Gynecomastia

For patients whose gynecomastia is mostly excess fatty tissue, Aquashape (water-assisted liposuction) or Vaser (ultrasound-assisted liposuction) can be used to remove the excess fat.

Breast tissue under the nipple can be made of fatty, fibrous (firmer), or glandular (hard) tissue. It is hard to predict who will have which type of breast tissue. Gynecomastia surgery with liposuction is very efficient in removing fatty tissue under the nipple and over the chest wall. If the breast tissue is too tough, glandular tissue can be removed with an intra-areolar incision.

With Dr. Ditesheim’s surgical technique, most men recover in three days or less. You can return to work in one to three days. We ask that you hold off on exercise and strenuous activities for one to two weeks.

Most patients with grade one or two gynecomastia will not have stitches to be removed. If you require skin removal, there may be a few stitches to remove.
Your skin will not be saggy because Dr. Ditesheim determines its elasticity before surgery. If he feels that your skin will require excess skin removal to give you a natural-appearing chest, you will have discussed this and made plans for the removal of skin during your surgery.

Dr. Ditesheim evaluates every patient to create a personalized surgical plan. He will tell you if skin removal will be needed when he discusses your surgical plan with you.

Dr. Ditesheim’s surgical technique for gynecomastia does not require general anesthesia. He will use local anesthetics to keep you comfortable, and you will be awake during your surgery. You will be able to drive yourself home from the surgery.

No. Dr. Ditesheim’s advanced surgical technique for the treatment of male gynecomastia does not involve drains.

You will wear a compression garment for three weeks after surgery to minimize swelling.

You should be ready for vacation in one month as long as there are no complications. Any scars will still be going through their natural healing transitions but will be strong enough to withstand whatever activities you would like to do while on vacation. If you have any scar lines from removing skin, you will need to keep them either out of the sun or apply high SPF suntan lotion frequently and liberally. This will keep those scars on track to being pencil-thin lines when completely healed.

For most men who can be treated with liposuction or glandular excision, the total cost is $7,950. Grade 4 or more complex gynecomastia costs will be higher. You will know the costs before you commit to having surgery.

Your procedure starts with the injection of a tumescent local anesthetic fluid. This will provide the anesthesia you need to stay comfortable during the procedure. Next, Dr. Ditesheim will use liposuction to remove fatty tissue. If you have grade 3 or 4 gynecomastia, you will likely need glandular tissue removed as well. This is done through a tiny incision in the rim of the areola, just beneath your nipple. If you require the removal of excess skin, this step will be completed next. Lastly, Dr. Ditesheim will inject new, long-lasting local anesthetic in all the areas where he worked to provide you will extra pain relief immediately postop.

Whatever breast tissue—be it fatty, fibrous, or glandular—is in the way of creating the best masculine chest contour will be removed.

The excess tissue that was causing your enlarged breasts will be gone and cannot return. If you were to gain an excessive amount of weight, the remaining fat cells could enlarge and cause gynecomastia again.

You may have a transient loss of nipple sensation immediately after the surgery, but this will correct itself. Dr. Ditesheim uses special techniques to ensure the nerves to your nipples are not severely damaged, but they can be irritated a little from the surgery and not function perfectly for a few days to a week.

Sometimes, Dr. Ditesheim performs gynecomastia surgery that only requires liposuction through a small incision in your armpit. If glandular tissue needs to be removed, you will have a small scar just below your nipple at the areola border or in your natural chest crease. These types of scars are easily hidden. For patients requiring excess skin removal, Dr. Ditesheim will show you exactly where he plans to leave a scar. Rest assured that Dr. Ditesheim always has the best cosmetic results in mind, so incisions are made in places where the scars will fade into your natural contours.
Always remember that we are here to answer your questions. If you are still wondering about some aspect of your surgery or recovery, call our clinic today or ask Dr. Ditesheim on the day of your surgery.