Due to various reasons, some men develop excess breast tissue and fat ("gynecomastia") in the chest area. This tissue is first noticed during the adolescent years and then disappears throughout puberty. In others, it remains even after puberty. These individuals may feel insecure and commonly restrict themselves from removing their shirt in public. Common causes of gynecomastia include; a hormonal imbalance, drug abuse, use of steroids, weight gain, and certain medications.
Most men will try to “work it off” with diet and exercise. Usually this only makes it even more apparent. As the body fat percentage decreases, the pectoralis muscle enlarges, and the breast tissue remains the same.
To correct gynecomastia, Dr. Pancholi will perform a male breast tissue reduction surgery. This may involve the use of ultrasonic liposuction, direct removal of the breast tissue, or a combination of both. During your initial consultation, Dr. Pancholi will determine the most appropriate course of treatment.
There is a moderate amount of discomfort associated with the ultrasonic liposuction and direct removal of breast tissue in men. Expect to see some minor bruising and moderate swelling associated with this surgery. Early on you may see minimal changes because of the swelling. Using cool packs and drinking plenty of water during this time will help with the resolution. I usually instruct my patients not to expect dramatic changes for the first 2 months and that the final result is not known until up to 6 months.
Expect to resume normal daily activities 3-5 days after surgery. Resuming work with minimal physical activity can be done as early as the next day, if able. Work requiring average physical activity should be delayed for 5 days and those with heavy activity for 10 days. The dissolving stitches are all under the skin, within 3 weeks you should be able to begin going to the gym to work out. You should also avoid exposing the scars to the sun for at least six months. Sunlight can permanently affect the skin’s pigmentation, causing the scar to turn dark. If sun exposure is unavoidable, use a strong sun block. A good rule of thumb is that if the scars have not lost their pink color yet, the sun should be avoided.