Male Breast Reduction in Salt Lake City

Male chest - gynecomastia

Gynecomastia is excess breast tissue development in a male.  This can be a source of discomfort or embarrassment.

Gynecomastia can be related to hormone imbalances or weight excess.  In Utah, gynecomastia is common in body builders who use certain supplements to accentuate their results.

Treatment options for gynecomastia range from liposuction to complex excisional techniques.  Deciding which of these options would be best on an individual basis requires the evaluation from a board certified plastic surgeon experienced in these techniques.

Liposuction treatment of gynecomastia

If the skin is of good quality and the glandular tissue is relatively soft, liposuction is usually the best treatment option.  There is virtually no scarring and the recovery and downtime are minimized.

Excisional treatment of gynecomastia

If the glandular tissue is quite dense it is often not able to be removed with liposuction.  This is typical for the types of gynecomastia we see after anabolic steroid or prohormone use.  These patients often require excisional techniques to achieve their desired outcomes.  A scar is generally hidden around the lower border of the areola for access to this tissue.  A drain may be left in the space for several days.  This is often combined with liposuction for patients who would benefit from a combined approach.

For patients who have lost a lot of weight, excess skin reduction is often necessary.  In general, the scar is longer with this type of surgery and tailored to the individual.

Risks of gynecomastia surgery

The most common complications after gynecomastia surgery are problems resulting from over treatment or under treatment of the area and contour irregularities that result.  Over agressive excision can result in an indentation or “saucer deformity” of the breast below the nipple.  Other risks include loss of nipple sensation, loss of nipple viability, bleeding, infection, or poor scarring.