Male Breast ReductionGynecomastia Treatment

While the ideal male body is muscular, toned and broad-shouldered, this is sometimes difficult to achieve because of a condition called gynecomastia. Gynecomastia is the abnormal enlargement of breasts in males. It can occur at many different stages in a male’s life. While it does not pose any health threats or dangerous symptoms, it can be very distressing on a cosmetic level. For men suffering from gynecomastia, male breast reduction is an effective option to restore the appearance of the chest to its rightful, masculine contours.

MALE BREAST REDUCTION (GYNECOMASTIA) OVERVIEW

Gynecomastia primarily comes from abnormally high estrogen levels in the body. This can come about from a number of reasons, including:

  • A transfer of estrogen from the mother in the womb
  • A decrease in testosterone during adolescence
  • The side effects from a medication
  • A symptom of a disease or metabolic disorder

In many cases, gynecomastia eventually goes away on its own. However, it may take years for this to occur. For men who do not want to wait, or when the gynecomastia persists over time, there are several treatment options to reduce or eliminate the swelling of breast tissue.

 

 

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MALE BREAST REDUCTION (GYNECOMASTIA) TREATMENT

When you see Dr. Esmailian for gynecomastia treatment, the first step is a thorough examination to find the root cause. There are many underlying conditions that can cause gynecomastia, and this will require treating that condition rather than the breast enlargement itself. Conditions leading to gynecomastia include:

  • Hypogonadism
  • Malnutrition
  • Cirrhosis

While medication may be used to treat gynecomastia, persistent cases usually require surgery to remove the excess tissue and restore a masculine appearance. This is an effective, permanent solution to men suffering from gynecomastia. There are two primary forms of surgery to address gynecomastia:

  • Liposuction, which removes excess fat within the breasts
  • Mastectomy, which removes the breast gland itself

Upon your initial consultation, Dr. Esmailian will make recommendations. With his professional opinion and your preference, the two of you will come up with the optimal solution. Please call us today to set an appointment.

 

 

MALE BREAST REDUCTION ORANGE COUNTY

According to statistics, up to 50 percent of males in the U.S. will experience gynecomastia at some point in their lives. Gynecomastia (enlarged male breasts) can be addressed with a male breast reduction. Males who are self-conscious or feel uncomfortable about the way their chests look should consider learning more about a male breast reduction with Dr. Esmailian at his surgical suite in Orange County, California.

WHAT CAN A MALE BREAST REDUCTION PROCEDURE ACCOMPLISH?

Dr. Farbod Esmailian frequently performs male breast reduction procedures for adult men and teenagers with gynecomastia who reside in, and around Orange County, California. During male breast reduction surgery, Dr. Esmailian reduces the size of the patient’s breasts by removing excess glandular tissue and fat. Thus, creating the patient a firmer, flatter and more masculine chest contour.

WHAT CAUSES GYNECOMASTIA?

GYNECOMASTIA CAN OCCUR AT ANY AGE AND FOR A VARIETY OF REASONS, INCLUDING:

  • as a side-effect of certain medications;
  • genetics; or
  • unspecified reasons.

CAN WEIGHT LOSS CORRECT GYNECOMASTIA?

For some males, losing weight can reduce the size of their breasts; however, on many occasions, excess glandular tissue is also present. Therefore, even a very lean patient can have breasts that appear larger than desired.

WHO SHOULD CONSIDER A MALE BREAST REDUCTION WITH DR. ESMAILIAN IN ORANGE COUNTY?

Males who find themselves avoiding activities that require the removal of their shirt should consider scheduling an initial consultation with Dr. Esmailian for a male breast reduction at his surgery suite in Orange County.

ARE THERE ANY OTHER TREATMENTS FOR GYNECOMASTIA?

At this point in time, male breast reduction surgery is the only treatment for gynecomastia that is consistently effective and offers long-lasting (if not permanent) results. Following male breast reduction surgery, the majority of Dr. Esmailian’s patients state that they can remove their shirts for the first time in years without feeling self-conscious about the way their chests look.

SURGICAL OBJECTIVES

The objectives of surgical treatment for gynecomastia are to restore the male patient’s normal chest contour and to correct any deformities of his chest, nipple and/or areola. The majority of patients receive the most benefit from a combination procedure of liposuction (to remove excess fat) and excision (to remove extra glandular tissue).

AN INITIAL CONSULTATION FOR MALE BREAST REDUCTION IN ORANGE COUNTY, CALIFORNIA

Once the initial consultation for a male breast reduction with Dr. Esmailian is scheduled, patients need to begin preparing for their appointment.

DURING THE CONSULTATION:

  • Patients will need to provide information related to previous surgical procedures, medical treatments as well as their current medication, vitamin and herbal supplement usage.
  • Dr. Esmailian will want to know if the patient has any ongoing medical conditions (i.e., high blood pressure, heart disease, diabetes, etc.).
  • Patients should expect Dr. Esmailian to take measurements of their breasts, examine the skin on their breasts and take pictures to keep in their medical files.

If Dr. Esmailian determines that gynecomastia surgery will provide the patient with the results he desires, Dr. Esmailian will discuss his recommended surgical treatment plan with the patient. Patients should feel free to ask questions at this time.

The majority of patients will be required to have a physical and routine blood tests before their surgery.

TYPES OF MALE BREAST REDUCTION PROCEDURES AVAILABLE IN ORANGE COUNTY

LIPOSUCTION-ASSISTED GYNECOMASTIA SURGERY

A liposuction-assisted male breast reduction is an effective treatment for men who have excess fat, but do not have glandular tissue that needs to be removed.

A MINIMALLY INVASIVE MALE BREAST REDUCTION PROCEDURE

To perform this procedure, a tiny incision (approximately 5 mm) is created and then liposuction is performed.

Following liposuction, Dr. Esmailian makes an incision at the border of the areola and removes the glandular tissue from its overlying areola.

TWO-STAGE MALE BREAST REDUCTION FOR MEN WITH MODERATE-TO-SEVERE GYNECOMASTIA

The initial stage of this two-stage procedure involves removing excess fat through the use of liposuction. Once liposuction is complete, a Periareolar incision (an incision at the edge of the areola) is created. Through this incision, Dr. Esmailian removes additional fat, glandular and fibrous tissue.

The second stage of this procedure is performed once the blood supply is reestablished (generally 4 to 6 months later). Dr. Esmailian creates an incision around the patient’s nipple-areola complex. This stage of the procedure is used to reduce the size of the patient’s areola. For the majority of patients, there is no need for skin resection because adequate skin contraction is common.

A MALE BREAST REDUCTION IN ORANGE COUNTY – THE PROCEDURE

Dr. Esmailian’s patients receive anesthesia during their gynecomastia surgery. Since this is an outpatient procedure, all patients are required to bring a licensed driver with them on the day of their procedure.

1. PREOPERATIVE MARKING

Directly before surgery, Dr. Esmailian will make markings on the patient’s breasts. He uses these markings as a guide throughout the surgery.

2. ANESTHESIA

Patients receive either local anesthesia with sedation or general anesthesia. General anesthesia is designed to put the patient into a deep sleep; whereas, local anesthesia with sedation puts the patient into what is referred to as a ‘twilight’ sleep.

3. THE LIPOSUCTION INCISIONS ARE CREATED

If liposuction is being performed, a small incision will be created on each side of the patient’s chest. The incisions may be located within the patient’s armpits or along a portion of his areola.

4. FAT IS LIQUEFIED AND REMOVED

The liposuction incisions are used to insert a thin, hollow tube. Dr. Esmailian introduces a tumescent solution (this special solution helps liquefy the excess fat) to the areas being treated. Once the tumescent solution has infiltrated these areas, the thin, hollow tube is gently moved back and forth. While moving the tube back and forth, a liposuction vacuum removes the excess fat via the thin, hollow tube (cannula).

5. SURGICAL DISSECTION FOLLOWING LIPOSUCTION

Dr. Esmailian may be able to remove excess glandular tissue at this point. As he is removing the excess glandular tissue and fat, he will sculpt the patient a new, natural-looking chest contour.

6. SEVERE GYNECOMASTIA REQUIRES ADDITIONAL INCISIONS

Males who have severe gynecomastia and/or sagging, stretched skin around their breasts may need surgical tissue excision to attain the results they desire. Through tissue excisions, Dr. Esmailian can remove a greater amount of skin and/or glandular tissue.

Incision length and location depends on the amount of skin, and glandular tissue removal the patient needs to achieve his goal. However, in general, incisions are located within the natural creases of the patient’s chest or around the edge of the patient’s areola. Dr. Esmailian concentrates on placing incisions within areas that will hide the resulting scars well.

7. INCISIONS ARE CLOSED

Once the excess glandular tissue and/or excess skin is removed, Dr. Esmailian will close the incisions using absorbable sutures, a skin adhesive and/or surgical tape.

8. THE COMPRESSION GARMENT IS APPLIED

To minimize inflammation and offer support to the tissues as they heal, patients generally receive a compression garment. This garment needs to be worn for several weeks following gynecomastia surgery.

Each patient is unique and heals at his own pace: Therefore, Dr. Esmailian gives each of his patients individualized recovery instructions.

RECOVERING FROM GYNECOMASTIA SURGERY IN ORANGE COUNTY

  • Following gynecomastia surgery, males should expect to experience some inflammation. Pain is minimal; however, patients will feel sore for a few days. Dr. Esmailian may prescribe pain medication or recommend over-the-counter medications.
  • It is not uncommon for a small amount of injection fluid, blood and/or liquefied fat to leak from the incision sites for the initial 24 hours following surgery.
  • Some patients may receive drains following gynecomastia surgery. Patients will receive instructions as to how they should care for these drains before leaving the surgery suite.
  • Some males will experience a loss of sensation in the areas treated; however, sensation should gradually return to the affected areas over the next few months.
  • Usually, patients can return to work within a week of their surgical procedure to treat gynecomastia.
  • After the first few weeks of recovery, most patients are permitted to gradually return to their usual exercise routines.

FOLLOW-UP VISIT

Patients usually return to Dr. Esmailian’s office in Orange County a week after their procedure.

RESULTS

Patients will notice improvement in the appearance and shape of their chest immediately. The results achieved through gynecomastia surgery are meant to be permanent as the excess glandular tissue, fat and skin that Dr. Esmailian removes are gone for good. That said, it is essential for patients to live a healthy lifestyle. In the event that the patient gains a significant amount of weight, acquires certain medical conditions or uses steroids, a recurrence of gynecomastia can result. Furthermore, medications that influence testosterone levels may also affect the results attained with a male breast reduction surgery in Orange County.

Males residing in and around Orange County who have gynecomastia should consider male breast reduction surgery with Dr. Farbod Esmailian. If you are looking for a board certified plastic surgeon to perform your gynecomastia surgery, contact Dr. Esmailian’s office in Orange County today at (562) 430-7373 or use the online contact form by clicking here.