The goal of the male breast removal is of two-fold: To correct any type of breast, areola or nipple deformity and to restore the lost contour of the male breasts. The likelihood of “Skin redundancy”, a term used for excess skin which does not contract even after surgery, is one such factor where the choice of surgical technique is dependent on.
Standard Surgical Treatment For Gynecomastia
“Male Breast Reduction” is the most common treatment for man-boobs, is a combination of liposuction and breast gland removal. This approach works better for blending the fat component into more natural looking chest of male due to its dual nature and can successfully treat about 80% of men roughly with true form of enlarged male breasts. The key to best results is higher contractility and skin elasticity – the type of skin which is typically found in younger men. However, there are varieties of surgical techniques which can successfully address “skin redundancy”.
There are conditions affecting the surgical outcome and skin quality that are:
- Massive weight loss
- Limitations of liposuction
- Excessive weight gain or obesity
- Sun Damage or Photo-aging
- Natural aging
The surgery of male breast reduction is a straightforward and simple surgical procedure. To achieve the best results, the key is the approach employed for removal of the excess fat and skin tissue and liposuction not being the answer alone. The breast gland component in true Gynecomastia is quite highly resistant and denser to be removed by Lipoplasty alone. The surgery is performed under general anesthesia where the breast gland is removed from the roots. The surrounding fatty tissues can be possibly flattened with liposuction. Chest fat removal surgery can also be efficiently carried out by Vaser liposuction that is a minimally invasive surgery. On the other hand, to successfully treat patients with the condition of pseudogynecomastia, liposuction can be good approach.
This technique of pull through is a minimally invasive procedure that is usually recommended by surgeon for men with Grade I and Grade II type of enlargement of breasts. Approximately a 5mm small incision is made by the surgeon at the lower edge of areola and then separation of breast tissue is done. Through the incision, the glandular breast tissue is pulled out by trimming it away. Lipoplasty can be used for breast fat blending and removal. The major advantage of this procedure is the small incisions.
With the Grade III and Grade IV type of Gynecomastia, men generally have a significant amount of excess skin and these are the often most challenging cases to treat because of the degree to which skin contractility is quite highly unpredictable. The skin is more elastic and contracts easily which is usually found in younger men and thus excess skin would not be needed to be removed, which however, is not the case for older men. There would be surgical removal of skin in the treatment if skin redundancy is an issue. Though scarring is inevitable, yet every effort is put by our surgeon here at Harley Body Clinic to keep the scarring minimal. Our surgeons are board certified and to know more about the outcome, they will be able to give an accurate outcome prediction.
This type of procedure is ideal for those men with mild to slight moderate skin laxity requiring only minimal skin improvements. Liposuction is used in the first procedure and around the areola edge; an incision is made to remove the fat, gland and fibrous tissue thus, creating a pleasing contour. After 4 to 6 months later, the second procedure is performed safely that involves repositioning of the nipple and tightening of the skin. Incision is made around the areola to limit the scarring and in most cases, removal of skin is unnecessary.
Patients who experienced substantial skin redundancy and massive weight loss, surgeon usually recommends them direct skin removal where the treatment is simple and does not result in any scarring.
Out of many issues, one of the most important issues is to address the positioning of areola and nipple, which is often referred to as nipple areola complex. This can be obtained in one of the two ways: Reattaching the nipple to the chest or keeping the nipple attached to vascular blood supply or temporary free nipple graft can be performed by removing the nipple areola complex. Both the options yield excellent results.