical examination to look for causes of the gynecomastia. If Dr. Weinrach suspects an underlying medical cause for your gynecomastia, he can assist you with a referral to the appropriate medical specialist.
Please do not hesitate to ask Dr. Weinrach any questions you may have during the initial consultation, including your concerns about the recommended treatment or the costs involved. It is important to follow all of Dr. Weinrach’s instructions regarding smoking. Please be sure to inform Dr. Weinrach if you smoke.
Dr. Weinrach will also explain the type of anesthesia to be used, the facility where the surgery will be performed, and the costs involved.
Before Your Gynecomastia Surgery
Dr. Weinrach will give you specific instructions on how to prepare for surgery. He will let you know what medications to take and avoid, and when to stop eating and drinking before surgery. You should make arrangements to have someone drive you home after surgery.
Where Your Male Breast Reduction Surgery Will Be Performed
Dr. Weinrach performs male breast reduction surgery only in fully accredited surgery centers in the Scottsdale, Arizona area. Breast reduction surgery is nearly always done as an outpatient procedure – no overnight stay is usually required. You will be able to go home the same day.
Anesthesia for Male Breast Reduction Surgery
A board certified anesthesiologist will administer anesthesia for your breast reduction surgery. You will be completely asleep, and feel nothing during the breast augmentation procedure. The anesthesiologist will monitor you very closely during the entire procedure. Dr. Weinrach also places local anesthesia during the procedure to help minimize discomfort after surgery.
How Male Breast Reduction Surgery is Done
Gynecomastia is treated surgically with male breast reduction. In patients with lower grades of gynecomastia with relatively less skin excess and mostly breast and fatty tissue, ultrasound assisted liposuction is usually Dr. Weinrach’s first choice. As opposed to traditional liposuction alone, the ultrasound energy is much more effective in breaking up the dense tissue in the male breast, allowing easier removal. Additionally, the ultrasound energy is effective in stimulating the skin to contract, greatly diminishing the need for skin removal. These are all great advantages when compared with the older technique of an open excision of gynecomastia tissue, which produces a longer and more obvious scar, and less ability to perform a more refined sculpting of the entire breast area. Patients with large amounts of skin excess may need skin removal as well.
After Your Male Breast Reduction Surgery
You may feel some discomfort for a few days after surgery. However, discomfort can be controlled with medications prescribed by Dr. Weinrach.
An elastic compression garment is worn for two weeks after surgery, and then for two weeks longer at night. Although the worst of your swelling will go away in the first few weeks, it may be three months or more before the final results of your surgery are apparent.
In the meantime, it is important to begin getting back to normal. You will be encouraged to begin walking around on the day of surgery, and can return to work when you feel well enough, which could be as early as a day or two after surgery. There are no stitches to remove.
Dr. Weinrach may advise you to avoid strenuous activity for about three weeks. You should avoid any sport or job that risks a blow to the chest area for at least four weeks. In general, it will take about a month before you are back to all of your normal activities.