What is Gynecomastia?
There are many medications and a few medical conditions that can cause male breast enlargement or gynecomastia. However, in the overwhelming majority of cases there is no known cause.
The enlargement of male breast tissue can create an embarrassing contour and make some male patients self-conscious about their appearance both dressed and unclothed.
Male breast reduction for gynecomastia involves both the use of liposuction to remove excess fat tissue, and direct excision of breast tissue using an incision around the lower half of the areola. Under certain circumstances, the excision portion of the procedure may be covered by OHIP, however, the liposuction portion of the procedure is not an insured benefit by OHIP.
Performed under general anesthetic, gynecomastia reduction takes 2 hours and requires no overnight stay in hospital.
A small, 5 mm scar located on the lateral chest wall is used for the liposuction. An additional scar will be present at the junction of the skin and lower half of the areola where the excess breast tissue was removed. All sutures used are dissolvable and no post-operative drains are used. A compression garment is applied following the procedure.
Here are some things to expect following surgery:
- The compression garment is to be worn at all times for 1 week. The first dressing change is done after 1 week. A dry dressing is then changed once daily.
- The compression garment is then worn for an additional 3 weeks (except while showering).
- Typically patients require 1 week of downtime and should avoid strenuous exercise for 4 weeks.