Gynecomastia with other procedures

The male hormonal pattern can manifest itself with so called "love handles". This represents excess adipose tissue (fat) in the tummy, waist and lower back areas. Often it is hereditary, occurring not only in overweight people, but in body builders and fitness instructors who may also have gynecomastia. This kind of patient is obviously lean and fit, but can not get rid of the excess fat in the "love handles" area.

The gynecomastia condition can be true gynecomastia, which involves removal of the glandular tissue of the chest with or without liposuction, or it can be what is known as pseudogynecomastia.  This condition looks much like real gynecomastia, but has no medical reason for being there except for the patient being overweight.  As with true gynecomastia, there are various reasons for its occurrence.  Both cases can range from side effects from prescription medication, to the use of recreational drugs, and onset of puberty, or an underlying medical condition.

Every case is different, and each person will require a different amount of tissue removal. A board certified plastic surgeon with specific experience in male breast surgery can determine if the patient is a suitable candidate for male breast reduction by liposuction alone, glandular excision, or a combination of both. Men who suffer from large areolas may notice that after breast surgery, the skin of the chest muscles will tighten, causing the areolas to tighten and diminish in size. This is a result of the removal of glandular and/or adipose tissue.

Surgical correction of enlarged male breasts can be done simultaneously with liposuction of other areas such as the abdomen, waist and back. Liposuction, also known as Liposculpture surgery, is performed to remove unwanted localized fat deposits.  This surgical technique helps to improve body contours by removing excess fat (adipose) tissue from deposits located between the skin and muscle. 

A stainless steel suction tube, called a cannula, is inserted through a tiny incision. The cannula removes fat by means of a powerful suction pump. It is inserted into the fat through small incisions in the skin.  When possible, the incision is made in one of the body’s natural skin creases thereby minimizing the appearance of the resulting scar. The fat tissue is suctioned out creating tiny tunnels through the fatty layers. After surgery, these tiny tunnels collapse and thus altering the body contour. The amount of time for liposuction surgery with gynecomastia surgery will depend on the extent of tissue needing to be removed in addition to where the removal of tissue needs to take place. If only a small amount is required for removal, it can take approximately an hour, but if larger amounts and more areas are required, surgery can last four or more hours.

Examples of glandular tissue excision combined with liposuction of the back and waist can be seen in the attached pictures. The “before and after” gynecomastia liposuction photos are a sampling of Dr. Blau's surgical results.

As with all cosmetic surgery, results will be rewarding if expectations are realistic. As with any surgery, there are some risks which your doctor will discuss with you.