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(714) 500-0050
Gynecomastia
Male Breast Reduction
Best Information Resource on Male Breast Liposuction and Gynecomastia Surgery in Los Angeles, Orange County, Riverside, San Bernardino, and San Diego.
Introduction to Gynecomastia
Gynecomastia is the abnormal enlargement of male breast tissue.  Male breast reduction is a procedure to treat gynecomastia using liposuction and direct surgical excision.  If you or your friend are considering surgery to correct gynecomastia or if you are only interested in more information about the procedure, please call us at (714) 500-0050 for a risk free complimentary consultation with Dr. Luu Doan. You can also email us by clicking here to schedule a consultation or to get answers to any of your questions regarding the procedure.

Abnormal enlargement of male breast tissue, called Gynecomastia, can result from several health conditions affecting the balance between testosterone and estrogen in a man’s hormonal environment.  These health conditions can include:
The primary treatment for Gynecomastia is to stop the underlying cause of the breast tissue overgrowth.  This may mean stopping the medication that is stimulating growth of male breast tissue or treating the underlying disease that is causing the gynecomastia.  If this fails to reverse the gynecomastia after six months to a year, then surgical intervention is necessary.  The surgical treatment would involve direct excision of the breast tissue in combination with liposuction as described below.

Pseuodogynecomastia is the excessive collection of fat in the chest that mimics breast enlargement and is characterized by stretching and puffiness of the areola.  Weight loss is the primary treatment.  If this is unsuccessful, then liposuction of the chest would by the next option.
Before and After
Male Breast Reduction Surgery
The surgery to remove excess breast tissue in males is performed as an outpatient procedure under general anesthesia in our medicare-accredited, state-of-the-art Newport Coast Surgical Center.  The operation takes approximately one hour to perform.  The patient is monitored by an anesthesiologist throughout the procedure.

The operation begins with a one inch incision along the lower border of the areola.  The excess breast tissue is excised and tapered to leave a smooth contour to the chest wall.  This is followed by liposuction to remove the fat in the breasts and to smoothen out the chest wall.  This provides further flattening of the breast.  The incision is then closed with absorbable sutures.  For men who also have expansion of the areola, the size of the areola can be reduced in the same operation using the donut breast lift technique.   For Pseudogynecomastia, only liposuction is needed since the breast enlargement is only from excess fat and not actual breast tissue.
BEFORE - AFTER
Only a thorough and candid discussion between you and Dr. Doan can determine the best surgical options for you.  Doctor Doan will discuss with you in detail every step of the procedure and he will review with you the possible complications of the operation.
The Recovery From Male Breast Reduction
Your chest may feel tender, stiff and sore for a few days. You will not want to use your arms too much since the pectoralis muscle, which spans the chest and connects to the upper arm bone, will be very sore.  You should try to move around the house to get food or to go to the bathroom. Sitting around all day increases your risks of blood clots which is very dangerous. Your stitches do not need to be removed. Be sure to take your required medications and follow the precise instructions provided to you by your surgeon.

You may also experience sharp pains, burning sensations, heat, tingling, prickling, etc. This is from minor nerve damage and the normal sensations will begin to return by 4 to 6 weeks.

You will be prescribed medication to control the pain and nausea.  You will also be prescribed antibiotic pills to prevent infection.  You will need to wear a sleeveless compression vest for six weeks after the surgery to help tighten the skin during the healing process.  The sutures are absorbable and do not need to be removed.  Most patients will be able to return to work in one week and will be able to return to their normal exercise routine by six weeks.

Asymmetry may be a fact of life for you until you are fully healed. The body does not heal equally on each side.  Expect that one side may seem larger than the other. Be patient and wait it out before looking into revision surgery. Swelling can alter the appearance of your body and mask the true results, whether it will ultimately be a good result or a bad result (lumps). Patience is the only remedy until you are able to make a true judgment. This judgment cannot be made until you are fully healed.

You will be instructed not to exercise or engage in strenuous activities for at least 4 weeks. You may be swollen for up to 4 months, although this could be very slight and only noticed by you. Overall improvement will be appreciated in just a few weeks. The majority of the swelling will have subsided by this time and the results will be apparent. It takes about 3 to 4 months for the rest of the swelling to subside, although it can remain up to 6 months. The scar requires 12 to 18 months to fade, flatten, and soften.  Doctor Doan and his staff will guide you through the entire recovery period to make sure that it is as smooth as possible.

You should be up and about the next day to prevent blood clots from developing in the veins of the legs.  You will be prescribed medication to control the nausea.  You will also be prescribed antibiotic pills to prevent infection.  Ice should be applied every 20 minutes to the nose and cheeks for the first 48 hours to minimize the degree of bruising and swelling.  You will need to wear the nasal splint for 7 days.  The sutures across the base of the nose will be removed 7 days after surgery.  Most patients will be able to return to work in one week and will be able to return to their normal exercise routine by six weeks.  Most of the swelling and all of the bruising will be gone by two months.  Complete resolution of the nasal skin swelling may take 6 months to a year.  Doctor Doan and his staff will guide you through the entire recovery period to make sure that it is as smooth as possible.
Complications of Male Breast Reduction
If you are a healthy candidate with no pre-existing disorders or diseases which may inhibit healing, the general risks for male breast reduction surgery are very low. However, since it is indeed surgery, there are inherent risks you must consider before choosing to undergo a procedure such as this.  Potential complications associated with Otoplasty surgery may include the following:
  • Bleeding:  Minor bleeding will resolve on its own. More severe cases may require a minor procedure to aspirate the blood to relieve pain and prevent wound healing complications in the future.
  • Infection:  This is very rare and usually responds to antibiotic pills.
  • Asymmetry:  If one breast appears larger than the other breast after 6 months, then a revision procedure may be required to further reduce the larger breast.
  • Irregular Contour Deformities:  Depresssions and bumps may appear after your procedure which may require additional surgery. This can be from fibrous scar tissue formation which can     naturally happen and be the fault of no one - merely happenstance.
Best Information Resource on Male Breast Liposuction and Gynecomastia Surgery in Los Angeles, Orange County, Riverside, San Bernardino, and San Diego.
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18819 Delaware St, Huntington Beach, CA 92648 - (714) 500-0050