Gynecomastia

Gynecomastia

This is a very common condition present to varying degrees in many men of all ages. Over the years he has seen men of all ages who due to gynecomastia won’t take their shirt off in public—or in private, for that matter.

These men complain of large, pointed, unnatural breasts. There may be firmness under the nipple region. This may be something you were born with or acquired later in life. There are many potential causes that may contribute to gynecomastia, but most of the time it is just excess fat. Most men desire a rounder, more prominent more muscular-looking chest. Many men want a very chiseled and defined look with cut-in edges of pectoralis muscle. Occasionally there may be nipple and areola issues that Dr. Romano can help you with at the same time. The relevant anatomy is present in multiple layers, and two of them need to be addressed at the time of surgery. The male chest shape is determined, first by the curvature of the underlying ribs (they can be really curved); secondly, by the thickness and position of the pectoralis muscle (this can be quite thick); thirdly, by the amount of fat overlying the muscle (THIS is usually the problem); fourthly, by the size and distribution of the male breast gland (this is often present); and, fifthly, by the nature of the skin and its elasticity. Surgery for gynecomastia always involves suction of the fatty layer, and almost always involves removal of most of the remnant of the male breast gland.

Dr. Romano Explains

I have patients who say they have always wanted this condition corrected but did not know there is a surgery for it.

Men complain of large, pointed, unnatural breasts. There may be firmness under the nipple region. This may be something you were born with or acquired later in life. There are many potential causative factors that may contribute to gynecomastia, but most of the time it is just excess fat. Most men desire a rounder, more prominent and more muscular-looking chest. Many men want a very chiseled and defined look with cut-in edges of pectoralis muscle and more. Occasionally there may be associated nipple and areolar issues that I can help you with at the same time. The relevant anatomy is present in multiple layers, and I need to address two of them at the time of surgery.

Surgery involves a light general anesthetic, and a local anesthetic called tumescent anesthesia, used for liposuction, is injected into the tissues. The procedure is performed where I do surgery, which is in a hospital setting. Very small incisions are used to suction the fat. Ultrasonic liposuction is necessary, as this fat does not want to come out easily. After this I remove the breast gland from a one-inch incision around the areola, if this is necessary. The surgery is safe and predictable. There is very mild swelling after surgery. There are only a few stitches. You can return to work in as little as one to two days and to some physical exercise in the second week.

Related Articles & More Information

Please also read Dr. Romano’s article on gynecomastia in the Educational Articles section of the website.

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