Gynecomastia Surgery – Breast Reduction Surgery for Men

By Dr. William Cohen on March 27, 2018

a shirtless maleGynecomastia is a condition sometimes seen in men that is characterized by enlarged breast tissue. It is not necessarily a health concern, but it can cause embarrassment and adversely affect a man's self-esteem. Many of those affected by this condition assume it is something they simply must live with, but that is not the case. There is a solution and it is not that difficult. Dr. William Cohen of Advanced ENT and Facial Plastic Surgery in Orange County, CA, routinely performs gynecomastia surgery and other procedures for men.

Causes and Indications for Treatment of Gynecomastia

This condition can occur at any age and can be caused by a variety of factors. These include obesity, certain drugs, and hormonal and hereditary influences. Regardless of the cause, it can create a great deal of distress for those men who are affected by it. It may cause them to avoid certain types of activities and intimate encounters, for fear of embarrassment.

Any healthy, otherwise non-obese, man who is bothered by his appearance, does not smoke or use drugs, and who cannot be treated by more conservative means is a good candidate for this procedure. It is best if the patient's condition—whether adult or adolescent—has stabilized, or else a secondary procedure may be required later.

The Procedure

To prepare for the surgery, patients should stop smoking and discontinue taking aspirin or other medications that can interfere with their blood-clotting mechanism. They will need someone to take them to the surgery appointment, drive them home afterward, and be available for them the first night.

Dr. Cohen uses tumescent liposuction to treat gynecomastia. It typically involves making small incisions into the affected area, inserting a thin tube called a cannula, and suctioning out the small pockets of fatty material from the breast area. It is effective, predictable, and minimally invasive. This means a quicker recovery and minimal scarring.

The doctor then closes the incisions and places a dressing. Patients are prescribed pain medications, appointed for a follow-up visit, and sent home to begin their recovery. They are encouraged to take it easy for a couple of days. Patients may notice an immediate improvement, but they should understand that complete healing will take from three to six months.

Are There Risks?

There are a few risks and potential complications that come with gynecomastia surgery. They include those typical of virtually any surgery performed with intravenous (IV) sedation or general anesthesia: adverse reaction to the anesthetic, bleeding, swelling, infection, blood clots (deep vein thrombosis), pain, damage to nerves or blood vessels, delayed healing, and scarring. There is also a possibility that a follow-up procedure may be necessary to achieve the desired result. Any of these events are rare but patients should know that the possibility exists.

Let Us Hear from You

Those interested in learning more about this or any other procedure Dr. Cohen performs at Advanced ENT and Facial Plastic Surgery are encouraged to call for an appointment. His many satisfied patients attest to the results he is able to achieve. The office number is (714) 602-1735, or patients can contact the office online. He has two convenient locations, in Placentia and Orange.

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I honestly can’t say enough good things about Dr. Cohen. First and foremost I never have to wait long which is a huge plus, he is straightforward in a good way, he is very personable which you don’t find too much anymore with doctors. And of course when you're an awesome Doc you have an awesome front and back office crew. Cheri O.

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