Gynecomastia surgery is commonly referred to by many names, including:
- Male Breast Reduction
- “Man Boobs Treatment”
Male breast development, or fullness in the breasts, is also known as gynecomastia. This is a condition that affects many men and can be quite bothersome. Male breast development can be due to hormonal imbalance, weight gain, or genetics. About 30-40% of teenage boys develop some breast development around the time of puberty—called “pubertal gynecomastia”—which usually resolves after one to two years. When it has been there more than two years after puberty, it is medically referred to as gynecomastia. Male athletes that may have used anabolic steroids are also more predisposed to developing gynecomastia.
There are a number of factors that may lead to the development of gynecomastia, and the condition is actually quite common. Fortunately, our board-certified plastic surgeon, James F. Boynton, MD, offers advanced male breast reduction procedures that can effectively address gynecomastia with successful results. Male breast reduction techniques can reduce excess fat and/or glandular tissue that is causing an enlarged breast appearance, ultimately giving the chest a flatter appearance and helping men feel more confident about the way they look.
Dr. James F. Boynton – Gynecomastia Surgery Services
Dr. Boynton offers some of the latest advances in gynecomastia surgery techniques for both true gynecomastia and pseudogynecomastia conditions. These include liposuction with minimally-invasive tissue excision, the pedicled chest lift for pseudogynecomastia after weight loss, free nipple grafting, and other state-of-the-art options.
Dr. Boynton has been successfully performing gynecomastia surgery for many years and sees numerous gynecomastia patients each year. He is committed to helping patients achieve effective results and minimal scarring.
Special compression vests are utilized along with post-lymphatic massage therapy while recovering from gynecomastia surgery. Patients generally need only a day off of work and can typically resume full working out and exercise in two weeks. Final results usually take up to six months to see; however, significant effects of the surgery should be noticeable not long after the procedure. You can find more information about what to expect during recovery from male breast reduction surgery in the frequently asked questions section below, and we encourage you to contact us with any additional questions you may have. Dr. Boynton and his medical team will also provide you with detailed information about post-operative recovery and instructions that can help you heal as safely and quickly as possible.
About 60 percent of the results are seen after the first month, 80 percent after three months, and final results are typically seen at six months.
Historically, liposuction alone does not achieve flat results in the male chest, and some component of excision needs to be performed to remove the fibrous gynecomastia tissue (typically located behind the areola/nipple complex) that causes many male patients to have “puffy” nipples. The tissue is removed in “strips” using specialized surgical instruments that enable it to be removed without having to utilize a traditional “crescent” or “half-moon” shaped incision that goes around the bottom half of the areola.
Pain is typically mild to moderate. The procedure is done as an outpatient treatment, and most patients are able to resume their activities of daily living (such as showering, going out to dinner, getting around, etc.) the following day. Most patients will take one or two days off of work at most. A small minority of patients will take a week off of work, but that is rarely necessary. Men bruise more substantially than women do in general, so the bruising is to be expected. Men often want to get back in the gym and work out, but that is something that needs to wait at least two weeks.
Massaging is an important adjunct to chest wall sculpting and gynecomastia treatment. All patients get variable degrees of scar tissue formation after the procedure, and formal post-lymphatic treatments and massages are very important. With some patients, we start this process one week after the procedure; with others, we wait until two weeks following treatment.
Men wear a “compression vest” that fits easily and inconspicuously under their clothes. The material is breathable and comfortable, and patients are able to do this in all seasons. Sometimes, we add a special foam inside of the garments to achieve targeting compression in specific areas. Many male patients decide to do their abdomen and “love handles” at the same time as the chest, and the garment is the same regardless, so that is something they enjoy.
Chest liposuction areas typically do not drain as much as the abdomen and love handle areas, but there is a possibility of some mild drainage in the first two days. The specialized garment is designed to wick away fluid and helps in this regard.
Typically two weeks after the surgery. Dr. Boynton will provide more specific recommendations for you once you have been examined at the initial consultation.