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Gynecomastia Excision

Popular reasons for gynecomastia include:

  • Removal of firm tissue/lump behind the tissue.
  • Improve chest contour and profile.
  • Restore self-confidence.

Gynecomastia is thought to result from an imbalance in the ratio of estrogen to androgen (testosterone), whereby the relative excess in estrogen causes enlargement of male breast tissue. This typically manifests in a firm, often tender, mass of tissue behind the nipple that can persist in post-adolescent males and even become apparent in older men (senile gynecomastia).

Numerous medications can result in breast gland enlargement as well and male bodybuilders are often vilified in this regard. In these individuals, a high testosterone state is achieved through diet, exercise, supplementation and exogenous use of anabolic steroids. When the male body is overwhelmed by testosterone, the excess is converted to estrogen and estrone, which are potent stimulants of breast gland growth. Irrespective of the underlying etiology, removal of the enlarged glandular tissue provides patients with significant relief both physically and psychologically as breast gland enlargement often causes substantial social embarrassment and anxiety.

Excess chest wall fat surrounding the firm gland behind the nipple is common. This must be simultaneously addressed via liposuction so that a dent does not result following removal of the glandular tissue. It is important that gynecomastia surgery is performed carefully by an experienced plastic surgeon so that post-operative deformities are avoided, many of which are challenging to correct.

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Gynecomastia Excision Procedure

A MASCULINE & DEFINED APPEARANCE

Removal of persistent breast tissue will improve chest wall contour and alleviate the associated discomfort. Chest wall liposuction will further define the masculine physique, significantly enhancing the surgical result.

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What to Expect

All procedures are done in a balanced and natural esthetic.

Consultation

During the in-depth consultation we will thoroughly review your goals and expectations. We will discuss the various causes of gynecomastia and decide if any apply to you. From this we can derive a safe and effective treatment plan that may include further medical investigation, surgical treatment or both. Many men are concerned about scarring on the chest as it creates a stigma of surgery. We will discuss healing expectations and scar management. My goal is for you to leave the consultation excited for surgery.

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Surgery

Surgery is performed at an accredited surgery center in Newport Beach, California, USA and typically lasts 1-2 hours depending on the degree of shaping required to achieve a masculine result. Under the care of a Board Certified Anesthesiologist, general anesthesia (fully asleep) is used to ensure maximal comfort and safety.

The incision is disguised in the lower areolar margin and generally heals very well.

Recovery

Patients are discharged home the same day and generally experience very minimal discomfort, often returning to light work within a week following surgery. Post-operatively, patients are advised to gradually resume their exercise regimen over a 4-week period in order to ensure proper healing. During this time, a compression garment is worn to optimize the final contour through a reduction in swelling.

Results

The results are intended to be long lasting provided a healthy lifestyle is maintained.

FAQs

True gynecomastia involves the presence of a firm mass of glandular tissue behind the nipple. In my experience, this is inconsistently removed using liposuction alone. I reserve the use of liposuction for chest contouring following excision to prevent contour irregularities caused by the removal of the breast tissue.

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GYNECOMASTIA EXCISION

Receive an in-depth consultation where we will thoroughly review your goals to personalize a plan focused on a natural and aesthetic result. Dr. Donald S. Mowlds, MD is located in beautiful Newport Beach, CA but is also available via a virtual consultation for out-of-town patients.

Or Call 949.721.0494


    Procedures for Men

    All procedures are done in a balanced fashion to create a natural esthetic.

    Gynecomastia is thought to result from an imbalance in the ratio of estrogen to androgen (testosterone), whereby the relative excess in estrogen causes enlargement of male breast tissue. This typically manifests in a firm, often tender, mass of tissue behind the nipple that can persist in post-adolescent males and even become apparent in older men (senile gynecomastia).

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