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Gynecomastia Surgery

Gynecomastia is the condition when a cisgender male has excess breast tissue.  This can be devastating and embarrassing.  However, several gynecomastia treatment options are very effective. The patient needs to be assessed for hormonal imbalances and even testicular tumors, but in most cases, there is no medically treatable cause and the solution is surgical.  Surgery can be simple liposuction if the skin quality is good and there is no excess skin, or a more complicated skin excision and nipple and areolar reconstruction. For more information on male breast reduction in New York City and which procedure is best for you, visit plastic surgeon, Alexes Hazen MD. Not only is she is an expert breast surgeon but she has authored chapters specifically on gynecomastia surgery. 

Before and After Photos of Gynecomastia Procedures


Gynecomastia Procedure

Gynecomastia surgery is generally performed under sedation or general anesthesia and takes 2-3 hours.  Depending on the degree of gynecomastia and the quality of the skin, the surgery can be performed using different techniques.  The most simple surgery is liposuction which is done with tiny incisions that can be hidden.  This is the choice of procedure for a patient who has no ptosis (droop) and simply has extra breast tissue.  For patients who have dense breast tissue, an incision is made around the areola, (the pigmented area surrounding the nipple) or along the infra-mammary fold. Fat and glandular tissue are removed to create a chest that is flatter and firmer, yielding a more masculine contour. Liposuction may be performed in conjunction with male breast reduction to enhance results. In more severe cases, the nipple and areola need to be repositioned, and excess skin needs to be removed.

Who is a Candidate for Gynecomastia?

Gynecomastia is a condition that can develop in men of all ages.  It often develops as a boy enters puberty, but also can be seen in men over the age of 50, and overweight men (pseudo-gynecomastia). The medical causes for gynecomastia are usually due to hormonal fluctuations in the body, but there are many other possible causes. Patients should have a thorough medical evaluation before male breast reduction surgery to rule out any possible underlying medical condition such as liver or kidney disease, or a hormonal imbalance. There are numerous medications and exogenous substances that can cause gynecomastia such as anabolic steroids, marijuana, or some prescription medications.

Recovering from Gynecomastia Surgery

Patients typically recover in two weeks.  However, many patients experience prolonged swelling and are required to wear compression garments for up to 3 months.  Patients can usually get back to vigorous exercise in 4 weeks.  Patients often experience bruising and swelling for the first week.

Why Choose Dr. Alexes Hazen

Dr. Hazen is an expert in breast surgery and has authored chapters specifically on gynecomastia surgery.  Wouldn't you want to go to an expert in the field?  Dr. Hazen analyzes carefully the cause and only operates if necessary.  Together you help choose the best surgical option to restore the contour of the chest.  Dr. Hazen follows your post-op course carefully and makes sure that your scars are as good as possible.  You need to feel comfortable and safe with your surgeon. You will feel safe with Dr. Hazen.

What to Expect From Your Consultation

After welcoming you, Dr. Hazen takes a thorough look at your medical history and conditions, including hospitalizations and medications taken.  A physical exam is performed.  Your goals and desires for surgery are fully explored, and Dr. Hazen gives a comprehensive explanation of the surgical procedures that are possible for you, including complications and risks.  The recovery process is well described. Dr. Hazen offers to take pre-operative photos of you (saves a visit). Dr. Hazen and you may explore any issues that are blocking or interfering with the surgery actually happening, including anxieties around it. Then a plan is made with a timeline.  If the surgery is not covered by insurance, estimated costs for surgery and anesthesia are presented to you.

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