Sometimes, for various reasons, the male breast becomes fatty and begins to sag. Instead of a healthy masculine look, the man is left with an unhealthy, out of shape, feminine look. This condition of enlarged male breasts is called gynecomastia.
The condition is no reason to feel shame as it becomes more prevalent as men age and there muscle density decreases. It can also be the result of hormonal changes, heredity conditions, disease or a side effect of certain drugs.
Time in Hospital: 1-2 Nights
Min time in Thailand: 12 Nights
Procedure name: Gynecomastia
Common name: Breast Reduction for Men, Breast Liposuction for Men, Male Breast Reduction, Male Breast Liposuction
In cases of people who are overweight, often weight loss can alter the gynecomastic condition, but for many others it does not eliminate it. For these people surgery is the only known physical remedy. Today gynecomastia can be effectively eliminated so that a man no longer has to be embarrassed to remove his shirt. It is important however for men with gynecomastia first to consult a physician to rule out any underlying health concerns.
A man who feels self-conscious about his breast area may want them reduced. The benefits of male breast reduction surgery are both physical and psychological. When a man is rid of unattractive, sagging breasts, his more defined pectoralis muscles, previously hidden, show through like they should. Shirts fit much better, and can even be fitted or body-hugging.
This breast reduction is permanent but its results may be compromised in significantly overweight men. If you are overweight, you should try to get within 15-20 kg (30-40 lbs) of your ideal body weight.
Treatment depends on what is causing the problem. Treatment options can be any of the following:
Excessive Fat - This is found in almost every gynecomastia patient. Excess fat is centred around the nipple/areola but usually involves the entire chest, and can usually be removed with liposuction (best coupled with VASER Lipolysis) alone. You can expect the skin to shrink back after the fat is removed and a good result is obtained.
Excessive Fat and Excessive Breast Tissue – All men have breast tissue, the same breast tissue as women but less of it. In gynecomastia, the excess breast tissue typically is located right under the nipple/areola and is enlarged. Liposuction alone usually will not adequately remove this tissue. It needs to be surgically cut out.
In a standard tummy tuck, Dr. Chartchai or Dr Oumyos tightens the underlying muscles in 2 places to flatten the stomach and narrow the waist line. A bonus of the standard tummy tuck is that any stretch marks below the belly button will likely be removed. A properly performed standard tummy tuck will help create an hour-glass waist line.
With age, weight gain, or pregnancy the stomach muscles separate in the midline and create additional bulging. During the tummy tuck, Dr. Chartchai or Dr Oumyos tightens the stomach muscles by suturing them together in the midline. It is usually necessary to reposition the belly button because of the large amount of skin that is removed.
A standard tummy tuck does not treat fat deposits in the flank area. These can be addressed with either liposuction or by performing an extended abdominoplasty. If there is only a small or moderate amount of flank fat, liposuction may be the best course. If you have a significant amount of flank fat an extended abdominoplasty would most likely be best.
The standard tummy tuck leaves a scar from hip to hip and requires repositioning of the umbilicus to avoid positioning it too low on the abdomen.
Excess Fat, Breast Tissue, and Excessive Skin – As above, after the fat and breast tissue are removed, the skin usually will shrink back and a flat result will be obtained. There are times when the skin does not shrink back and it needs to be excised.
You will probably be very sore for the first week. You may experience some numbness. Bruising is normal and will subside in 2-4 weeks. Breast asymmetry is normal for the first 6 weeks.
Some men with sedentary jobs go back to work after 3 days. Most return to work in about one week. If your job requires lifting or significant arm movements, you may have to wait up to 2 weeks before returning to work. It can take 3-12 months for skin contraction to be complete.
The most common complication after male breast reduction is asymmetry or incomplete removal of breast tissue. While all breasts have some asymmetry, in men this is not as noticeable as it is in women. A male breast reduction can correct asymmetry but it is unreasonable to expect both breasts to be identical.
With liposuction alone, loss of nipple sensation is unusual but possible and returns in a few months. With a surgical procedure, nipple sensation rarely returns. Other complications that must be considered are the risks of infection, wound healing problems, fluid or blood collection, and contour irregularities.