Chest Contouring for a Masculine Shape

Although rarely discussed, enlarged male breasts affect an estimated 40 to 60 percent of men. Gynecomastia may affect one or both breasts and can be a source of embarrassment for those dealing with the condition. Though certain drugs and medical problems have been linked with male breast over-development, there is no confirmed cause in the vast majority of cases.

Male breast reduction surgery is an effective option for men who desire a more masculine chest. The procedure removes fat and glandular tissue from the breasts and, in extreme cases, removes excess skin, resulting in a chest that is flatter, firmer, and with a more masculine contour.

Before & After » SEE Patient results in our gallery

What to Expect from Surgery

In minor to moderate cases of gynecomastia, we typically utilize our powerful but gentle Nutational Infrasonic Liposculpture System, also known as Tickle Liposuction, to effectively remove fat from this problem area, resulting in a more masculine appearance and contoured chest. If excess glandular tissue was identified, this is reduced surgically to avoid having a prominent bulge under the nipple.

A typical procedure can last anywhere from one to two hours and is performed under local anesthesia with sedation or general anesthesia. One of our experienced surgeons will make small incisions in the treatment area and use the Tickle Lipo vibrating cannula to administer a tumescent fluid, which numbs the area and makes the fat easier to remove.  This specialized tube vibrates and rotates beneath the skin’s surface to loosen and remove the fatty tissue. If needed, glandular tissue reduction is performed through a small incision at the lower edge of the areola, where it can be more easily hidden. Once the desired results have been achieved, your surgeon will close the incisions with sutures and apply a dressing and a compression garment.

If you have severe gynecomastia with excess skin and notable breast enlargement, it may be necessary to surgically excise skin and glandular tissue, sometimes in conjunction with liposuction. Additional incisions will be made to remove the excess tissue and, if necessary, reposition the nipple to a more natural male contour. Depending on your anatomy, the location of the incisions will vary. During your consultation, Dr. Samaha will make recommendations on the procedure choices available to you, based on a thorough evaluation of your individual situation.

Breast Reduction Aftercare

After your procedure, you will experience some soreness and bruising, accompanied by slight swelling and discomfort around the incisions. In the preoperative phase, Dr. Samaha and the Boston Plastic Surgery staff will put in place a plan to manage your postop pain, so that you can feel as comfortable as possible. Compression garments are usually worn for up to three weeks after treatment to help with contouring the chest and promote proper healing. To learn more about recovery, read our breast reduction post-operative instructions.

Gynecomastia reduction surgery has improved the quality of life for many of our patients. If you are ready to start discussing your options, contact us today to schedule a consultation with Dr. Samaha.