Male Breast Reduction

Surgical Steps for Male Breast Reconstruction

The patient and plastic surgeon must decide on the type of anesthesia to use as well as the surgical technique prior to the day of the procedure. After providing the patient with general anesthesia or intravenous sedation, the next step is to perform either the liposuction, excision technique, or a combination of both.

Liposuction is most appropriate when the gynecomastia is mainly the result of excess fatty tissue. To start the procedure, the surgeon makes several tiny incisions and then inserts a cannula. This is a hollow tube used for the purpose of loosening fat. After making several back and forth motions with the cannula, the surgeon removes the loosened fat with a vacuum-suctioning device.

When excess skin or glandular breast tissue must be removed to correct gynecomastia, the excision technique works better. This procedure is also appropriate when the size of the patient’s areola needs to be reduced or the nipple repositioned. Surgeons prefer this technique for severe cases of gynecomastia. That is because it allows them to remove more skin and glandular tissue than they could with liposuction alone.

Both of these actions create a contour that is more recognizably male. In certain cases, the surgeon uses a combination of liposuction and excision techniques to treat gynecomastia. The surgery is complete once the incision sites have been closed. Some patients may even require a two-stage procedure where they have liposuction in the first stage and then several weeks have to pass to allow the skin to recoil or “shrink” as much as possible. The excess skin is then excised at the second surgery. This may allow few scars to be placed on the chest.