Gynecosmastia (Male Breast Reduction)

Conveniently located to serve the areas of Maryland, Virginia and Washington, D.C.

Male breast reduction with any of our expert gynecomastia surgeons in Bethesda or McLean can reduce the size of your chest and give you a chiseled, sculpted contour.

What is Gynecomastia?

botox-bethesdaGynecomastia is a medical condition referring to the presence of abnormally large breasts in men, generally caused by the body’s production of excess glandular breast tissue, excess fatty tissue, or a combination of both. Gynecomastia can present itself in different degrees, most commonly categorized as mild, high, visible, or feminine. This is based on chest size, femininity and severity of the condition. While in some cases gynecomastia may be the result of genetics or natural hormonal imbalances, it may also be caused by medical conditions or illness, as well as the use of certain drugs or medications. It can also be caused by significant weight gain. Whatever the underlying causation, gynecomastia can have emotional and psychological ramifications for men who suffer from it.

Causes

Gynecomastia has several factors that can lead to its onset; the majority of them have to do with an increased level of estrogen.

Increased Estrogen Level

Men’s bodies naturally create testosterone and estrogen. Estrogen has a direct correlation to increased glandular tissue, but this is generally is not an issue for men since estrogen’s ratio is so small compared to testosterone. However, with factors such as all the below mentioned, estrogen levels can become skewed and increase, causing enlarged male breasts. This does not cause any physical harm, but it can be a source of embarrassment or self-consciousness.

Drugs and Medications

Certain drugs and medications can manipulate sex hormone levels. Marijuana has been linked to a decrease in testosterone, and steroids have been known to increase estrogen levels. Antidepressants and blood pressure medication can also alter normal levels.

Klinefelter Syndrome

Klinefelter Syndrome is a genetically gained condition where men gain an X chromosome in addition to the normal male XY genetic makeup. This does not affect everyone visibly, but some men with this condition may experience little body hair, weak muscles, and/or large male breasts.

Hyperthyroidism

The thyroid is responsible for controlling hormone production, but on occasions, functionality of this gland can become disturbed. This occurrence is referred to as hyperthyroidism. Hyperthyroidism can throw off normal sex hormone levels, creating more estrogen for some men.

Aging

When men age, the body procedures more of the enzyme aromatase. This enzyme is responsible for converting estrone and androstenedione into estrogen, potentially causing an increase in glandular tissue.

Male Breast Reduction

Male breast reduction surgery is a safe and effective procedure designed to remove excess fatty tissue to flatten the breasts and enhance the natural contours of the male chest.

Gynecomastia accounts for more than 65% of all male breast disorders, and luckily, more and more men are realizing that this condition can be safely and effectively treated with male breast reduction surgery. In fact, more than 20,000 male breast reduction surgeries were performed in 2012, up 5% from 2011. Men everywhere are realizing that they no longer need to put up with aesthetically unappealing breasts, but instead, can achieve their ideal contoured, well-formed chest!

Ideal Candidates

  • Feel self-conscious about their appearance
  • Are emotionally stable and physically healthy
  • Possess firm, elastic skin
  • Desire better breast contour and do not consider reduction surgery a weight loss method

Ideal candidates are physically fit and psychologically-stable men who have tried exercise and a healthy diet first. This procedure should not be regarded as a method for weight loss removal.

For some men, fatty deposits and excess skin throughout the body can be a problem. But with the assistance of Dr. Richards, Dr. Magge, and Dr. Jabs body contouring techniques, you can rid yourself of the areas bothering you and possibly be more confident in your appearance.

Before & After Photos

Consultation

During your initial consultation with one of our 3 expert chest sculpting surgeons, you can explain the concerns you have with the appearance of your chest. Bringing a photo of desired results can help greatly. Your surgeon will examine your chest and assess whether you suffer from gynecomastia, pseudogynecomastia, or both and recommend a procedure technique appropriately.

As you think about your options with plastic surgery, it is natural to have a list of questions for the doctor.

  • How long does the operation last?
  • Will you use liposuction or a scalpel?
  • What is scarring like?
  • Can I qualify for insurance coverage?
  • Will I need to take time off from work?

There aren’t cookie-cutter answers since each case is unique to the individual. These questions will gladly be answered during your consultation once your surgeon assesses a custom surgical plan which will provide you with optimal results.

Preparation

In order to prepare for your male breast reduction surgery, there are some important steps that must be followed.

  • Once you receive a confirmed surgery date, please plan on scheduling at least three to four days off from work to ensure ample recovery time.
  • Your surgeon will prescribe you medications during your consultation that must be filled before your surgery date. These will be necessary for immediately following the procedure and during your recovery.
  • Do not smoke or take anti-inflammatory medications two weeks prior to your procedure.
  • Have a family member or friend take you home after your male breast reduction surgery is completed.
  • Please inform the office if you begin to feel sick or under the weather.

The Procedure

male-chest-reduction-1Breast reduction surgery for men is an outpatient procedure, and can generally be performed using local anesthesia with oral sedation. The glandular tissue / fatty tissue ratio differs for each patient; our expert male breast reduction surgeons are skilled at identifying the difference and recommending a procedure appropriately. For most patients, the procedure is done with a specialized laser with liposuction to remove or sculpt glandular tissue appropriately, leaving enough for a chiseled contour. Using small incisions in the axillae (armpit area), this technique avoids incisions and scars on the breast or near the nipples. If desired, your surgeon can relocate the nipples to a proportionate placement. For some patients a very small incision is made in the nipple area to remove the glandular tissue. This procedure is extremely effective and results in a flatter breast with a smooth contour to the chest. Surgical dressing and a compression garment are then wrapped around your chest. The procedure can generally be performed in about an hour and a half.

Recovery

In most cases, gynecomastia correction surgery is permanent, but breasts may increase in size if the patient gains a significant amount of weight, increasing levels of adipose (fatty) tissues.

Our medical staff will help to make your plastic surgery experience a positive one through open communication, friendliness, and respect. We understand that cosmetic surgery is a serious decision; therefore, you must feel comfortable undergoing male breast reduction.

After your male breast reduction surgery is complete, the incisions will be covered with dressings or bandages and you will be asked to wear a compression garment or elastic bandage to reduce swelling. Most patients will feel tired and sore for several days after surgery, but can usually return to work in just three days; however, complete recovery, including the resumption of rigorous exercise and athletic pursuits, may take between three to four weeks.

This means doing your research. Besides discussing your concerns with our physicians during a consultation visit, you should also take the time to learn about the risks and uncertainties associated with correcting gynecomastia. Please feel free to contact us to make an appointment.

Pricing

Average cost: $4,000-$6,000

The cost of your male breast reduction procedure will depend on your specific case and if you opt to receive additional treatments or procedures. Please feel free to schedule a private consultation to receive a quote.