Male Breast Reduction

“The “Manssiere” and “Bro” were only funny on Seinfeld.”

Common name – Male Breast Reduction.

Technical name/also known as – Gynecomastia Surgery/Reduction Mammaplasty

Benefits of a Breast Reduction

While some male breast tissue is normal, overdeveloped or enlarged breasts in men
can be the source of significant emotional discomfort. Gynecomastia can be the
result of hormonal changes, obesity, heredity, or drugs. It can be unilateral (one
side) or bilateral (both sides). This can lead to reduction in self-confidence and
avoidance of physical activities including intimacy.

How it is done:

Gynecomastia reduction surgery depends on the composition of the breast tissue,
the condition of the skin, and the position of the nipple and areola. Some men may
require liposuction, some may require liposuction and excision of some breast
tissue, and some may require excision of skin and breast tissue with repositioning of
the nipple. You will find which is right for you at your consultation.

Upside

Usually men who seek gynecomastia reduction complain of a feminine appearance
of their chest. This is an opportunity to make the chest flatter and more masculine.

Downside

Permanent scars will remain. If skin excision or nipple repositioning is needed,
these scars will be visible when the chest is exposed. Recurrence is possible.
Sensation to the nipple can change. A drain may or may not be used.

Who pays for this

This is a cosmetic procedure, paid for by the patient.

What to expect

Length of operation

1 – 3 hours (depending on the extent of procedure).

Anesthesia used

General anesthesia, you will be asleep the whole time.

In or out patient

Outpatient, you will go home the same day.

Time until final appearance

6 months to 1 year.

Length of results

Should be long lasting provided weight is maintained and drugs which may have
caused enlargement have been stopped. Changes with age are expected.

Side effects

Swelling can last for several months. Sensation to the skin and nipple can be
altered, though in many cases it returns to normal or near normal by a year
following surgery. Fluid may collect under the skin requiring removal in the office.
Risks of procedure
All surgery carries risk. I recommend patients carefully weigh the benefits of having
surgery against the potential risks which may arise. If you smoke, it is imperative
that you quit six weeks both before and after surgery. (hyperlink to thoughts on
smoking) Risks include pain, infection, bleeding, damage to skin, nerves, blood
vessels, dissatisfaction with the appearance, asymmetry, unsightly scars, blood clots
in the legs and/or lungs, wound healing delays, fat necrosis, loss of sensation of the
nipples, death of nipples, and death of skin. A complete list of risks will be discussed
with you before surgery.

Risks of procedure

All surgery carries risk. I recommend patients carefully weigh the benefits of having surgery against the potential risks which may arise.   Risks include pain, bleeding, infection, damage to nearby structures, need for other procedures, recurrence of skin laxity, dissatisfaction with appearance, asymmetry, seroma, sensory changes including permanent loss of sensation, temporary or permanent changes in facial movement, wound healing delays requiring wound care, deep vein thrombosis, and pulmonary embolus. A complete list of risks will be discussed with you before surgery.

“Men who have this surgery are often embarrassed by their breast appearance.
Reduction of their chest improves their self confidence.”

– Dr. Danielle DeLuca-Pytell  

Virtual Consults

 

While we are under social distancing and shelter at-home instructions, I am offering virtual consultations for new patients interested in meeting with me.

You can do this from a computer (via an invitation) or a smartphone (via an invitation and the Google Meet app).
There are four parts to the consultation:

 

1. Arrange a consultation by phone or email,
Phone: 248-885-8858
Email: info@delucapytell.com

 

2. Download the new patient forms. Click here.

After you fill them out, you can either fax or email them to me.
Fax: 248-856-3975
Email: info@delucapytell.com

 

3. Once the consultation is arranged, a meeting invite will be sent to you with the link for the consultation. At our prearranged time, follow the link to our secure and private consultation.

There, you and I will have time to talk about your goals, medical history, and all about the procedure.

While the examination is limited to observation in two dimensions, I should be able to determine whether or not you are a candidate for surgery.

 

4. If you are indeed a surgical candidate, you will be contacted by Andrea, my patient coordinator, to get a surgical quote (or if insurance-based, your expected out of pocket costs), and an opportunity to hold a surgical date.

You will also be given a follow-up visit to confirm with your exam that you are a candidate and preoperative visit time for us to prepare you for surgery.

 

I hope to virtually see you soon!

Your Next Step!

Call or email us to schedule an appointment and find out if you are a suitable candidate for this procedure.

Our phone number

248-885-8858

Give our office a call Monday to Thursday, 9am to 5pm, Friday 9am to 3pm.

Our email address

Please also email us anytime with questions you have.

info@delucapytell.com

Quick Contact Form

Before and After Gallery

When you come into the office for your appointment, you will be able to see more ‘before and after’ photos of this procedure including different options.

Recovery time

If healing proceeds as expected:

Rest at home 2 weeks (no housework or exercise) or until drains are removed.
Outsource housework while you rest. Walk around the house, but do not work out.
Return to gentle exercise and household chores at two weeks, but no heavy lifting
for six weeks.

Return to full activity 6 weeks after surgery.

Returning to Work

This depends on the type of work that you do. Many men can return to sedentary
work at one to two, though not everyone is ready to return to work by then. Surgery
affects different people differently. If your work is more strenuous, six weeks off
work may be needed.

Time until final appearance

6 months to one year.

Length of results

Should be long lasting provided weight is maintained and drugs which may have
caused enlargement have been stopped. Changes with age are expected.

Smoking and Surgery

For the first two weeks or so, sleep with your back elevated to help with swelling and make it easier to get up.

If you smoke, it is imperative that you quit six weeks both before and after surgery.  To better understand why, please click this link:

Smoking and Plastic Surgery

Other Information

A snug vest will be worn after surgery for two weeks, and it is recommended that
patients purchase a compression shirt to wear for an additional month.

Testimonials

See what her patients have to say about their surgical experience.

Follow the link to read some of the many letters received by Dr. Danielle DeLuca-Pytell.

Your Appointment

When you visit the office for your appointment, we will talk about the side effects and risks of this procedure.

You will have the chance to ask any questions you might have.

Don’t forget:  it is your body!  There is no such thing as a bad or silly question!

Contact us

Give us a call to schedule your appointment.

Our phone number