Gynecomastia is the growth of abnormally large breasts in males, as a result of the production of excess breast tissue, not excess fat tissue. For that reason, this condition cannot be alleviated through diet and exercise alone. According to the American Society of Plastic Surgeons (ASPS), gynecomastia accounts for more than 65 percent of all male breast disorders. Although not considered a serious medical problem, gynecomastia can be emotionally painful and potentially embarrassing for men of all ages. Fortunately, advances in surgical technology have enabled men to take back control of their aesthetic appearance and to correct the condition of enlarged breasts through surgery. Male breast reduction surgery is the fifth most common plastic surgery procedure performed on men in the United States and can be a life-altering and confidence-inspiring surgery. At Gabbay Plastic Surgery, located in Beverly Hills, CA, Dr. Joubin Gabbay M.D. is highly experienced performing male breast reduction surgery as a permanent solution for the condition of gynecomastia and will work tirelessly to ensure that your male breast reduction goals are brought to fruition.
Dr. Gabbay understands that all patients have very specific and unique surgical needs and goals, and will specifically tailor your male breast reduction surgery to fulfill your aesthetic objectives. During your comprehensive initial consultation, Dr. Gabbay will discuss all of the gynecomastia surgical options, and recommend the procedural techniques he feels are best suited to your particular case.
There are numerous physical and emotional benefits of having a successful male breast reduction surgery, including a firmer, flatter, and more contoured chest, and increased levels of self-confidence and self-esteem. Your surgical results will be permanent, barring substantial post-surgical weight gain, which can create a gynecomastia-like effect. Dr. Gabbay is an expert in the surgical treatment of gynecomastia and has helped many male patients suffering from gynecomastia. If you have any questions about gynecomastia treatment, please contact Gabbay Plastic Surgery today.
In some cases, specifically, those where excess fat is the major cause of gynecomastia, liposuction alone may be able to reduce the breast volume. However, for many gynecomastia patients, excision or surgical removal of tissue and skin is required to achieve the desired results. The incision methods will vary depending on the amount of tissue that has to be removed, and whether or not the nipple will need to be repositioned as well. In some cases, the incision will encircle the nipple (allowing for the reduction of enlarged nipples). Dr. Gabbay understands that the breast gland and fat components differ greatly between each patient, and in some cases, he will use a combination of excision and liposuction techniques to achieve the best outcome.
We look forward to speaking with you and setting up your complimentary, initial consultation with Dr. Gabbay. Contact us today to get started!
The breast mass that provides responsible for the contour of a man’s chest consists of a combination of fat, skin, muscle, and stromal (glandular) tissue. The shape and proportions of the male breast gland may vary between breasts, and gynecomastia (male breast enlargement) is a condition where enlargement of one or both breasts may reach abnormally large proportions. Although proper exercise and diet can improve the muscular tone of the chest, they cannot reduce the amount of glandular tissue in the breasts, and therefore, cannot change the condition of gynecomastia. An exception to this rule is the condition of pseudo-gynecomastia, where male breasts increase in size in conjunction with weight gain. In this case, the breast enlargement results from excess fatty tissue, not excess glandular tissue, and the condition may be corrected through weight loss.
Some studies have indicated that hormonal imbalances are one of the primary causes of gynecomastia and that low testosterone or high estrogen levels may lead to the development of “female-like” breast tissue or gynecomastia. This may happen in young men undergoing puberty. Among older men, testosterone levels naturally decrease with age, which can also lead to gynecomastia.
Certain drugs and medications can also contribute to the condition of enlarged breasts in men:
The following illnesses may also lead to gynecomastia:
Anatomically, the adult breast sits atop the pectoralis muscle (the chest muscle) on top of the ribcage, and the breast tissue extends from side-to-side (horizontally) from the edge of the sternum (flat bone in the middle of the chest) out to the mid-axillary line or the center of the axilla (underarm). A thin layer of connective tissue (fascia) encircles the breast tissue, and the deep layer fascia sits on top of the pectoralis muscle, while the superficial layer sits under the skin. The skin covering the breast consists of sweat glands and hair follicles, and the blood supply from the breast comes primarily from the internal mammary artery, which runs underneath the main breast tissue. The blood supply provides nutrients such as oxygen to the breast tissue, and the lymphatic vessels of the breast flow in the opposite direction of the blood supply and drain into the lymph nodes.
The structure of the male breast is similar to that of the female breast, other than the fact that the male breast tissue lacks the specialized lobules required for milk production.
The anatomy of the male breast includes:
Men of any age with enlarged breasts can consider gynecomastia surgery, as long as their breast development has stabilized, and they have realistic expectations about what the procedure can and cannot accomplish. A candidate for gynecomastia must be healthy emotionally as well as physically, and the procedure may be discouraged if a patient is overweight, because the surgery is most successful for men with firm, elastic skin that will reshape to the body’s new contours.
During your initial consultation at Gabbay Plastic Surgery, Dr. Gabbay will determine if you are a good candidate for a male breast reduction. Your evaluation will entail a detailed medical history including any previous conditions and surgeries that you may have had. Dr. Gabbay will inquire about the medications you are currently taking including, your alcohol consumption, any use of marijuana or anabolic steroids, and whether you smoke or not.
Dr. Gabbay will examine your chest and check for any physical causes of your gynecomastia, such as impaired liver function or testicular tumors. If a medical problem is a suspected cause, you will be referred to an appropriate specialist, because your health and safety are of utmost importance, and additional evaluations may be necessary before proceeding with breast reduction surgery. If it is determined that you are a candidate for gynecomastia, Dr. Gabbay will educate you about the procedure and explain its limitations and risks. In some cases (as in puberty related gynecomastia), Dr. Gabbay will recommend a course of watchful waiting to see if the condition improves on its own. Based on factors including your quality of skin tone and the composition of your breast tissue, Dr. Gabbay will then design a customized treatment plan to fulfill your aesthetic goals.
Male breast reduction surgery typically takes 1-2 hours and can be performed as an outpatient procedure using deep “twilight” sedation or general anesthesia (meaning you will be unaware and comfortable during your procedure).
Depending on your individual circumstances, the most common treatment for gynecomastia is liposuction combined with surgical gland excision. During this procedure, the incision is made either on the edge of the nipple (areola) or in the underarm area. Dr. Gabbay will then remove the persistent, excess glandular tissue, fat, and skin from around the pigmented area surrounding the areola, and from the sides and bottom of the breast. For patients with an excessive skin envelope or poor skin quality, a direct excision of the extra skin may be necessary and would require larger incisions and more visible scars.
If liposuction is used to remove excess fat, a slim, hollow tube (cannula) attached to a vacuum pump will be inserted directly through the existing incisions and then utilized to suction out any excess fat. For liposuction-only breast reduction, Dr. Gabbay will make a half-inch incision around the edge of the areola or in the underarm area. After your surgery, a small drain may be inserted through a separate incision to remove excess fluids. Your incisions will be covered with a dressing, and your chest will be wrapped to keep the skin firmly in place.
After your male breast reduction surgery, you may experience mild to moderate discomfort, which can be alleviated with pain medication. You will feel tired and sore for the first 48-72 hours, and any swelling or bruising will subside over the next few weeks. You will be given a compression garment that will help your chest to heal properly, and you should avoid reaching or lifting of any kind for at least one week. Full physical recovery may take up to six weeks and you should avoid direct exposure to the sun during this time, as this may cause permanent irregular pigmentation of your scars. During your postoperative visits, Dr. Gabbay will review your progress, including your incision care, and will address any concerns or questions you may have about your recovery.
Any with any surgical procedure, certain risks or complications are involved and may include:
To find out how we can help you, call Gabbay Plastic Surgery today at (310) 928-2558. Our highly skilled Beverly Hills male breast reduction surgeon can help you achieve the results you want.