Gynecomastia is male breast enlargement. It may be due to excessive fatty tissue, excessive glandular tissue or both. Gynecomastia Excision is a procedure designed to remove unwanted fat and glandular tissue with minimal incisions from the male breast.

With liposuction and glandular excision you can take away fat and breast tissue permanently. When you remove the fat cells from the breasts the fat never comes back. You will still have some cells remaining in that area but if the procedure is done correctly, it will have long lasting affects. Similarly, the removal of glandular tissue is permanent. In most cases the skin of the breasts contracts and it is not necessary to remove excess skin. However, on occasion the redundant skin may need to be excised.   This is sometimes done at the same time of the initial surgery while at other times it is done in a delayed fashion. Waiting several months may limit the length of the scar that the patient has in the breasts.

The breasts are first liposuctioned. This is done through a small puncture hole that is usually hidden in a natural fold of the body or around the nipple. The breasts are infiltrated with a solution containing medicines that cut back on bleeding and postoperative pain, This is why large amounts of fat can be removed with little blood loss and need for hospitalization. The glandular tissue is removed through one of the liposuction incisions that may be widened in order to remove the glandular tissue under the nipple. Usually this incision is in the areola (the pigmented skin around the nipple). The incisions heal very well and hardly visible.

After surgery you will have a moderate amount of drainage from the liposuction incisions. You will need to rest for the first two or three days, but most people are up and about shortly after surgery. We generally recommend our patients to take off 5-7 days from work. Heavy lifting and exercising should be avoided in the first two weeks. Your body will tell you when you are ready to get back into your regular exercise routine.

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