Gynecomastia (enlarged male breasts)

Gynecomastia is a condition where the male breast becomes overdeveloped. This most frequently occurs around puberty or in middle age. Gynecomastia is sometimes related to illness, obesity, certain medications or hormonal imbalances. Often, however, there is no known cause. Prior to considering surgery, patients with gynecomastia should have a thorough evaluation from their primary care physician to rule out any medical conditions that may require treatment.

The treatment of gynecomastia usually consists of a combination of surgical excision of the excess breast tissue and liposuction of fatty tissue. Usually the surgery can be done though a small incision around the nipple resulting in very little scarring. In men who have very large, pendulous breasts, a larger incision and resultant scar is sometimes necessary.

After surgery it is necessary for the patient to wear a special compression vest for about two weeks. This helps reduce bruising and swelling and speeds healing.

The surgery is done under a general anesthetic as an outpatient at Seattle Surgery Center which is located in the building next door to my office. Postoperative pain is mild to moderate and is usually well controlled with narcotic pain medication. Most patients take about a week off of school or work and several weeks off of any strenuous activity or exercise.

Insurance rarely pays for this procedure. If I think there is possibility insurance will pay for the procedure, I will send your insurance company a letter explaining the need for surgery and photographs. The preauthorization procedure usually takes about three weeks.