Breast Procedures » Male Breast Reduction a.k.a. Gynecomastia Reduction

Male breast reduction for gynecomastia by Seattle Plastic Surgeon

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Male Breast Reduction a.k.a. Gynecomastia Reduction according to Seattle Cosmetic Plastic Surgeon, Dr. Lisa Lynn Sowder

Gynecomastia is one of those “under the radar” conditions in cool and cloudy Seattle where men are more likely to wear a flannel shirt than a tank top, even in June or July. Gynecomastia 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.

Quick facts:

  • Costs:  $7000 – $8500 depending on the extent and length of surgery.
  • Post-operative pain:  mild to moderate.
  • Drains?:  yes, usually  removed in 3 – 5 days.
  • Time off work or school: 1 week.
  • Time in postoperative compression vest:  2 – 3 weeks.
  • Time off driving:  3 – 5 days or once you are off narcotic pain meds.
  • Time away from the gym:  3 weeks.
  • Time off the slopes:  4 weeks.
  • Time off the kite board: 6 weeks.
  • How long it lasts: life long unless there is significant weight gain.
  • Patient satisfaction:  high

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 compression vest is easily concealed with a normal shirt.

The surgery is done under a general anesthetic as an outpatient in my AAAASF certified Seattle office operating room or 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.

If you have gynecomastia, take comfort in that you are not alone and surgical treatment can almost always improve the appearance of your chest.

Be sure to visit my photo gallery. I have examples of my work gynecomastia surgery results.

To schedule a consultation with me, please call 206 467-1101.