Chest Reshaping - Gynecomastia

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Chest Reduction & Reshaping Procedures - Gynecomastia

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    Chest Reduction for Gynecomastia

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Are you concerned about the appearance of your chest or do you have gynecomastia?
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Gynecomastia is the benign growth of male breast tissue resulting in the appearance of enlarged breasts. 

Pseudogynecomastia refers to enlarged breasts due to excess fatty tissues as opposed to true glandular excess. 

Having enlarged breasts or “man boobs” can be very concerning for men. Gynecomastia can affect one or both breasts. Enlarged breasts in men can cause discomfort, both physically and socially. While it is normal for men to have circulating levels of both testosterone and estrogen, a disturbance in this balance can lead to the development of more prominent breast tissue. 

Gynecomastia is very commonly seen in infants, pubertal boys and older men, but medications can also be the cause of gynecomastia. Medications that have been associated with gynecomastia include: anabolic steroids, androgens, prostate medications, antiretrovirals, antidepressants, anti-anxiety medications, certain antibiotics, heart medications and ulcer medications. Recreational drugs, like alcohol, amphetamines, marijuana, and heroin, have also been associated with gynecomastia.

Most cases of gynecomastia resolve on their own. If the gynecomastia is secondary to an underlying health problem, this will need treatment. Examination will typically involve a breast and axillary (arm pit) exam, an overall assessment and a testicular exam (if one has not been performed recently). With the presence of any hard or non-mobile lumps, significant size or progression, additional work-ups will likely be warranted. A work-up often involves blood tests (hormone levels, et cetera) and imaging studies (testicular ultrasound and/or mammogram). Fortunately, as most cases of gynecomastia do not fall into a concerning category, further work-ups are not common.
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If gynecomastia doesn’t resolve within a couple of years, treatment may be beneficial. Medical treatments can be considered in addition to surgical treatments. Surgery for gynecomastia can vary from liposuction to more traditional male breast reduction. For men with minimal to moderate excess skin, ultrasound assisted liposuction is often an ideal technique to remove the excess breast and fatty tissue to improve chest contouring. For men with a more significant degree of loose skin, techniques to remove this skin and/or reduce the areola size may be beneficial. The advantage of the liposuction technique is that minimal scars are placed on the chest; the primary disadvantage of ultrasound assisted liposuction for gynecomastia treatment is the reduced ability to address significant degrees of skin excess. For an excisional male breast reduction, the patient accepts additional scaring on his chest for the benefit of improved nipple/areolar size and positioning as well as the removal of loose and droopy skin. 

Gynecomastia surgery is typically performed as an outpatient procedure. In general, it is not a covered service with most health insurance companies and would therefore be considered “cosmetic.”
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Over 95% of our procedures are cosmetic. 
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Why choose a specialist?
We are experienced, using the latest techniques and state-of-the-art equipment.
  • We will tailor your treatment plan to reach your individual goals
  • We are experienced in all forms of aesthetic breast surgery.
  • We focus on minimizing scars for an ideal cosmetic appearance.
  • Both surgical & non-surgical options can be explored.
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Learn more about how to achieve your goals today by setting up a confidential appointment with one of our board certified plastic surgeons. We believe many times having less surgery is better for the patient when it comes to obtaining natural looking results.We offer non-surgical, minimally-invasive and surgical options.
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Dr. Ashley Robey MD
By Dr. Ashley Robey 
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