Gynecomastia (Male Breast Reduction)

Gynecomastia, or male breast reduction, seeks to address a condition that exists, in varying degrees, in almost half of all men. While the surgery may be performed on men of any age, it is discouraged for those who suffer from obesity, as well as for men who drink alcohol excessively and/or smoke marijuana. Gynecomastia extracts excess fat and tissue from the breast to produce a flatter, more “masculine” chest.

  • No aspirin, ibuprofen, or similar drugs should be taken within two weeks of surgery. These medications can cause serious excess bleeding during, and after, the operation. If you have any questions about drugs you are taking, including over the counter preparations and natural herbs, please call the office.
  • Do not eat or drink anything after midnight of the night before your surgery. This prohibition includes coffee and juice in the morning. Oral medications can be taken with a sip of water.

Pectoral implants are placed through an incision under the arm secured between the two chest muscles, the pectoralis major and pectoralis minor muscles an incision is made high in the armpit and a pocket is made beneath the chest muscle and on top of the ribs.

The Pectoral implant surgery is performed under general anesthesia and takes between 1 1/2 to 2 hours. You can expect moderate pain for the first two days and the results are instant.

Gynecomastia, The surgeon may perform the procedure using a scalpel, liposuction, or a combination of the two. In the first technique, an incision is made, typically in the underarcolar. The surgeon then extracts surplus tissue and fat from the chest region and stitches the incision. If, however, the gynecomastia is to remove mostly fatty tissue, then the surgeon may opt for liposuction. This technique involves using a slim hollow tube (a cannula) to sweep through the layers of the chest, breaking up the fat and suctioning it away. Once the fat and tissue are removed, the surgeon stitches up the incision and trims away any excess skin. These procedures last one to two hours and are typically performed on an outpatient basis.

About the Procedure and Recovery Time:

A soft, solid silicone implant is cut to specifically fit each patient and inserted into the pocket. A very small dressing is placed under the arms and the patient can typically see the change immediately after surgery.

Surgery Length3 – 4 hours
Side Effects
Recovery PeriodBack to work: 10 to 14 days. More strenuous activity: 4 weeks or more. Bruising: 2 to 3 weeks.
Stay in Hospital1 day
Stay in Thailand7 days (Gynecomastia),10-14 day (Pectoral implant)
  • Following surgery, the incisions are dressed and the chest is wrapped in an elastic bandage. A small tube is sometimes used to drain away excess fluids. The surgeon generally removes the stitches in seven to fourteen days, while the bandage stays on for up to a month. Patients can generally return to work in two weeks time.