Plastic surgery and skin care to help you look and feel your best
Gynecomastia is the overgrowth of male breast tissue. Typically, all men have some amount of this tissue, but in some cases it grows excessively. This problem is common in adolescent boys and older men.
Gynecomastia can be caused by benign hormonal changes during puberty, endocrine gland dysfunction, diseases that affect hormone balance, chromosomal abnormalities, and side effects from some medications.
About 90% of adolescent gynecomastia cases resolve themselves without a need for treatment. If the condition remains a problem for an adolescent male after about two-years, it is likely that surgical treatment will be required because medication alone will not reverse the problem.
The most commonly-done procedure combines excision of glandular tissue in the breasts with liposuction to remove excess fat. An incision is made around the areola (pigmented skin) that surrounds the nipple. Excess skin may be removed, but in many cases skin removal is not necessary. Dr. Angelchik’s goal is to create a natural male contour for the breasts while leaving the smallest, most inconspicuous scar possible. Gynecomastia surgery is performed under general anesthesia on an outpatient basis.
Drains will remain in place for five to seven days. Discomfort is mild to moderate for most men. Gynecomastia surgeon Dr. Angelchik will monitor you closely for the first six weeks after surgery, then less frequently for the remaining year. For the first four weeks, a compression garment is worn twenty four hours a day. It is then worn only at night for an additional four weeks. Your final results will not be fully visible for about one year. Minor contour irregularities generally resolve themselves in time, but some patients will require a touch-up to get an optimal result. For a better idea of how Dr. Angelchik can help you achieve a more natural-looking chest, please see our Results page. Gynecomastia can be a psychologically devastating condition for some males and counseling may be recommended before, during and after treatment. If you or someone you love is suffering from this condition, please contact gynecomastia surgeon Dr. Angelchik today for a private consultation to find out how he can help.