Male Breast Reduction FAQ
Also known as gynecomastia, male breast reduction in Minneapolis-St. Paul is the surgical correction of over-developed or enlarged breasts in men. Gynecomastia, a condition of over-developed or enlarged breasts in men, is common in men of any age. It can be the result of hormonal changes, heredity conditions, disease 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
- A combination of both excess fat and glandular tissue
- Gynecomastia may be present unilaterally (one breast) or bilaterally (both breasts)
Is it right for me?
- You are physically healthy and of relatively normal weight
- You have realistic expectations
- Your breast development has stabilized
- You are bothered by the feeling that your breasts are too large
Adolescents may benefit from surgery, although secondary procedures may be needed in the future should breast development continue. Surgical correction of gynecomastia is best performed on:
- Men whose condition cannot be corrected through alternative medical treatments
- Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
- Non-smokers and non-drug users
- Men with a positive outlook and specific goals in mind for improving the physical symptoms of gynecomastia
What to expect during your consultation
- Why you want the surgery, your expectations and desired outcome
- Medical conditions, drug allergies and medical treatments
- Use of current medications, vitamins, herbal supplements, alcohol, tobacco and drugs including steroids
- Previous surgeries
Dr. Rocheford may also:
- Evaluate your general health status and any pre-existing health conditions or risk factors
- Perform diagnostic testing to determine the underlying cause of gynecomastia; this may include testing of your endocrine function
- Examine your breasts and may take detailed measurements of their size and shape, skin quality, placement of your nipples and areolas
- Take photographs for your medical record
- Discuss your options and recommend a course of treatment
- Discuss the likely outcomes of gynecomastia correction and any risks or potential complications
- Discuss the use of anesthesia during your breast reduction
Preparing for surgery
- Get lab testing or a medical evaluation
- Take certain medications or adjust your current medications
- Stop smoking well in advance of surgery
- Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding
Special instructions you receive will cover:
- What to do on the day of surgery
- Post-operative care and follow-up
You’ll need help If your gynecomastia surgery is performed on an outpatient basis, be sure to arrange for someone to drive you to and from surgery and to stay with you for at least the first night following surgery.
Important facts about the safety and risks of gynecomastia surgery
- Unfavorable scarring
- Bleeding (hematoma)
- Blood clots
- Poor wound healing
- Changes in nipple or breast sensation may be temporary or permanent
- If liposuction is used, additional risks include uneven contours, rippling or loose skin, irregular pigmentation, excessive fluid loss or fluid accumulation
- Anesthesia risks
- Breast contour and shape irregularities
- Skin discoloration, permanent pigmentation changes, swelling and bruising
- Damage to deeper structures – such as nerves, blood vessels, muscles, and lungs – can occur and may be temporary or permanent
- Allergies to tape, suture materials, glues, blood products, topical preparations or injected agents
- Breast asymmetry
- Fatty tissue found deep in the skin might die (fat necrosis)
- Fluid accumulation
- Deep vein thrombosis, cardiac and pulmonary complications
- Pain, which may persist
- Possibility of revisional surgery
When you go home
- To perform additional tightening or repositioning of the breasts
- To treat any complications that may occur
Be careful Following Dr. Rocheford’s instructions is key to the success of your surgery. It is important that the surgical incisions are not subjected to excessive force, abrasion, or motion during the time of healing. Your doctor will give you specific instructions on how to care for yourself. Be sure to ask questions: It’s important that you address all your questions directly with your plastic surgeon. It’s natural to feel some anxiety, whether excitement for the anticipated outcomes or preoperative stress. Discuss these feelings with Dr. Rocheford.
- Where will I be taken after my surgery is complete?
- What medication will I be given or prescribed after surgery?
- Will I have dressings/bandages after surgery? When will they be removed?
- Are stitches removed? When?
- When can I resume normal activity and exercise?
- When do I return for follow-up care?
It’s very important to follow Dr. Rocheford’s instructions and attend follow-up visits as scheduled.
The results will be long-lasting
Questions to ask Dr. Rocheford
- Are you certified by the American Board of Plastic Surgery?
- Were you trained specifically in the field of plastic surgery?
- How many years of plastic surgery training have you had?
- Do you have hospital privileges to perform this procedure? If so, at which hospitals?
- Is the office-based surgical facility accredited by a nationally- or state-recognized accrediting agency, or is it state-licensed or Medicare-certified?
- Am I a good candidate for this procedure?
- What will be expected of me to get the best results?
- Where and how will you perform my procedure?
- What surgical technique is recommended for me?
- How long of a recovery period can I expect, and what kind of help will I need during my recovery?
- What are the risks and complications associated with my procedure?
- How are complications handled?
- What are my options if I am dissatisfied with the outcome of my surgery?
- Do you have before-and-after photos I can look at for this procedure and what results are reasonable for me?