Frequently Asked Questions About Male Breast Reduction

What causes gynecomastia?

Most cases of male breast enlargement are of unknown cause. Certain drugs (marijuana, spironolactone), hormonal conditions (excessive estrogen, deficient testosterone), and hereditary conditions may be associated with gynecomastia. Some men choose to see an endocrinologist for evaluation of potential causes, though the work-up is usually negative. Being overweight may also cause male breast enlargement.

What is the goal of surgery?

The goal of male breast reduction surgery is to allow you to go out in a light T-shirt (or go out to the pool without a shirt) without feeling self-conscious about the appearance of your chest. This requires reduction of excessive breast tissue through small, carefully placed incisions. Ideally, your chest should not look “operated,” as this may detract from the surgical results.

Will I have scars on my chest?

Any surgery involves scars. However, Dr. Friedman makes an effort to use the smallest possible incisions. When he does liposuction of the breasts, he uses a single less-than-a-quarter inch incision. When he does direct tissue removal, he generally limits the incision to less than an inch along the lower part of the areola (unlike many surgeons who utilize an incision along the entire lower half of the areola.

What if I my breast size is normal but my nipples protrude?

This is simply another, more localized form of gynecomastia. Typically this is addressed through a small incision along the lower part of the areola. Removal of excessive tissue that pushes the nipple-areolae forward will reduce the prominence of the nipples.

Will there be much pain?

Many teens considering male breast reduction worry about postoperative pain. While all surgeries involve pain, male breast reduction is generally well tolerated. Pain is usually moderate for a few days and then becomes much milder. Dr. Friedman will prescribe pain medication, which is usually necessary for about 5 to 7 days after surgery.

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