Male Breast Reduction and Gynecomastia in Chicago
For a man’s body image, having breast tissue is very disturbing. Unfortunately, we do not know for sure why men develop gynecomastia. We know that when there is massive weight gain, the breast tissue is affected. We also know that during puberty that there is some enlargement of the breast that disappears at the end of puberty. We know that when men take hormones, either estrogen or testosterone, they can develop breast enlargement. However, a complete step by step process for the development of gynecomastia is no established.
What is the tissue made of?
When tissue removed during gynecomastia surgery is studied under the microscope, it is essentially fat and fibrous bands made out of collagen. There are minimal glandular tissue in general as opposed to what is found in females.
If upon examination the enlargement is felt to be mainly fat, then liposuction can be very helpful. However when it is felt that there is a fibrous component, then a sharp excision is needed. This incision is made in the lower part of the areola at the junction of the skin and the areola. This placement allows access to the involved tissue so it can be removed.
If the areola is significantly enlarged, it can be reduced as well. With technical refinement over the last few years, we have limited our incision to the area of the areola in all circumstances.
The procedure is performed in an outpatient setting under intravenous sedation or general anesthesia. The sutures are self-dissolving and if drains have been placed it would be removed once the drainage has ceased. Overall it is a safe and simple procedure that enhances one’s confidence and self-image.
This patient had his gynecomastia corrected with liposuction; patient was having liposuction on the abdomen as well.
30-year-old male patient had achieved massive weight loss and had significant chest asymmetry. His nipples were so low and enlarged that a standard gynecomastia procedure was out of the question; the nipple was harvested and replaced as a skin graft after the excision was done.
Patient is a 33-year-old male whose gynecomastia procedure was performed with liposuction.