Gynecomastia Treatment

Dr. Bray, Jr. has performed numerous male breast reduction surgeries.  In some patients the concern is excess persistent breast tissue during puberty.  For others the concern is excess breast tissue after weight loss.  Whatever your concern, Dr. Bray, Jr. will help you determine the best possible treatment plan.

Gynecomastia is excessive development of the male breasts. Physiologic gynecomastia with no pathologic basis may develop in the newborn, during puberty, and in old age.  Pubertal gynecomastia has been reported in 64% of adolescent boys with a peak incidence at 14 years and an average duration of 1-2 years.

There are numerous potential causes of gynecomastia.  The causes of gynecomastia may be classified as physiologic, pathologic, or pharmocologic.  The pathologic causes may be due to cirrhosis, hypogonadism, Klinefelter’s syndrome, neoplasms, kidney disease, or thyroid disease.  Pharmacologic causes may be from a number of different medications.  It is important that your physician determine the cause of gynecomastia in order to establish the best treatment.

Gynecomastia of long duration is unlikely to regress.  Therefore, surgery is the gold standard for treatment of gynecomastia of long duration.  In some cases correction of a systemic disorder or removal of an offending drug may also help resolve the problem.  Dr. Bray, Jr. will make an evaluation and  determine if surgery is the best option.

Dr. Bray, Jr. determines the technique used for gynecomastia or male breast reduction surgery based on the anatomy of the patient.   In most cases liposuction is performed to reduce the breast.  Frequently, the more dense breast tissue must also be removed through a small incision under the areola.  In cases of significant ptosis or loose skin, the redundant skin is excised at the time of the procedure.  The goal is to provide the best possible contour with the least invasive technique resulting in the least amount of scar tissue.  For more information on gynecomastia surgery call Dr. Bray, Jr. at (310) 326-9400.