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What Do Men Need to Know Before Having Gynecomastia Surgery?

Jul 24, 2019
Gynecomastia Surgery

What is gynecomastia?

For some men this condition is genetically predisposed, for others is just a side effect of certain medications or drug use. Common causes of gynecomastia include puberty, excess weight gain, use of anabolic steroids in bodybuilders and use of marijuana. A number of other medications also cause male breast enlargement.
The prevalence of asymptomatic gynecomastia is 60% to 90% in children, 50% to 60% in adolescents and up to 70% in men aged 50 to 69 years. Whatever the cause, it’s impossible to correct it with diet and exercise, surgery intervention could be the best and most effective alternative.

How would I know if I have gynecomastia?

Gynecomastia usually occurs in both breasts, but patients may have with asymmetric or unilateral breasts. Breast self-exams usually demonstrate a palpable, tender, firm, mobile, disc-like mound of tissue located centrally under the nipple-areolar complex.
When patients come in with a complaint of gynecomastia, they usually complain about lumps in their breasts with or without excess fat in the breasts. Surgery to remove the breast tissue usually involves liposuction of the excess fat, surgical removal of the excess glandular breast tissue through an incision in the margin of the nipple-areolar complex and/or skin excision (in very large male breasts). It is important that your surgeon perform a proper physical exam of your breasts to confirm gynecomastia and rule out the suspicion of male breast cancer.

Preparing for gynecomastia surgery

Preparing for surgery involves making sure that you stop medications that increase the risk of bleeding, stop smoking and increase nutrition to support your healing and recovery after surgery. Most surgeons perform the operation under general anesthesia, but it is a procedure that is also well-suited to being performed under oral sedation and local anesthesia.

Recovery after gynecomastia

After the liposuction, you will wear a tight male compression vest for the next 3-4 weeks which is easily hidden under your clothing. This is absolutely necessary for better healing and to perfectly contour your newly designed body. Most of our clients will go back to work the next day after the procedure, but you should avoid strenuous activity for 7-10 days. Patients are generally able to get back to the gym to do cardio at 2 weeks and weightlifting at 4 weeks. 
In general, surgery for gynecomastia is incredibly safe and most patients have smooth recoveries. Occasionally, complications may include bleeding, infection, poor scarring, and correctable asymmetry. Attention to meticulous surgical technique and pre/peri/postoperative management is essential to good results.