Unilateral gynecomastia

Individual results may vary.

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Front: Right unilateral gynecomastia

Side: Right unilateral gynecomastia

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This 19 year old male presented to Dr. Medalie at his Cleveland west side office with right sided gynecomastia which was both fibrous and fatty in nature. Dr. Medalie took him to the OR at University Suburban Health Surgery Center on Cleveland’s east side to remove the excess tissue of the right chest with a combination of ultrasonic liposuction and direct excision via a peri-areolar approach. He is shown just two months after the surgery with excellent post-op contour and chest symmetry.

*Plastic Surgery results can vary from patient to patient and are not guaranteed

What is gynecomastia surgery?

Gynecomastia surgery reduces breast size in men, flattening and enhancing the chest contours.

In severe cases of gynecomastia, the weight of excess breast tissue may cause the breasts to sag and stretch the areola (the dark skin surrounding the nipple). In these cases the position and size of the areola can be surgically improved and excess skin may be reduced.

Plastic surgery to correct gynecomastia is technically called reduction mammaplasty.

What is gynecomastia?

Gynecomastia is a condition of overdeveloped or enlarged breasts in men that can occur at any age. The condition can be the result of hormonal changes, heredity, obesity or the use of certain drugs.

Gynecomastia can cause emotional discomfort and impair your self-confidence. Some men may even avoid certain physical activities and intimacy simply to hide their condition.

Gynecomastia is characterized by:

• Excess localized fat
• Excess glandular tissue development
• Sometimes excess breast skin
• Presence unilaterally (one breast) or bilaterally (both breasts)
  

  What are the steps of a gynecomastia procedure?

  A gynecomastia procedure includes the following steps:

  Anesthesia

  Medications are administered for your comfort during the surgical procedures. The options include intravenous sedation and general anesthesia. Your doctor will recommend the best option for you.

  Liposuction technique

  

  In cases where gynecomastia is primarily the result of excess fatty tissue, liposuction techniques alone may be used. This requires insertion of a cannula, a thin hollow tube, through several small incisions.

  The cannula is moved back and forth in a controlled motion to loosen the excess fat, which is then removed from the body by vacuum suction.

  There are various liposuction techniques that may be used; the technique most appropriate in your case will be defined prior to your procedure.

  Excision technique

  

  Excision techniques are recommended where glandular breast tissue or excess skin must be removed to correct gynecomastia. Excision also is necessary if the areola will be reduced or the nipple will be repositioned to a more natural male contour. Incision patterns vary depending on the specific conditions and surgical preference.

  Combination of liposuction & excision techniques

  

  Sometimes gynecomastia is treated with both liposuction and excision.