Reduction Gynecomastia (Male Breast Reduction)

In some boys during puberty and adolescence, breasts develop to notable sizes. About 70 % boys develop gynecomastia during puberty, but out of this only 30 % carry it into adult hood. This can be a cause of psychological problems and causes the boys to be embarrassed to remove their clothing in front of others or while playing contact sports or when they move to a hostel environment.

Sometimes, even in adults this may be present because of hormonal imbalances.

Gynecomastia may be of the glandular or fatty type. The glandular type is usually present beneath the nipple and areola, the fatty type being more diffusely spread. Usually both types are present in varying combinations.

Treatment is most often sought because of psychological trauma and cosmetic reasons. Rarely there may be pain in the glandular element causing them to seek treatment.

The glandular type is removed by an incision or cut around the areola. The fatty element can be removed by liposuction through the same incision. The procedure varies from 1- 2 hours depending on the amount to be removed.

Usually a liposuction is done to start off with, and all the fat is sucked out to give proper contour. Then a decision is taken regarding the gland removal. Most of the time, liposuction alone is sufficient. After surgery a pressure dressing is needed, to help the skin shrink back. Varying degrees of swelling could persist for 3-– 4 months. Wearing the pressure garment is mandatory to achieve the best results.

It is a relatively safe procedure with no major side effects. Sometime over-enthusiastic excision are done by improperly trained personnel leading to a “dish deformity”, where the skin is thinned so much that it sticks to the muscle producing a very flat and deformed chest wall.

The aim of correction in this procedure is to achieve a skin fold thickness in conformity with the rest of the body and not to flatten it out too much.