Dr. Corbin - Beverly Hills and O.C. (310) 284-8384 • (714) 671-3033

Gynecomastia surgery

Male Breast Reduction

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The Initial Consultation

Gynecomastia Surgery Candidates

Men with enlarged breasts and or nipples may experience pain, hypersensitivity and embarrassment because of gynecomastia. The male breast reduction surgery may remove fat, glandular tissue and or excess skin. Patients who have had major weight loss may benefit from nipple areolar reductions as well as skin excision to remove loose or hanging skin on the chest. Most Gynecomastia patients are seeking physical relief as well as improving the appearance of their chest making it more masculine.

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Creating a more masculine chest

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Procedure: Excision of Male Breast Tissue

The traditional procedure for male breast enlargement or gynecomastia has been excision. True breast development in men that does not go away following puberty is frequently treated with direct excision or a bilateral subcutaneous mastectomy.

An incision is usually made along the inferior areola border and dissection carried down to the breast tissue. This tissue can then be separated from the overlying skin and underlying pectoralis muscle fascia. After it is completely free from the surrounding tissue, it can be removed from the wound. Hemostasis is then obtained and a drain is frequently left in the wound to prevent the collection of fluid.

Once the breast tissue is resected it cannot return and the skin usually recontours to the chest wall without leaving evidence that any problem ever existed.

Procedure: Liposuction Correction of Gynecomastia

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Gynecomastia can represent true breast development in men or more commonly it can be the accumulation of fat over the chest simulating male breast development.

In this instance liposuction particularly ultrasonic liposuction is a very effective way to remove this unwanted and frequently embarrassing accumulation of male breast tissue.

Via a pinpoint size incision near the arm pit Dr. Corbin instills sterile fluid over the chest which also contains something to numb the tissues as well as shrink the blood vessels and reduce bleeding.

Then via this same incision or another Dr. Corbin introduces the liposuction or ultrasonic cannula and begins the process of removing the fat. By using the liposuction cannula much like a sculptors tool the unwanted fat/breast is removed and a more masculine contour is restored to the chest.

No drains are needed for liposuction to the chest and the patients can usually return to normal activities within a couple of days. A compression garment is normally recommended. Following liposuction to the chest a healthy diet and exercise program are recommended to prevent any future fat accumulation.

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The Risks of Gynecomastia Surgery

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Gynecomastia surgeries are not minor surgeries. Anytime a patient undergoes an invasive procedure and anesthesia there are risks. With any surgery there is a possibility of bleeding, infection, numbness, poor healing or a reaction to anesthesia. The specific risks of Male Breast Reduction Surgery will be covered in detail during a personal consultation.

Minimizing Risks

Minimize the risks of surgery by having a qualified surgeon, like Dr. Corbin who is certified with the American Society of Plastic and Reconstructive Surgeons perform your surgery. It is also important your surgeon has hospital privileges to perform Gynecomastia surgery and only uses qualified Medical Doctors for Anesthesia. A surgeon with specific experience in Gynecomastia corrective procedures is your best choice.

As a conscientious patient you can reduce the risk of bleeding by discontinuing Aspirin products a couple of weeks before your surgery as well as two weeks after surgery. Patients can reduce the risk of poor blood supply or dead tissue by not smoking before or after Gynecomastia surgery.

Following gynecomastia surgery

All surgeries have some type of discomfort or pain associated with them. Immediately following male breast reduction surgery the patient’s small incisions along the nipple areolar are sutured up or closed using special surgical glue. The incisions are then covered over with a steri-strip. The patient is wrapped with an elastic compression wrap or compression vest. If Dr. Corbin uses drains a small tube is placed through the incision of each breast to drain fluid and or blood. Dr. Corbin does not always use drains, but if it is indicated they are left in for a few days or until there is little to no drainage.

Patients may feel discomfort for the first few days. Generally the average patient says the first day is the most uncomfortable and every day after that gets better and better. It may be uncomfortable to move, cough, laugh and sometimes take a deep breath. Part of this feeling is because of the tight compression garment patients wear to minimize bruising and swelling. Most patients are able to sooth the discomfort by taking their prescribed pain medicine and applying ice to the surgery area for the first two days after gynecomastia surgery.

The compression garment must be worn until the first post op visit with Dr. Corbin. Generally, Gynecomastia surgery patients are seen 5-7 days after surgery. At this post operative appointment Dr. Corbin removes any stitches or replaces the steri-strips over the incisions. Dr. Corbin also checks the wounds and newly reduced chest to make sure the patient is healing well. In some cases if the patient has a drain or drains these may be removed at this appointment.

Even though patients feel good after gynecomastia surgery and are getting around fine, their activities may be restricted for a while. The chest area may ache for a few days or weeks depending on the individual. Driving should be avoided for the first week and the patient should be off the prescribed pain medicine before driving. Strenuous activities, working out, heavy lifting or pushing should be avoided for three weeks or more depending on how the patient is healing from his male breast reduction surgery. Daily routines should be tailored to reduce stress to the chest area. This may include limiting sexual activity for the first week or two after Gynecomastia surgery. Specific gynecomastia surgery post op instructions will be discussed in detail with each patient at the pre op appointment before surgery as well as at the post op appointment after surgery. Each patient’s special needs are always considered in determining what is the best post op care for them.

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