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Gynecomastia is a medical condition that causes the abnormal growth of male breast tissue. This condition causes many men to feel embarrassed by the feminine appearance of enlarged breast tissue. Gynecomastia surgery can enhance patients’ masculine appearance and improve their overall quality of life.

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Gynecomastia Surgical Procedure 

Gynecomastia surgery (male breast reduction surgery) involves a combination of tissue excision and liposuction. True gynecomastia is caused by a buildup of glandular breast tissue. Other patients may have pseudogynecomastia which has a similar appearance but is mainly caused by the buildup of fatty tissue.

During gynecomastia surgery, Dr. Rau will carefully remove excess breast tissue and excess skin to flatten the chest and improve the appearance of enlarged male breasts. Liposuction is used to further contour the male breasts and remove bulges of fat at the sides of the breasts and under the arms. Patients with pseudogynecomastia may benefit from liposuction alone. The majority of male breast reduction surgeries can be done awake and under local anesthesia, but some cases, including higher grades of gynecomastia, should be done under general anesthesia.

Who is a Candidate for Gynecomastia Surgery? 

Men suffering from enlarged breasts that have not been approved with diet and exercise can benefit from gynecomastia surgery. Candidates should be nonsmokers in overall good health and a stable weight. Dr. Rau will discuss your medical history and cosmetic goals at your initial consultation to determine whether male breast reduction is right for you.

Results and Recovery 

After gynecomastia surgery, patients will be instructed to wear a compression garment for about 6 weeks to minimize swelling and support the healing tissues. Most discomfort, bruising, and swelling improve within the first week, but it can take several months for swelling to completely go down. During the first week, you will be prescribed pain medication to keep you comfortable. Strenuous activity should be avoided for about six weeks, and it is important to follow all of the post-op instructions provided by Dr. Rau.

As the swelling reduces, patients can expect to see a flatter chest with a more masculine contour. Since glandular tissue responsible for breast tissue growth is removed, results are permanent as long as you maintain a stable weight after surgery.