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
"They provide an exceptional service! Nice and friendly Staff (Ellen, Myrella, Jocelin, Marina & Dr. G.) I have been going for years and my procedures are always quick, easy, and most important... pain free. I was very impressed with Jocelin; she was very informative and has a wide knowledge about machines and procedures. I would definitely recommend aFresh Med Spa, you won’t regret it!"- F.V. / Google / Oct 04, 2019
"My second procedure with Dr G. First a mommy makeover, now neck and eyelids. Love the results!"- B. / Healthgrades / Oct 04, 2019
"My first procedure with Dr Gutowski was a few years ago, a Mommy Makeover that changed my life! The tummy still looks great and my breasts feel natural. But then my face needed some work. Dr G's talent with fillers gave me hope. Over the last 3 years, some well placed Botox, Bellafill and Restylane at Afresh Medical Spa did the trick. Then this year, he fixed my upper eyelids and did liposuction on my neck at the same time - all done awake in his office facility in less than 2 hours. What a difference it made (my younger sister is jealous). The staff is awesome and Ellen makes sure everything is done "concierge style". Will be having my face treated with a CO2 laser this winter."- B.C. / Google / Oct 04, 2019
"I remember looking in other states to get a surgeon as I did extensive research on my procedure. I decided to go with Dr. Gutowski. I was nervous because I’d never had surgery performed. It was one of the best decisions I could have made. The surgery was amazing and went smoothly. I trusted him to give me his honest opinion on what he could do. He consulted with me and we did it. I’m very pleased of the outcome. I would highly recommend Dr. Gutowski. If you are looking for an honest talented surgeon who follows up with you he is your man!"- B.S. / Google / Oct 03, 2019
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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