Development of breast tissue in men, called gynecomastia, is very common. Removal of the extra tissue (and extra skin or excess fat, if needed) can be performed with outpatient surgery to restore a masculine look to the male chest. When it comes to gynecomastia in Los Angeles, our Plastic Surgeons have helped many male patients find renewed confidence through gynecomastia surgery. Our gynecomastia specialists are skilled in a variety of techniques and can create a treatment plan to give you more angled, muscular contours.
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Gynecomastia, sometimes called gynaecomastia or male breast enlargement, is a common condition characterized by excess glandular tissue and/or fatty tissue in the chest. This condition affects up to 70% of men, with higher prevalence in teens and men over the age of 50.1 Gynecomastia does not usually present any medical concerns and will sometimes go away without treatment.2 However, men with gynecomastia are often embarrassed or frustrated by enlarged breast tissue. Surgical treatment of gynecomastia can help men with gynecomastia look and feel more masculine.
The exact cause of gynecomastia is not always clear, but it is often associated with hormonal imbalances such as low testosterone, increased estrogen, or both. Common causes of gynecomastia include:
Sometimes gynecomastia will resolve when the hormones are brought back into balance, but sometimes excess breast tissue remains. Surgery is often the most effective treatment for chronic gynecomastia.
Male breast reduction surgery improves the appearance of the chest by removing unwanted tissue for a more defined, masculine chest.
Gynecomastia surgery can correct a "lopsided" chest by making both sides even in terms of size and shape for a more balanced and symmetrical look.
Feel confident with your shirt off after gynecomastia surgery and enjoy an overall improvement in your body image and quality of life.
During your consultation appointment, your surgeon will discuss your goals and concerns and perform a physical examination before reviewing your treatment options, which may include tissue removal, liposuction, and skin tightening.
Your surgeon may also refer you to a specialist in endocrinology for blood tests to check your thyroid function and your hormone levels, particularly your testosterone level and estrogen level.
For most patients, Cassileth Plastic Surgery's male breast reduction procedures are straightforward, almost incision-less outpatient surgeries that are low risk and require little recovery. Your plastic surgeon will make a small incision in an area where the resulting scar will not show, then remove tissue and suction out fat as necessary. The result will be a smooth, slim, muscle-revealing chest. For patients with a great deal of excess skin, the scar is placed under the pectoral muscle shadow to remove the excess skin and fat.
Male breast reduction uses all dissolvable stitches that cannot be seen. Patients usually go back to work within days of their surgery, depending on how much tissue was removed.
If you are a man who is bothered by excess tissue in your chest or the appearance of breasts, you could be a candidate for gynecomastia surgery. Ideal candidates are non-smokers in good general health and are at a stable, healthy weight.3 If you have talked to your doctor about the cause of your gynecomastia and have not been able to correct it through medical treatment, then surgery may be right for you.
In most cases of gynecomastia, we are able to use very small incisions that leave almost no noticeable scarring. In cases that require more extensive incisions, your surgeon will advise you on skin care to minimize the appearance of any scarring.
Many gynecomastia patients choose to combine liposuction with their breast reduction surgery. If you are seeking comprehensive rejuvenation, we have developed the Man Plan to give men cosmetic options that deliver customized results without requiring significant recovery time. Male-focused options include BROTOX for smoothing forehead lines and more, hair restoration, hair removal, and microneedling for skin rejuvenation.
Your surgeon will develop a treatment plan and discuss it with you prior to surgery to ensure that your results are tailored to your goals. In general, you can expect a flatter, more masculine contour. Results are typically permanent as long as you maintain a healthy lifestyle and stable weight.
1 Johnson RE, Murad MH. Gynecomastia: pathophysiology, evaluation, and management. Mayo Clin Proc. 2009;84(11):1010-1015. doi:10.1016/S0025-6196(11)60671-X
2Mayo Clinic. Gynecomastia. Available: https://www.mayoclinic.org/diseases-conditions/gynecomastia/symptoms-causes/syc-20351793 Accessed September 3, 2021
3American Society of Plastic Surgeons. Gynecomastia Surgery. Available: https://www.plasticsurgery.org/cosmetic-procedures/gynecomastia-surgery/candidates Accessed September 3, 2021.
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