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What Is Gynecomastia Surgery?

Upon arriving at our gynecomastia New York office on the day of your procedure, you will be greeted by the staff and will be escorted to an exam room and asked to change into a surgical gown.  You should have no body lotion, cologne, or anti-perspirant on your body and please and remove all jewelry prior to coming to the office.

After one last trip to the bathroom, pre-operative photographs will be taken of the areas on your body that are to be treated and they will be marked with a felt tipped pen.  Before starting, you will have time to speak with the Advanced Cosmetic Surgery Team regarding any questions of concern to you.

Laser-Assisted Gynecomastia Surgery

If your gynecomastia (male breast enlargement) is primarily caused by fatty tissue, laser liposuction alone is usually sufficient to correct the problem. Laser liposuction of the male breast is performed using local anesthesia (you will be awake) at our accredited facility as an outpatient (no overnight stay required). There is very minimal swelling, bruising and downtime so gynecomastia  surgery recovery is fairly quick.

The surgery can take anywhere from 2 to 3 hours depending upon the complexity of the procedure. During the procedure, a tiny laser fiber is inserted through a tiny incision into the breast in order to melt the fat. Then a straw-like cannula is inserted to suction out the fat and gland tissue using a vacuum suction system. The result is a re–sculpting of bulging breasts into more attractive contours.

Combination Approach to Treatment

In some cases, the surgeon will combine laser liposuction with surgical excision of residual glands if your male breast has more glandular tissue in it. A small incision is placed at the edge of the areola (colored part of the nipple) and the excess glandular tissue is cut away. In extreme cases of gynecomastia involving excessive skin laxity, additional loose skin may also have to be cut away.

What is Recommended During the Gynecomastia Recovery Period?

It is advised that you rest for the remainder of the day following your surgery, and limit your physical activity for a couple of days. For the first two weeks following your surgery, you will wear a special compression garment. Some men experience a mild degree of swelling, bruising and tenderness which should subside in a short time.

In most cases, the discomfort associated with the surgery can be controlled with Tylenol alone. You may return to work in about 3 days while avoiding strenuous physical activities for two weeks. Following your breast reduction surgery, you will enjoy a new, more pleasing shape. Many of our patients say their surgery enhanced their self-confidence.

Risks and Complications          

As with all surgical procedures, gynecomastia surgery carries the possibility of complications. Although rare, these complications may include:

  • Skin injury
  • Infection
  • Excessive bleeding
  • Excessive fluid accumulation or loss
  • Loss of nipple sensation
  • Discoloration
  • Scarring
  • Asymmetrical breasts or nipples

You can minimize these risks by strictly adhering to your surgeon's instructions for before and after gynecomastia surgery.

Post-Operative Healing:

Normal healing after gynecomastia surgery involves a limited but definite degree of soreness, swelling, bruising and lumpy firmness.  A temporary mild numbness of the skin may persist for up to four months.  Most gynecomastia New York patients can actually see improvement of their silhouette within several days after surgery.  However, because of the slow resolution of the post surgical swelling, the ultimate results following gynecomastia surgery usually require 12 to 20 weeks to be achieved.

Realistic Expectations:

Although the results of gynecomastia surgery are often quite spectacular, it is not realistic to expect perfection.  It is impossible to guarantee the precise amount of improvement that will result from the surgery.  Patients should have realistic expectations.

Although patients can usually expect to achieve a significant and noticeable improvement, it is unreasonable to expect perfection.  For the perfectionist, or for patients with very large breasts, maximum improvement may require a second procedure for which there would be an additional fee.

Longevity of Results:

THE FAT CELLS AND GLANDULAR TISSUE THAT ARE REMOVED DO NOT GROW BACK.  Although one can expect some changes with aging, provided that you do not gain large amounts of weight, your new, more pleasing silhouette is relatively permanent.