Gynecomastia is the enlargement of the male breasts caused by an abnormal increase in breast tissue. Despite the fact that gynecomastia does not cause major health issues, it can lead to low self-esteem and have psychological effects.

It is essential to identify the cause of gynecomastia. In rare cases, it can be caused by a hormone-producing tumor, but in the vast majority of cases, benign causes are to blame. Genetics, obesity, marijuana use, anabolic steroid use, and certain medications are examples of benign causes.

In many cases, surgery is necessary to remove the excess breast tissue that is causing the breast enlargement, despite the fact that weight loss and elimination of the underlying causes can help alleviate symptoms. Typically, surgery is performed as an outpatient procedure.

In instances where the enlargement is caused primarily by an excess of fatty tissue, liposuction may be the most effective surgical procedure. Best results can be obtained from a male breast reduction procedure when glandular tissue and excess skin are present. The incision is typically made around the areola, but its location can vary based on the patient’s anatomy and the extent of skin removal required.

Regardless of the procedure performed, the chest muscles beneath are unaffected. Surgical procedures typically last between two and three hours. In certain instances, surgical drains may be required to prevent fluid accumulation at the surgical site. Some practices use an ERAS (Enhanced Recovery After Surgery) protocol, which includes the injection of local anesthetic at the surgical site to reduce postoperative pain and discomfort. Consequently, narcotics are rarely required for pain management.

Patients can expect to be back home the same day with some restrictions (i.e. no running or heavy lifting) (i.e. no running or heavy lifting). After six weeks, full recovery and release from all restrictions are expected.