Gynecomastia Surgery Rehoboth Beach
Gynecomastia or man “boobs” is a condition of enlarged breasts in males that can occur at any age from teenage to adult years. Gynecomastia surgery, also referred to male breast reduction, is the surgical correction of enlarged breasts in teenagers or adult men. Male breast reduction surgery reduces the enlarged breasts in men, flattening, reshaping and achieving more masculine chest contours.
In severe cases of gynecomastia, the weight and size of the enlarged male breast tissue may cause the breasts to sag and stretch out the areola (dark skin around the nipple). With severe gynecomastia, the size of the nipple can be reduced and excess skin can be removed to create a chest with more masculine features of flatter, firmer chest with a smaller nipple areola complex.
Gynecomastia is a condition of enlarged breasts in men, characterized by excess breast tissue, excess localized fat, sometimes excess skin and sometimes one or both breasts, that can occur at any age of life. This condition can be the result of hormonal changes (idiopathic: imbalance between testosterone and estrogen), hereditary, obesity, many different medications including anabolic steroids and many others, street drugs and alcohol and other medical conditions.
Gynecomastia can sometimes cause discomfort in the chest in either one or both sides. This condition can also cause emotional concerns due to the female appearance of a man’s chest and impairing their self confidence and self esteem. Some teenagers may avoid certain physical activities and social interaction. Some men may avoid the same plus intimacy simply just to hide their condition.
I cannot begin to express how happy I am that I chose to use Dr. Chang for my plastic surgeon (gynecomastia).. He took the time to thoroughly explained the procedure and I couldn’t be happier with the results. He is kind, caring, and professional. I highly recommend Dr. Chang!
Am I a good candidate for gynecomastia surgery?
- Adult men and teenagers whose breast enlargement remains unchanged for 2 years
- Males whose gynecomastia condition cannot be corrected through alternative medical treatments
- Males who are bothered by the appearance of enlarged breasts and/or associated discomfort
- Males in good medical condition as stable body weight with a positive outlook and having specific goals for improving the physical appearance of gynecomastia
- Realistic expectations
- Nonsmoker and no drug use
- Gynecomastia Surgery is usually NOT covered under health insurance
What should I expect at my gynecomastia surgery consultation?
- Listening to your specific concerns, goals and expected outcomes
- Evaluation of general medical conditions, medications, previous surgeries, drug and alcohol history, height and weight
- Examination of your chest and any other areas of concern such as abdomen and flanks, assess skin quality and presence of skin excess (breast skin sagging), assess nipple position, assess amount of localized fat deposits, assess for asymmetry and assess nipple areolar size
- If not evaluated by pediatrician or primary care physician, assess for any other potential causes outside of idiopathic hormonal imbalances – examine genitalia, order blood tests, in depth review of medications and drug history
- Take photographs
- Discuss options of treatment and outline a surgical plan if indicated
- Discuss the details, risks, recovery and likely outcomes of the gynecomastia surgery
Risks and safety
- Numbness or altered skin sensation
- Irregularities skin surface
- Nipple inversion
- Firm lumps under skin
- Skin sagging
- Prolonged swelling
- Fluid accumulation
- Poor healing of incision
- Pigmentary changes at site of incisions
- Revision surgery
- Anesthesia risks
What should I expect from my gynecomastia surgery?
- Larger size gynecomastia is performed under general anesthesia as an outpatient procedure
- Smaller size gynecomastia may be performed under local anesthesia in the office setting
- No aspirin, blood thinners or herbal supplements 7-10 days prior to procedure
- General anesthesia – nothing to eat or drink 8 hours prior to procedure and you need to arrive to the facility 1-2 hours prior to scheduled procedure. You will have a discussion and surgical markings with your surgeon. You will be seen by the anesthesia and nursing team. An intravenous line will be placed to give medications and fluids. After the procedure, you will be monitored in the recovery room and discharged to home with written instructions and a ride by a responsible adult of your choice. If drains are placed, you and your family will be instructed how to care for them.
- Local anesthesia (office) – you may have a dry light meal or clear liquids up to the time of the procedure and arrive 30 minutes before your scheduled procedure. Wear loose comfortable clothing with button shirts and zipper jackets. You will have a discussion and markings with your surgeon. Vital signs will be taken and you will take an antibiotic and relaxation pill by mouth. Nitrous oxide will also be available for use. Local anesthetic will be given through new injections for 5-10 minutes with will make the areas to be treated all numb. You will no longer feel and sharp or burning discomfort throughout the remainder of the procedure. You will experience pulling, touch and warm sensation throughout the procedure. After the end of the procedure, you will be monitored for one hour and sent home with a responsible adult and discharge instructions. A follow up for dressing change will be provided in 24-48 hours.
- You will be provided with a compression binder that needs to be worn for 6 weeks
- Light activity including car driving and lifting under 10 lbs after 5-7 days
- Light exercise including jogging at 3-4 weeks
- Full activity and exercise after 6 weeks
- Scar management starting at 3 weeks