Gynecomastia is a fairly common condition in men and adolescent boys where the breast tissue is abnormally large. In the vast majority of cases, gynecomastia is not a serious problem and often associated with excess subcutaneous fat and skin. However, it may be psychologically difficult to cope with and can affect self-esteem. Fortunately, this condition can be effectively treated by surgical removal of excess breast tissue, liposuction of excess subcutaneous fat, and occasional removal of excess skin.
Scars resulting from gynecomastia surgery vary, depending on the amount of breast tissue you have and the elasticity of your skin. Even those who have larger breasts and tend to get larger scars are usually quite satisfied with the results. The procedure involves day surgery with a general anesthetic. You will be able to go home a couple of hours after the anesthetic wears off but should have someone drive you home. Parts of this procedure may be covered by your health insurance; however, for many patients, this is considered a private or cosmetic procedure. In cases where liposuction alone can provide the desired results, the liposuction cannulas can be inserted through tiny incisions along the edge of the areola (the pigmented skin surrounding the nipple) or discretely on the lateral chest. When surgical excision is necessary, our plastic surgeons create a slightly longer incision around the edge of the areola. The incisions are placed such that the resulting scars blend in with the natural transition from areola to chest skin; the scarring is usually quite inconspicuous.
If you have a very physical job, we recommend taking 4 weeks off. If your job is fairly sedentary or you are a student, you may return to it as early as one week after surgery. You need to avoid activities that may increase your blood pressure, such as running or working out, until at least 4-6 weeks after surgery.