Gynecomastia

Gynecomastia is a medical term for excess breast tissue in a man.  There are many causes of Gynecomastia but most are idiopathic or unknown.  The good news is that there is a procedure to remove this excess chest tissue.  You will be able to have a flat, well defined chest and be proud of what you look like!

Aspire to be…..fit!

HOW IT WORKS:

Consultation and Planning:

When you come to a consultation at ROXY Plastic Surgery, Dr. Grawe will examine you to help you decide what operation is best for you.  If you have excess fatty tissue, Dr. Grawe will recommend liposuction to make your chest flat.  Many times, there is thick tissue similar to breast tissue that may need to be removed.  If so, Dr. Grawe will create a well hidden scar at the bottom of the areola (dark tissue at the nipple) to remove the excess tissue.   At ROXY Plastic Surgery, we will tailor-make a plan just for you!

The Surgery:

Gynecomastia surgery is an outpatient operation, which means you can go home the same day.  It takes about 2 hours to complete and you will be completely asleep so you won’t feel or remember anything.  If liposuction is combined with the procedure, this will be done first.  Then the excess tissue is removed with a very small scar.  Then the scar is covered with special tape to improve healing.  You are ready to go home about an hour later!

Recovery

You will notice a difference immediately after surgery but you will be very swollen and the results will improve with time as the swelling goes down.

You should not lift anything heavier than a gallon of milk for at least 2 weeks after surgery.  You should walk around immediately after surgery and NOT stay in bed.  This is important to prevent blood clots.  You may remove your outer dressing and shower 48 hours after surgery.  You should eat a healthy diet and as much protein as possible to promote good healing.

 You may drive and return to work when you are no long taking prescription pain medicine.  Most people are able to return to a light duty job 1-2 weeks after surgery.

 Remember that everyone is different.  Recovery times and progression is not the same for everyone.  The times stated are typical for healthy individuals healing from this surgery.  The normal progression of healing may be different for those with health problems, smokers, and those who have unforeseen complications after surgery.

RISKS:

With every surgery there are risks involved including bleeding, infection, blood clots, pain, scarring, delayed healing and need for further surgery.  Here are some complications specific to Gynecomastia Surgery:

Asymmetry: Most people are not symmetrical from one side to the other and there may be asymmetries after surgery as well.

Scarring:  The Gynecomastia excision scar is very minimal but if you do not scar well, there may be a noticeable scar on your chest.  This usually improves with time or additional treatments can be done to improve the result.

Recurrence: This means that the excess chest tissue comes back.  This does not usually happen with idiopathic causes but can happen due to a large weight gain, or using certain medications.  Smoking marijuana or using steroids can also make the tissue come back.