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(Correction of male breast excess)

From the Greek words for "womanlike" breasts, gynecomastia is a condition affecting an estimated 40 to 60 percent of men. Because men have such small amounts of breast tissue, most of us rarely give a man's breasts a thought -unless there is something wrong, as in the case of gynecomastia or male breast enlargement.

Breasts, female or male, are primarily composed of fat and glandular tissue, the development of which is governed by hormones. Excessive breast development can be psychologically debilitating at any age, but especially in the teen years, when body image is so important to one's identity. Gynecomastia may be the reason behind difficulty at school and antisocial behavior, and isolation.

When gynecomastia persists in adulthood, the psychological scars are no less significant. There is a reluctance to participate in any activity in which the chest would be exposed and clothing is used to disguise the condition.


There are two basic approaches to gynecomastia correction, both of which are done as outpatient procedures with local anesthesia and sedation. Which method is used depends upon the ratio of fat to glandular tissue.

When the breast is composed primarily of fat (the vast majority of cases)

Liposuction is the procedure of choice. The technique used is similar to the one described for liposuction in general, and the liposuction is carried out inserting a cannula through a small incision at the bottom of the areola. This technique gives excellent results on this specific deformity.

In the infrequent instances where the breast is composed largely of glandular tissue, direct excision is combined with the liposuction technique. Dense glandular tissue is not aspirated as easily as fat through a suction cannula and needs to be removed using a 2-3 inch incision, which is located usually under the areola.

A compression garment is applied after the procedure is finished.


After this surgery you might feel a little bruised and sore as if you would

The body has over exercised. Some swelling is expected, which commonly peaks at three to four days and disappears within four to six weeks.

You may return to work the next day although some patients wait two to three days of rest to return to their work. It is important to begin normal activity as soon as possible. Also you will be recommended a medical massage therapy starting on the next day after the operation. The support garment should be worn for two to three weeks to diminish the possibility of swelling, unevenness or waviness. Your results will be likely visible almost immediately after surgery, but the full effect may not be fully evident for four to six weeks after most of the swelling has subsided. Patients are usually very pleased with the results of the procedure with a more comfortable shape of the body and an enhanced self-esteem.

Media Coverage

July 30, 2003

Combining surgery with R&R

Privacy, low cost makes Costa Rica a hot destination for tummy tucks

“I needed a tummy tuck,” said Burns, 55, who began contacting plastic surgeons in the Atlanta area where she lives. On a Budget, she wanted a breakdown of the costs (surgery, anesthesia, hospital stay, etc.) and a total, but doctors would only give estimates. When one estimate hit $18,000, Burns took her research to the internet, and soon surfed her way to an obesity surgery site group on Yahoo
( ). “And that,” she said, is where I heard about Costa Rica.”

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