While gynecomastia causes enlarged breasts in men due to factors like weight gain, hormonal imbalances or certain medication and drug use, breast reduction surgery can treat the condition. Chicago plastic surgeon, Dr. Karol Gutowski, uses liposuction to remove excessive breast tissue or in more severe cases, breast tissue and skin can both be removed. Following removal of breast tissue, Dr. Gutowski will tighten the skin in the chest area, as well as position the nipples to achieve a more sculpted, masculine look. Male breast reduction surgery can ease anxiety and alleviate embarrassment.
Before surgery is recommended, the surgeon will perform a variety of tests and possibly prescribe medications to see if any improvement occurs. If the breast enlargement persists, surgery is an option. Mild cases of gynecomastia are corrected with liposuction. Small incisions are made surrounding the areola where suction tubes (cannulas) are inserted to extract fat and breast tissues. When the enlargement is severe, a longer incision is done to excise breast tissues and loose skin. Skin tightening may also be incorporated and the nipples repositioned so that they are proportional to the new chest shape.
"I feel natural, and I can't put a price tag on how I feel with self confidence - After having 4 kids naturally I was uncomfortable with how my body looked. Nursing had depleted my breasts and my belly button still stuck out like I was 9 months pregnant. My husband and I agree that my body needed some attention. I needed a breast augmentation and surgery to push my belly button back in. After an intensive research process which also included 4 in-person consultations in..."- B. / RealSelf / May 28, 2017
"Friendly, Professional and In Touch - Dr. Gutowski is genuinely a warm, considerate and pays close attention to your goals. He took the time to review options with me, explained the procedure and made himself readily available Incase I had any questions that may come up after my consultation. He personally called me after my procedure to ask how I was doing. Dr. Gutowski is a true professional in his field, and keeps the human..."- F. / RealSelf / Aug 02, 2018
"48;3 Kids ,had Horrible Scar from Apendix - Dr.Gutovski is just awesome.I had lipo with laser done few days before Full tummy tuck . This Doctor is very caring and takes care of his patients .You can feel that he is there for you with anything you need. For me this tummy tuck was important to get my self confidence back.I’m on my second day of tummy tuck recovery ,yesterday on day of the surgery Dr Gutovski came to see me at my home i..."- G. / RealSelf / Dec 06, 2017
"Breast Augmentation - My experience with Dr. Gutowski was absolutely perfect. Before consulting with him, I had already visited 3 other plastic surgeons in the Chicago area and still wasn’t set on any of them. Once I met with Dr. Gutowski, I knew right away he was going to be the surgeon I chose. He spent so much time with me explaining everything I needed to know about the procedure including the different i..."- R. / RealSelf / Oct 17, 2017
"Wouldn't go to anyone else - I saw Dr Gutowski in the Champaign office. He is awesome. He listens to you and what you are wanting to acheive. I have always had a hollowness under my eyes and it has gotten worse with age and medical problems. He gave me Radiesse under my eyes. He has a special technique that gets the filler where it needs to be with very little pain. It looks great! I also had Restylane Lyft for lip..."- S. / RealSelf / Aug 25, 2017
Male breast reduction surgery uses general anesthesia and is performed in an accredited surgical facility. The operation lasts up to an hour. It is normal to have bruising and swelling around the chest area for the first couple of weeks. A compression garment must be worn for about 2 weeks to help with reshaping and healing. Most patients are able to return to their normal routine after a few days but must avoid any strenuous physical activities, especially ones that will put pressure on the chest. Results are generally satisfactory with patients regaining their confidence in situations where their chests are bared.
Will My Pecs Show?
Gynecomastia, unfortunately, hides the normal chest muscles that lie underneath the layers of overdeveloped breast tissue. For those who have severe gynecomastia, it is even possible that the overgrowth of breast tissue has developed into internal scarring. With a breast reduction surgery, all excess fat and breast tissues will be removed and the pectoralis muscles will be spared so that they can become more visible. With proper diet and exercise after the surgery, men will be able to tone and strengthen their chest muscle to regain the chest’s natural form.
Is Lipo A Must?
Liposuction is the primary approach in extracting fat or any soft tissues. Because it uses a small cannula to vacuum the fat out, it is a less invasive approach compared to excising the tissue, which requires longer incisions. There are liposuction options that are even less invasive. These options will be provided with more details prior to the surgical plan so the patient can consider all factors and ultimately decide which technique is preferred.
Is This Gynecomastia?
This condition must not be confused with a false gynecomastia, also known as pseudogynecomastia, in which the enlargement is caused by fat deposits instead of breast tissue development. The plastic surgeon will be able to determine this by physical examinations or lab tests during the initial consultation. If it is a case of excessive fat tissues on the chest, the approach in treatment is the same when removing excess fat tissues in any part of the body. Proper diet and exercises are initially recommended before considering any surgical treatment. However, if the issue persists, a liposuction – sometimes even combined with a lift – may be performed to reshape the chest.
Will There Be Scars?
If the breast reduction technique uses liposuction, the incisions will be minimal and will be placed around or near the areola. The plastic surgeon will make every effort when it comes to making the incisions and suturing to minimize the effects of scarring.
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