During consultation Dr. Alghoul will perform a breast exam and evaluation. Depending on the associated symptoms, referral to an endocrinologist may be necessary. The treatment plan along with the proposed incisions will be discussed in detail.

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What to Expect

Surgery for gynecomastia is performed under general or local anesthesia with sedation, as an outpatient procedure. Depending on the planned surgery, a compression garment may be recommended following surgery, for two weeks. If nipple grafting is necessary, a special dressing is applied over the nipples for 10 days. You may engage in light activities the day following surgery. Resuming more normal activity, including exercise, may take one to two weeks depending on the type of surgery performed.


What are the different treatment options for gynecomastia?

The treatment options range from removing the firm disc of breast tissue from under the nipple, through an incision around the nipple, to liposuction or even removal of the breast. Breast removal, or mastectomy, is indicated in severe cases with excess breast tissue and skin combined with sagging of the nipple. In certain situations, the nipple is detached and placed at the desired location on the chest as a skin graft.

Where are the scars located?

Generally, a scar almost always forms, partially or completely, around the nipple; a “complete” scar forms when the areola is reduced in size. If a mastectomy is deemed necessary for correction, then the incision around the areola is combined with a horizontal incision under the nipple. The length of the incision is determined by the amount of excess skin, especially on the sides under the axilla. When liposuction is indicated, it is performed through small needle holes or stab incisions.

Contact Dr. Alghoul

If you’d like to schedule a consultation with Dr. Alghoul to discuss male breast reduction, please call or contact us via email.