gynecomastia

Gynecomastia, Body Builders, and Performance Enhancing Drugs

Body builders have almost no fat or excess skin, and therefore gynecomastia surgery takes a different approach than men with “true gynecomastia.” Their chest muscles are highly developed with increased blood flow, and therefore they have a higher risk of bleeding complications. All patients are warned to stop taking blood thinners before surgery and body builders need to be aware that they need to stop, protein shakes, fish oil and vitamin E, among many other products.

Should You Worry About Your Male Breasts?

Dr. Miguel Delgado, M.D. recommends that men seek a professional evaluation from a Board Certified Plastic Surgeon who specializes in gynecomastia if they feel tenderness, pain or have swelling of their breasts. If it is determined that the patient has gynecomastia, caused by fat and breast tissue, no treatment will be required unless the condition is causing psychological distress, in which case surgery may be recommended.

Avoiding Loose Skin After Gynecomastia Surgery

Liposuction is one of the most common plastic surgery procedures for fat removal. The main types are: tumescent, ultrasound, and laser assisted. Due to the demand for fat removal, there are multiple marketing gimmicks and catchy names for various liposuction methods.

Grading the Severity of Gynecomastia

Affecting at least 60% of all men at some time in their life is the development of female type breasts known as gynecomastia. The most prevalent time is the adolescent years as young men pass through puberty. As their hormones are changing and the estrogen level is temporarily high they may have what is referred to as “puffy nipples.” Fortunately for most, their gynecomastia will resolve on its own without any intervention. However, for some if their chest is not back to normal after two years it may be permanent, with surgery as the only option.

Gynecomastia Surgery Following Weight Loss

Gynecomastia surgery after weight loss requires the expertise of a board certified gynecomastia specialist. There can be a large amount of skin, fat, and tissue after weight loss that requires special skills for reduction beyond the traditional male breast reduction surgery.

 

Scar Solutions After Male Breast Reduction Surgery

The incision for gynecomastia surgery goes partially around the areola. As it heals it usually is well hidden due to the change in skin texture and color. However, for some patients, a thick scar known as a keloid may form leaving the patient with a new problem that may make him still feel uncomfortable going shirtless.

Still Have Puffy Nipples After Male Breast Reduction?

Unfortunately “puffy nipples” after gynecomastia surgery seems to be a common problem; it is mentioned frequently on the forums on this site and the popular website “Real Self.” It is imperative to choose a Board Certified Plastic Surgeon who specializes in gynecomastia surgery. Sculpting the chest with the right balance of remaining fat and breast tissue is an art and needs to be performed by an expert. If too much breast gland is removed a “crater deformity” will be the result.

After Gynecomastia Surgery, Can the Male Breast Grow Back?

A big concern of men contemplating male breast reduction surgery is, “will the male breast return after being surgically removed?” Note the multiple questions on this site regarding this issue.

The answer is that it is very rare, but it can happen. When seeking a consultation with a Board Certified Plastic Surgeon, you will be asked detailed questions by the surgeon to try to determine what the cause of your male breasts might be to prevent recurrence.

Around the World, Men Suffer From Gynecomastia

Yearly statistics reported by the American Society of Plastic Surgeons (ASPS), show gynecomastia or male breast reduction surgery has increased each year since the reporting began in the year 2000. The development of female type breasts in men is not confined to the United States.

What Takes Place at the Preoperative Appointment

Each gynecomastia surgeon has his or her own way of preparing for surgery. However, most follow the same protocols. This blog will describe how Dr. Miguel Delgado, M.D. does his preoperative visit to give men an idea of what they can expect.