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
"Breast Implant Revision - Honestly, if you are looking for the best, look no further because I can’t recommend him enough!!"- L. / RealSelf / Jun 11, 2017
"Best PS in Illinois - Chicago, IL - After consulting 4 other doctors I knew my search was over when I met Dr. Gutowski. His bedside manners were impeccable, he asked the right questions, was realistic with me, and kept me informed the whole time. I knew my case wouldn't be easy because I have a pre-existing condition that causes Chronic Anemia. For my story to be a success I needed a PS who excels at what he does, and 4 weeks..."- X. / RealSelf / Jun 08, 2017
"Couldn't be happier! - Could not be more grateful that I choose Dr. Gutowski to perform my explant. Long story short...I have always wanted breast implants and then one day decided to do it. However, they came out bigger than what I had wanted and after 3 years and just couldn't do it anymore. Hard to sleep, workout, breathe..just wanted them out. I chose Dr. Gutowski because I felt comfortable with him and his..."- L. / RealSelf / Jun 04, 2017
"56 Year Old Women. Lost 90 Pounds on my Own - Chicago, IL - Dr. Gutowski was so passionate about his work. I felt safe and informed at all times. I had received all my before and aftercare instructions immediately. I had almost ten hours of surgery and walked out of surgery center that day. The recovery took awhile but the pain was manageable. The doctor answered all calls and emails personally. Amazing job!"- M. / RealSelf / Sep 11, 2016
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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