Enlarged breasts in men (gynecomastia) can be caused by a number of factors, including hormonal changes, genetics, diseases, and prescription or illicit drugs (such as marijuana). This condition cannot be eliminated through dieting or exercise. Men with enlarged breasts may experience a host of feelings—including self-consciousness and humiliation. They may also avoid physical activities and intimacy in an effort to hide their condition.
The majority of male breast surgery procedures are performed on men between the ages of 13 and 19. In some cases, techniques similar to liposuction are used to remove excess fatty tissue. Others may require surgical intervention, which ranges in complexity depending on the amount of excess breast tissue present.
Dr. Dawes usually performs male breast surgery on an outpatient basis. This surgery takes approximately one-and-a-half hours to complete, and is performed under general anesthesia or local anesthesia with sedation. For excess fatty tissue, liposuction alone may be used. If there is excess skin that needs to be removed, excision techniques may be performed alone or in conjunction with liposuction.
During the liposuction procedure, an incision is made around the lower half of the nipple area. A cannula is inserted through the incision and moved back and forth in a controlled motion to dislodge excess fat. The fat is then suctioned from the body. Bandages are applied to the incisions; a compression garment may also be used to minimize swelling.
Full recovery can take about two to four weeks, and results are usually permanent