For many men, overdeveloped male breast tissue, called gynecomastia, can cause extreme embarrassment, and it certainly doesn’t help when famous comedians make “man boobs” the focus of their comedy sketches. Board-certified plastic surgeon Dr. Pramit Malhotra offers male breast reduction for Michigan men who want to eliminate their visible breast tissue—and get rid of their man boobs.
- Benefits of Male Breast Reduction
- Insider Tips for Male Breast Reduction in Michigan
- Candidates for Gynecomastia Surgery in Michigan
- Male Breast Reduction Procedure
- Travel and Recovery Process
- Liposuction For Gynecomastia
- What Causes Gynecomastia?
- Other Information About Liposuction
- What to Expect
- Male Breast Reduction FAQs
*Each patient is unique and individual results may vary.
The causes of gynecomastia vary from hormonal fluctuations to environmental changes. Gynecomastia is a common complaint, even for men who have a normal body weight or have tried to remedy the condition with regular exercise and diet. Men who want to take additional steps to minimize their overdeveloped breast tissue have two options: wear a male bra or have male breast reduction surgery.
Michigan plastic surgeon Dr. Malhotra has been performing male breast reduction surgery in Ann Arbor, Michigan for many years. In addition to his experience and skill, he understands the courage required to schedule an appointment and the vulnerability experienced during an examination. As a result, he treats his patients with compassion and sensitivity, thoroughly explaining the treatment options and maintaining complete confidence.
Benefits of Male Breast Reduction
Men with excess fat and breast tissue on their chests can benefit from male breast reduction. In our Michigan practice, this procedure can create a more masculine chest contour by removing fat tissue and any excess skin to create a firmer, flatter appearance. Men who elect to have gynecomastia surgery with Michigan plastic surgeon Dr. Malhotra typically report feeling improved self-confidence because they are no longer embarrassed about showing their chest.
Insider Tips for Male Breast Reduction in Michigan
Here are some insider tips about male breast reduction from Michigan plastic surgeon and gynecomastia specialist Dr. Malhotra:
- A combination of tissue removal with liposuction is often necessary. Liposuction alone can be used in rare cases.
- The fibrous tissue underneath the nipple will not typically go away with weight loss. This means that even if you exercise regularly and follow a healthy diet, the feminized chest appearance can remain.
- Most men experience some form of this condition during their lives. Even athletes and body builders can suffer from gynecomastia.
- Male breast reduction surgery typically leads to a loss of nipple sensation, which most Michigan men find to be an acceptable compromise.
- This procedure doesn’t build muscle, but it can accentuate your existing muscles. The key to a pleasing result is to accentuate the natural pectoral muscle.
Candidates for Gynecomastia Surgery in Michigan
Patients considering male breast reduction usually fall into one of the following categories:
- Young men who have developed breast tissue after puberty and feel uncomfortable not wearing a shirt to cover their chest
- Fitness-conscious men who are in very good shape but have extra chest tissue that is visible in tighter t-shirts or clothing
- Men who have lost considerable weight and have extra skin and fat that needs to be surgically excised
Talking with a qualified surgeon like Dr. Malhotra will help you determine whether or not you are a candidate for male breast reduction.
Male breast reduction gynecomastia surgery in our Michigan office involves creating a half-moon incision in the area where the pigmented nipple (areola) meets normal skin. The fibrous tissue underneath the nipple, which can be felt as a firm mass, is completely removed. The liposuction cannula (tube) is then inserted to sculpt the chest wall. Tissue can be strategically left to enhance the shape of the pectoralis (chest) muscle below.
Male Breast Reduction Procedure
The cost of gynecomastia surgery varies somewhat by the degree of tissue that needs to be removed and the severity of the presentation.
Puffy Nipple or Areola:
This is often treated with resection of the glandular tissue underneath the nipple. Often, very little liposuction is needed or if it is needed that liposuction can be performed from the same scar as the glandular resection.
Cost: 5,000 to 6,0000
Glandular resection with a hidden incision for liposuction:
These cases are more involved and require resection of the gland as well as chest contouring with liposuction. This requires sculpting of the chest and liposuction underneath the crease at the bottom of the extra tissue.
Cost: 6,000 to 7,000
Gynecomastia with a donut or peri-areolar lift:
This adds a donut type scar around the nipple so extra skin can be removed.
Cost 7,000 to 8,000
Two stage surgery:
This is a unique approach where glandular resection and liposuction is performed as a first stage and then the skin is allowed to retract and tighten. In, about 15-25% of patients extra skin can be taken out either under local anesthesia in the clinic at reduced cost or in the operating room
Full male breast reduction with a horizontal scar:
The scarring can be quite bad in this procedure and currently Ann Arbor Plastic Surgery does not perform this procedure for that reason.
Cost: services not offered
Life is terrific!!! Our weather, our condo and my new hubby couldn’t be better. Incision all healed – I’m enjoying 2 mile walkls each morning with Dick along the beach front and also enjoying water aerobics! Thank you. Thank you*
Travel and Recovery Process
After your male breast reduction in our Michigan office, you will have a wrap placed around your chest to apply pressure. Patients typically take 4 to 9 days off of work to recover from this procedure, depending on their occupation. Dr. Malhotra does not use a separate incision for a drainage tube, allowing most patients to recover faster. Many of our patients travel to our practice for this procedure. Some patients have been able to have a phone consult in advance and then meet with the surgeons of Ann Arbor Plastic Surgery the day before the procedure for surgical planning. The patients are seen one to two days after surgery and often can return home depending on their distance from the office. Many patients follow up digitally after that time depending on the severity of their case.
Liposuction For Gynecomastia
At Ann Arbor Plastic Surgery, we understand how men feel about their physiques and the distinct concerns they have for approaching surgical resolutions.
Men typically have a few goals:
- Look good in a T-shirt
- Feel comfortable with their shirt off
- Have hidden incisions so they don’t have to explain the surgery to anyone
- Minimize the recovery time
A consultation with the surgeons of Ann Arbor Plastic Surgery enables the surgeon to realize the manner of the breasts that have developed and to select the best option for male breast reduction, whether that encompasses liposuction, gynecomastia surgery, or a combination of liposuction and gynecomastia surgery. Fat alone, in some cases, may be the issue behind the appearance of chest. The removal will result in a flatter chest.
Men who develop breast tissue know that the condition may eventually resolve on its own shortly after puberty, but if the enlarged tissue does not recede after puberty, liposuction is a treatment option, as well as liposuction with excision of tissue through a nipple incision.
Gynecomastia, also known as male breast enlargement, may be aesthetically embarrassing, often causing patients to avoid taking their shirt off at the beach or at the gym.
Liposuction can alter the appearance and feel of a male’s chest by removing fatty tissue. Though such a procedure leaves the gland tissue intact, it physically reduces the size of breasts that have developed. This noticeably impacts a man’s physical profile by flattening the chest and can help clothing to fit better.
What Causes Gynecomastia?
Gynecomastia is caused by hormone imbalance, though that can be due to a range of causes, including:
- Steroid ingestion in body builders
- Medical conditions
- Ingestion of natural, estrogen-heavy substances
Basically, anything that pushes testosterone levels down or estrogen levels up in males can trigger gynecomastia.
Transitional times in a male’s life when hormones fluctuate naturally—including just after birth, during puberty, and in older years—can prompt breast tissue to grow. This enlargement may be temporary or permanent. Adult men whose gynecomastia does not go away on its own may consider liposuction to treat the issue.
Adult men are also more likely to be taking medications that might contribute to the hormone imbalance, including drugs used to help with prostate conditions, some steroids, AIDS treatments, Valium and other anti-anxiety medications, some anti-depressants, certain heart and ulcer medications, chemotherapy, and even antibiotics. Illegal drugs, too, can trigger hormone shifts, as can alcohol.
Certain health issues that cause gynecomastia may lead to its reversal if they stop, but liposuction may be the desired option if the breast enlargement does not go away on its own. Anyone struggling with gynecomastia and considering liposuction should speak with a qualified and experienced doctor who can correctly diagnose the condition, help to identify its cause, and recommend a course of action that can lead to its resolution.
Other Information About Liposuction
Patients should know that gynecomastia is a medical condition that is separate from having an abundance of chest fat that creates the appearance of breasts. Liposuction can still help in such a case, as it is simply a fat reduction procedure. Occasionally, Dr. Malhotra will use a special endoscopic shaver to remove breast tissue without a full incision.
The simplest type of male breast reduction involves the use of liposuction. Generally younger males with good skin elasticity are a good candidate for this option. Your plastic surgeon creates tiny incisions in order to pass the thin, hollow metal cannula through to reduce the fat that causes the enlarged breast tissue. The cannula is attached to a suction device that removes the excess fatty tissue. During the completion of the procedure, your surgeon carefully closes the incisions to ensure the best results after healing so that the scars are virtually unnoticeable.
The male breast reduction procedure is performed as an outpatient surgery. Any drains that may be placed at the time of surgery will be removed within a day after surgery. Sutures do not need to be removed as they are absorbable. This technique has enhanced post-operative comfort and patient satisfaction.
The antibiotics that were prescribed during your preoperative visit should be taken as directed post-surgery. The pain medication prescribed during your pre-operative visit should be taken fairly regularly, as prescribed, during the first 24 hours when awake for best comfort post-operatively. Most patients find that they are able to shift to Tylenol after a few days.
What to Expect
Post-operatively some swelling will be present, but you will notice the change in your breast size immediately. Over the next few weeks the swelling will steadily diminish. Wearing the compression garment for approximately three weeks following surgery is encouraged as this will help to reduce swelling. You can expect to be able to return to all sports related or exercise activities within three weeks.
Male Breast Reduction FAQs
Everyone has breast tissue. Though it does not develop in males the same way it develops in females, boys and men still have breast tissue lobules, ducts, and fatty tissue. Hormone fluctuations that cause a drop in testosterone or increase in estrogen can prompt this tissue to grow. Some men have primarily fatty gynecomastia, where there is minimal glandular breast tissue. While obesity can create the appearance of breasts that are mostly made of fatty tissue, many men dealing with gynecomastia have glandular tissue as well.
We are treating about 50 percent more patients every year. Some ethnicities, such as Indians, have a very high rate of gynecomastia. Most of our patients do not feel comfortable wearing a tight T-shirt or being by the pool. We do not have data yet to determine whether more patients are deciding to have treatment or if the gynecomastia numbers are actually on the rise. However, it is our suspicion that the problem is becoming much more common.
Surgical fat removal can reduce the volume of male breasts that have grown due to an increase in fatty tissue, but only gynecomastia surgery can remove the swollen gland and the fatty tissue. Often, using liposuction alone will leave the patient with a sculpted chest but a puffy, full nipple. A consultation can help a plastic surgeon determine the physical makeup of a man’s breasts, which will lead to a determination of the best course of action to create a more masculine chest. In some cases of revision gynecomastia surgery, liposuction plus the use of a special arthroscopic tissue-shaving device can be used without making a nipple incision.
How Is Gynecomastia Classified?
There are four grades of gynecomastia:
- Grade 1: A localized disc of tissue under the areola (“puffy nipple”)
- Grade 2: Glandular tissue outside of the areola
- Grade 3: Glandular tissue outside of areola and loose skin
- Grade 4: Glandular tissue, loose skin, and often nipple hanging inferiorly
Will I Have Visible Scars?
The overall goal of the surgery is to allow patients to be more comfortable in tight-fitting T-shirts and at the beach. The incisions are closed in three to four layers with very fine stitches to minimize the chance of a very visible scar. There is always a scar present, but often you would have to stretch the nipple out to see it, or be within 12 inches of the scar. Scar quality can vary, and the postoperative care of the scar with a specialized scar reduction protocol is important. If you have Grade 4 gynecomastia, you would need additional incisions than the peri-areaolar scar, and the incisions would be visible.
Is It Normal to Feel Pain in Enlarged Breasts?
Men may find that their unwanted breasts are tender, which is a common sensation felt as breast glands grow. Anyone experiencing swelling or pain should see his primary care physician to have the problem addressed. Nipple discharge, too, is something to discuss with a doctor. While gynecomastia is typically the result of natural hormone fluctuations—such as during puberty—or certain medications, shifts in testosterone and estrogen may also indicate a larger medical problem that should be diagnosed.
If you have asymmetric breast tissue, changing tissue on one side, or any pain or discharge, a visit with a general surgeon or surgical oncologist is required along with imaging of your chest. Approximately 1 percent of breast cancers are in male patients.
As a Man Developing Breasts, Am I Unusual?
Not at all. Gynecomastia is considered to be a common condition, impacting hundreds of thousands of men each year in the United States alone. In fact, many males experience some sort of breast swelling at some point in their lives, typically tied to times when their hormones are off balance. Newborn boys may have swollen breasts, adolescent boys may see them develop as they enter or leave puberty, and older men are prone to this physical change as testosterone levels go down from the levels more typical of youth.
There is nothing wrong with developing breasts, just as there is nothing wrong with seeking treatment to reduce them.
Get answers to questions about gynecomastia and how liposuction can help treat the problem from Dr. Pramit Malhotra and his staff in Michigan. Schedule a consultation or call to learn more.