Rubis Plastic Surgery

What is gynecomastia?

Gynecomastia is a condition unique to men in which a man’s breast becomes enlarged or over-developed. This condition can cause many men to become uncomfortable in their own skin and can cause a decrease in confidence that may lead a man to avoid activities that require him to take his shirt off, such as swimming. If you’re experiencing dissatisfaction with your chest region due to overly large breasts, you may want to consider gynecomastia surgery, also known as reduction mammaplasty surgery. We are here to help you through this process and provide you with the answer you need to make the best decision for your body.

Do I have gynecomastia?

Gynecomastia is a condition that is characterized by:

  • Excessive localized fat in the chest region
  • Excessive glandular tissue development 
  • Can sometimes also include the development of excessive breast skin 
  • Can be present either unilaterally (in one breast) or bilaterally (in both breasts)

What causes gynecomastia?

This condition can be the result of a number of factors including hormonal changes, obesity, heredity, or the use of certain drugs.

Am I a good candidate for reduction mammaplasty?

Dr. Rubis has extensive experience with helping men just like you become comfortable with their bodies again through performing reduction mammaplasty. The decision to get a surgery of this kind is highly personal and we are here to answer any questions you may have so that you can make the right decision for you. You may be a good candidate for gynecomastia reduction surgery if: 

  • You are physically healthy and at a steady, relatively normal weight 
  • You have realistic expectations for your surgery 
  • Are at a point where the development of your breasts have stabilized 
  • You feel that your breasts are too large and would like to change that
  • Other medical treatment options have proved ineffective
  • You have no pre-existing health conditions that may hinder your surgery or recovery post-surgery 
  • You are a non-smoker and non-drug user

How does gynecomastia surgery work?

At the beginning of the surgical procedure, we will administer general anesthesia for your comfort. After the medication takes effect, Dr. Rubis will begin the process of correcting the gynecomastia. If your gynecomastia is simply the result of excess fatty tissue development in the chest region, liposuction techniques alone may be used to return the chest to a more normal appearance. If that is the case, a cannula will be inserted through a few small incisions and then moved back and forth slowly to shake loose the excess fat before we use vacuum suction to remove the loose fat. If excess glandular breast tissue and/or skin must be removed as well, we may recommend the use of excision techniques. In some cases where the areola needs to be reduced or the nipple repositioned in order to restore a more natural male contour, excision may also be used.

How to prepare for surgery

In preparation for your surgery, we will discuss in detail the specific goals and desired outcome you have for your surgery, as well as your pre-existing and current medical conditions. We may ask you to:

  • Get lab work done or a medical evaluation 
  • Adjust your current medication regimen or start on a new medication 
  • Stop smoking if applicable 
  • Avoid taking certain medications or herbal supplements that increase bleeding, such as Aspirin or other anti-inflammatory drugs.

Your health is of the utmost importance to us, and as such, we ask that you are completely honest with us when it comes to your health conditions leading up to and after your procedure.

What to expect after surgery

After your surgery, we will apply all necessary bandaging and dressing to your incision site. We may also recommend the use of a support garment to reduce swelling and support your new chest contour as it heals from the procedure.

We will provide you with detailed instructions on how to care for your incision site to avoid infection. This may include the prescription of specific medications both topical and/or oral, as well as a description of what signs to be aware of should a concerning condition arise, and when to follow up with us post-surgery.

In most cases, the final results of this surgery are permanent. However, if your gynecomastia was the result of specific medications you were taking, drug use (including steroids), or weight gain, you must ensure you remain off of those drugs or medications and maintain a stable weight in order for the results of your surgery to remain unchanged.

It is very important during the time of healing that your surgical incisions are not subjected to excessive force, abrasions, swelling, or motion.  You will need to avoid exercise and heavy lifting for 4 weeks. We are here to answer any questions or concerns you may have regarding this procedure. If you are ready to schedule a consultation or just want to learn more about this procedure and if it is right for you, we are here to help. Reach out and set up a free consultation today!

Gynecomastia – Before and After Photos

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