Sometimes covered by insurance
Who Is a Good Candidate?
Sometimes excess breast tissue or prominent breast tissue can cause men to be uncomfortable going shirtless when wearing form fitting or light colored clothing. Gynecomastia excision is the procedure used to describe either direct excision of the excess breast tissue through an incision, liposuction alone, or a combination of both to reshape the chest and make the excess tissue less prominent. Direct excision vs liposuction is sometimes due to surgeon preference, however if the tissue is very fibrous, it's difficult to liposuction so direct excision is indicated.
Gynecomastia surgery is usually done under general anesthesia. If direct excision is indicated, a small incision around the areola (colored portion around the nipple) is made, and tissue is removed through this incision. The incision hides well and is usually faintly visible after about 1 year. If liposuction is being done, a 3-4 mm incision is made in a hidden area on the chest, and excess fat and tissue is removed through this small hole. Sometimes a combination of direct excision and liposuction is used for an optimal result. The procedure usually takes around 1 hour and is done an ambulatory surgery center. Surgical drains are not usually needed.
Regardless of whether direct excision, liposuction or both were done, patients will need to wear a compression vest or ACE wrap around their chest for 4-6 weeks to help decrease swelling and the chances of fluid collection (seroma). During this time, overhead lifting should be avoided for 1 week and lifting anything more than 5 lbs or high end exercise is not recommended for 4-6 weeks. Patients are usually back to driving a car within a week, or when they are off all pain medications.