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Burgess Plastic Surgery | Portland, OR Area

Gynecomastia Surgery or Male Breast Reduction

Men who struggle with excess breast tissue, which cannot be reduced through diet and exercise, have surgical options to remove it and improve their self-confidence. In her Lake Oswego, OR office, Dr. Elisa Burgess is pleased to offer male breast reduction procedures, or gynecomastia correction, to her patients for achieving a taut, more masculine appearance.

Am I an ideal candidate for male breast reduction?

Male breast reduction uses a combination of liposuction and excision to achieve the desired result. Excess breast tissue in males, which occurs in adolescents as well as adults, can be linked to lifestyle, impaired liver function, testosterone deficiency, or steroids. The tissue itself can be a combination of fat and glandular tissue and can be sensitive or tender. Ideal patients should be nonsmokers at a stable and healthy body weight. Prior to undergoing surgery, the patient may undergo a medical evaluation to determine the cause of the excess tissue to see if the problem can be corrected through lifestyle changes.

What will the male breast reduction procedure be like?

The procedure takes one or more hours to complete and the amount of tissue to be extracted will determine whether the patient will be given a local or general anesthetic. Incisions are usually made around the nipple areola edge.  Glandular tissue and fat can require excision and liposuction.  Major tissue removal may require skin to be removed for good contour.

What should I expect during my recovery following male breast reduction?

Breast reduction surgery is usually outpatient surgery.  You should prepare for 1-2 weeks of recovery and your chest may still be wrapped. Individualized instructions will be given with regard to chest massage and bras.  Dr. Burgess will encourage you to walk around after surgery.  Bruising, swelling and aching are likely and discomfort may be managed with medication. Swelling may cause some loss of feeling in the breast and nipple. It is imperative to avoid any strenuous activity or heavy lifting for at least 4 weeks. Traveling long distances is not recommended in the first month following surgery.  Ensure that you attend all scheduled exams following surgery.  Scars from the procedure will be noticeable at first, but will improve over the next year.  Results of the procedure are not permanent as gravity and aging continue to play a role. Understand that results are not guaranteed to last a lifetime and may require future revision surgery.  It is important to keep up with chest/ breast exams and possibly other breast studies for your general breast health long term.

As with any surgical procedure, complications and side effects are possible and may include permanent loss of feeling in the breasts or nipples, hematoma or seroma, infection or inflammation, small sores around the nipples, permanent scars, unevenly positioned nipples, asymmetry, or other unforeseen risks.

Men interested in learning how to improve appearance caused by gynecomastia are encouraged to contact Dr. Burgess in her Lake Oswego plastic surgery office.

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