Male Breast Reduction (Gynecomastia) New York City
Approximately 30% of our patients are men. The introduction of ultrasound liposuction, (UAL) augmented with power liposuction (PAL) in this patient group has increased the effectiveness of the procedure. This is because the areas that are usually treated in men have dense fat compared to women. In the past, this has been difficult to treat.
The most common site for liposuction in the male patient is the waist (love handles) and breasts. The treatment for gynecomastia as described below may be with simple liposuction, or excision. Fat distribution may exist even if the patient is slender. This distribution of fat is inherited, and is not dependent on diet or exercise.
Liposuction overview by John E. Sherman, MD, FACS New York Plastic Surgeon
The development of breasts in a male is known as gynecomastia. This is a benign condition and is very common during adolescence. Certainly, breast development may follow the use of steroids, hormones, or even marijuana use.
This condition commonly occurs during pubescence in approximately 60 to 70% of healthy males between the ages of 12 and 15. In most patients, the gynecomastia disappears and is not treated. It is also common in the later years of life as the hormonal balance of the male changes. Any new development of gynecomastia should be investigated by an internist to rule out any underlying hormonal problems.
In some conditions, the gynecomastia may be treated medically without the need for surgery. If surgery is necessary, the most common approach is liposuction. Since gynecomastia represents production of excess breast tissue without redundant skin, removal of the excess breast tissue should result in skin retraction. In general, the younger the patient, the more skin retraction can ensue.
The second approach which used to be standard before the advent of liposuction is an open excision of breast tissue. If necessary, this is performed through a small incision around the areola (nipple area), separating the breast tissue from the skin and the underlying muscle. Breast tissue is then removed without difficulty. Occasionally, a small drain may be placed in this area which is then removed two or three days after surgery. Liposuction for gynecomastia usually takes less than one hour of surgery time. If an open approach is used, additional time is needed. Liposuction for gynecomastia is often combined with liposuction of the abdomen and the waist area. At consultation, Dr. Sherman will discuss the options for treatment, and explain each thoroughly.