Gynecomastia

Anesthesia

The procedure can either be performed under general anesthesia or local anesthesia with intravenous sedation.

Liposuction Alone

One to several small (~4 mm in length) incisions are made in inconspicuous areas of the breast and the axilla (i.e. at the margin of the breast skin and areola) such that the liposuction cannula (thin hollow tube) can access the areas requiring treatment.

Excision Technique

The incision pattern used will ultimately be dictated by the specific issues that need to be addressed to correct gynecomastia and achieve an aesthetically pleasing result successfully. Surgical excision is necessary when gynecomastia results from the overdevelopment of glandular breast tissue or if excess skin must be removed to correct any drooping (ptosis) of the breasts. An excision technique is also indicated in cases where the areola will need to be reduced or the nipple will need to be transposed (lifted) to a higher location on the chest wall. The incision pattern used will ultimately be dictated by the specific issues that need to be addressed to correct gynecomastia and successfully achieve an aesthetically pleasing result. For instance, in the absence of excess skin and an enlarged/malpositioned nipple-areola complex (i.e. the darker pigmented skin of the breast), an inferior periareolar incision may be all that is necessary to access and excise the underlying glandular breast tissue successfully. Once healed, the periareolar incisions are well hidden and are quite inconspicuous.

Combined Liposuction And Excision Technique

Similar to when the excision technique is used alone, the incision pattern will depend on the specific components of the enlarged breast(s) that will need to be addressed. There will also be 1-4 small incisions in inconspicuous areas of the breasts and/or the axilla so as to allow the liposuction cannula to access the areas requiring treatment.In the presence of excess breast fat, either glandular breast tissue, excess breast skin, and/or an enlarged/malpositioned nipple-areolar complex, both liposuction and excision techniques can be used in the same operative setting to optimize aesthetic results. Liposuction can remove excess fat (contour) from a breast’s periphery, while an excision technique with a more central incision pattern can excise glandular breast tissue (and/or skin).

Removal Of Excess Fat, Glandular Breast Tissue, And/Or Skin For Gynecomastia Correction

Liposuction alone can be used to treat gynecomastia resulting primarily from excess fatty tissue. The areas of the breast to be treated are infiltrated with a dilute local anesthetic solution. A liposuction cannula is then inserted through the access incisions and passed back and forth in a controlled fashion to loosen the excess fatty tissues. The excess fat is then removed by applying suction to the cannula.

Immediate Changes and Long-Term Results

While you'll notice an immediate difference following your surgery, the full results of your gynecomastia surgery will develop over time. Initial swelling typically subsides within a few weeks, revealing a flatter, more contoured chest. As your body continues to heal over the next few months, you'll see further refinement in your results.

Most patients report feeling comfortable going shirtless or wearing fitted clothing within 2-3 months post-surgery. The final results, which typically emerge around 9 months post-operation, showcase a natural-looking, masculine chest contour that seamlessly blends with your overall physique.

Long-Lasting Transformation

The results of gynecomastia surgery with Dr. Lee are designed to be long-lasting. By removing excess glandular tissue and fat, the procedure provides a permanent solution to male breast enlargement. However, maintaining a stable weight and healthy lifestyle is crucial to preserving your results over time.