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Gynecomastia is a medical term that refers to a rarely talked about condition, however, it’s actually quite common – the overdevelopment of male breasts affects roughly 40 to 60 percent of men. Gynecomastia can start in adolescence and may persist throughout adulthood, or can develop in an older man due to steroid abuse, weight gain, hormonal imbalance, or as a side effect of certain medications.

Male Breast Reduction - Charlotte Plastic SurgeryMen with male breast enlargement (or “Gynecomastia”) may avoid certain clothing, social situations, and physical activities. The condition can also cause emotional distress and hinder self-confidence, as some men may avoid intimacy to hide their condition.

Gynecomastia is characterized by:

  • Excess localized fat
  • Excess glandular tissue development
  • Excess breast skin
  • Affects one breast or both

For patients where gynecomastia is mostly excess fatty tissue, liposuction techniques can be used to remove the excess fat. In this scenario, small incisions are made typically around the areola and a liposuction cannula is inserted to loosen and suction out the fat. This approach has the benefit of limited incisions for minimal scarring and most activities can be resumed within two weeks.

In patients where gynecomastia is mostly glandular breast tissue, where excess skin must be removed, where nipple placement must be returned to a more natural position, or where the size of the areola must be reduced, excision techniques are used. Incision locations vary based on the surgical approach but are most often hidden along natural contours of the breast and around the pigmented area of the areola. In many cases, both liposuction and excision techniques are used to achieve an aesthetically pleasing result.

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“I came to the consultation with a list of questions prepared but didn’t even have to pull it out. They were so knowledgeable and informative, that before I even asked my questions they were all answered.”

LENGTH: 1-2 hours.

ANESTHESIA: Usually asleep.

IN/OUTPATIENT: Outpatient.

SIDE EFFECTS: Discomfort, swelling, transient altered nipple sensitivity.

RISKS: With any surgery, risks such as infection and blood clot exist. Our surgeons will always talk with you about potential risks specific to your procedures in your consultation. Other risks may include permanent nipple insensitivity and scarring.

RECOVERY: Drains may be placed at the time of surgery and can be removed in the office after two to five days. You may be instructed to wear a compression vest for a few months to aid in the skin re-draping process.

DURATION OF RESULTS: Can be permanent.


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