Gynecomastia

Gynecomastia is a condition where a man’s breasts become enlarged. It’s a condition that can cause great embarrassment and social isolation for men. They feel self-conscious about their appearance and avoid activities that require them to be shirtless in public. Some men try to hide their condition by wearing thick shirts. Some breast enlargement is normal in boys hitting puberty, but it should resolve itself by the time the boy turns 18. In some men, however, surgery may be the only option.

The Consultation

The consultation is your first chance to talk to Dr. Krummen about how you’d like to enhance your appearance. Before arriving for this appointment, know what you want to achieve by having this surgery. Your goals will be an important part of your evaluation. If necessary, write down your questions so you will have all your concerns addressed during this meeting. Dr. Krummen will listen carefully to your concerns and tell you which surgical options she thinks would work best for you. She will also explain the risks and likely results of the procedure. Since both your physical and emotional health have a tremendous impact on the outcome of your surgery, it’s important to be honest with Dr. Krummen about your health history. Every person is different and your operation will be individualized to your specific needs.

The Surgery

If excess fatty tissue is causing the problem, liposuction may be the only thing necessary. It requires small incisions be made around the area of the breast or nipple. Through the small incisions a small tube is used to loosen the fat then suction it out of the body (Fig. 1).

If excess glandular tissue is causing the condition, surgery is required to restore normal contour. Incisions are made around the nipple area. Then excess breast tissue, fat and skin are removed. The nipple and areola (the pigmented skin around the nipple) may also need to be moved to a higher location on the chest (Fig. 2).

Any pain or discomfort felt after surgery can be controlled with medication. Expect some bruising and swelling. It will be necessary to wear a compression garment for a few weeks so your new form can take shape. You can return to light activity within a week. More strenuous activities should be put off for 3-4 weeks until the body heals.