Male breast reduction – Gynecomastia

The development of the mammary gland in males is called “gynecomastia”. When growth occurs before and after puberty, a pediatric and endocrine evaluation may be necessary. Although certain drugs or medications and some medical problems may be linked to the overdevelopment of the male breast, there is no known cause in the vast majority of cases.

Men who have an increase in permanent breast volume are subject to surgical treatment after ruling out any possible cause. The best result is obtained when the skin is firm and elastic and adapts to the new body contour.

Gynecomastia can be glandular, where the increase in tissue is due to hypertrophy of the mammary gland.It may also becaused by fat, which is called pseudogynecomastia, in which the proliferation of tissue is due to fat accumulation and is directly related to obesity. In mixed gynecomastia, a central glandular component appears surrounded by fatty tissue.

The procedure removes fat and glandular tissue from the breasts, and in extreme cases also removes excess skin, resulting in a flat, firm, and well-contoured chest. The procedure is performed with local anesthesia and sedation. Incisions measuring approximately three millimeters are made forliposuction and, in some cases, another small incision is performed in the lower part of the areola to remove the mammary gland. In all cases, fat tissue liposuction serves to reshape and smooth pectoral skin coverage.