Gynecomastia Surgery Orlando

Dr. Oppenheimer — @RealdrOPP

Gynecomastia is a condition in which the breast tissue in a man swells, mostly from unlucky genetics.

Gynecomastia doesn’t mean a hormonal imbalance. It can simply be caused by changes in weight over time. Most commonly, though, it’s caused by puberty. It can affect one or both of the breasts, and sometimes it doesn’t go away after puberty. It just stays as unwanted tissue and skin.

What is Gynecomastia Surgery?

Gynecomastia surgery is a common procedure that I perform for my male patients to help them overcome the social stigma of having large breasts. Having a feminine-appearing chest can be a source of embarrassment for teenage boys and men. In the parlance of our times: “we ain’t got time for that.”

Breast tissue in men can grow under the nipple/areola area and develop into breasts that become large and sagging. Many of the male patients that I treat have already lost weight but are embarrassed and self-conscious about their sagging chests. Some even withdrawal from many of their social and physical activities or are forced to wear compression shirts to hide extra tissue. Gynecomastia surgery can be an effective solution by reducing breast size and flattening chest contours, resulting in a masculine shape to the chest and pecs.

So many of my guy friends have been bugging me for lipo so this post really is just to rub it in. 3 months #postOPP #lipo 😷👍🏽

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Gynecomastia Surgery Consultation

When you come in for a consultation, I will go over your options and explain the procedure, which might be just liposuction with a tiny scar or a more traditional surgical excision, where the scar is curved under the nipple. I will assess your existing anatomy to figure out the cause of your breast enlargement.

Liposuction can be used to clear out deposits of fat cells from the breast using a straw-like cannula that is inserted through a tiny incision and re-sculpt the chest into more attractive contours. Liposuction may not be enough if your gynecomastia is the result of an enlarged breast gland. In that case, I may need to perform a traditional surgical excision with or without liposuction. An incision can be placed on the edge of your areola (underneath it) to remove excess glandular tissue and fat.

In rare cases, a scar needs to be placed to remove chest skin. This approach is most commonly used when you have lost a large amount of weight and have sagging skin. In these cases, the nipple is actually removed and then grafted back into the right position. The scar is placed along the lower part of the pec muscle in the chest crease.

Enlarged breasts can make you feel self-conscious, especially in social situations with your shirt off. Let’s change that.

Gynecomastia Surgery FAQs

Am I a good candidate?

If you are bothered by the size of your breasts, feel self-conscious in public like at the beach or the gym, you are a good candidate for surgery. Your BMI should be under 30. You should be in good physical health with a stable weight and a non-smoker and non-drug user. It’s also good to have reasonably elastic skin in the breast area.

What are the risks?

Although any surgery has some associated risks, I am uncompromising when it comes to safety. I minimize the risks using my experience as a surgeon. I take the necessary time and every possible precaution against any risk, which can include: asymmetry, bad reaction to anesthesia, blood clots, breast contour irregularities, fat necrosis, hematoma, infection, scarring, sensitivity to the breast or nipple, and seroma.

My Approach

I am a third-generation plastic surgeon, who specializes in aesthetic procedures of the face, body, and chest. It’s important to me that I take the time to meet patients like you, hear your concerns, and discuss your goals. I usually spend a full hour with all new patients to fully understand the treatment goals of anyone I’m going to be performing surgery on.

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I’m passionate about getting you the best results by being meticulous in every detail when I am performing your procedure. My purpose is to offer you the very best plastic surgery experience in a safe, relaxing and comfortable atmosphere. My staff and I care about making you feel at ease for your visit while providing the best gynecomastia surgery Orlando has to offer. I’m picky and I obsess about the details.

Causes of Gynecomastia

You are more likely to develop gynecomastia as a teenager or after the age of 50. There is a 50/50 chance that during your teen years, gynecomastia can resolve itself spontaneously. If gynecomastia has been consistent for three years, it is unlikely to be resolved without removing the breast tissue. You are also more at risk if you are overweight and have additional risk factors or behaviors.

Here are some of the factors that can create enlargement of the male breast:

  • Alcohol: Drinking too much alcohol may influence the development of gynecomastia
  • Cancer: Cancer in the adrenal or pituitary glands can cause gynecomastia
  • Drugs: amphetamines, heroin, and marijuana 
  • Hormone imbalances: you may be naturally producing more estrogen than normal
  • Kidney/liver: a kidney failure or the development of liver disease
  • Medications: the following medications can cause hormonal imbalances: antidepressants, Avadart, Propecia, pro-hormones (for muscle mass), and valium
  • Obesity: being obese makes you more vulnerable to producing more estrogen and having stretched skin in the chest.
  • Puberty: changes to the body during puberty can end up causing gynecomastia
  • Steroid: any consistent use of steroids will increase the production of estrogen and cause breast enlargement
  • Thyroid: a problem with thyroid issue because of the thyroid gland impacts growth

#gynecomastia #postOPP (#freethenipple) 😷👍🏽

Recovery

Your recovery will depend on your health condition and whether you go through tissue excision or liposuction, which usually has a shorter recovery time. You may need drains after an open excision and wear a pressure garment (under armor shirt) for a couple of weeks to decrease swelling.

On average, it will take a few days before you can return to work and about six weeks to get back to your normal routine, including strenuous exercise. It’s perfectly normal for your chest to be bruised after your procedure since swelling can last a few weeks. Drains might be required. Drains usually come out within a few days. Your scars usually heal within two weeks but can take a year to fully heal. Once you have healed, you can look forward to a flatter chest and a slimmer appearance.

We have a nurse available 24 hours a day, 7 days a week for any questions or concerns during your healing process. It is our goal to make your recovery as comfortable as possible so please do not hesitate to contact us for any reason.

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