What is Gynecomastia?

Gynecomastia is male breast development and can be caused by hormonal change, weight increase, medication, drug use, and aging. Male breast development has increased over the past 10 years, likely due to weight gain. Weight loss can improve this but may result in extra skin remaining. Fat, breast tissue, and skin all make up the components of gynecomastia.

Moderate Grade Gynecomastia

The moderate form of male breast development encompassed the above breast mass beneath the nipple areola complex, but extends more so beyond into the upper and lateral chest. There is little to no decent of the nipple areola complex from skin. This is the most common form seen in my practice and is treated with power assisted liposuction through tiny incisions near the underarm and if remaining tissue is evident after the liposuction is completed, then it can be removed directly as the mild form above all at the same setting.

Before and After Gynecomastia Image

Extensive Grade Gynecomastia

The more extensive or extreme form of gynecomastia is breast sagging in addition to an increase in size of the breast. The sagging of the nipple areola complex imposes a difficult challenge for a male as the incisions for a breast lift or reduction cannot be hidden. The goal standard approach has been a modified excision of skin and fatty tissue along the crease along with removal of the breast tissue beneath the areola through an incision from 3-6-9 o’clock. Liposuction, our choice is the PAL (power-assisted) liposuction machine, removes the residual tissue and contours the chest the easiest.

Non-invasion Treatments for Gynecomastia

We have experienced a marked increase in men interested in treating male breast development. Today there are more tools in the tool box for us to use. KYBELLA® is deoxycholic acid and dissolves fat with an injection. Capizzi, M.D. Cosmetic Surgery and Skin Care is in the 95th percentile of all users (personal communication from Allergan) for KYBELLA® and use it frequently among our patients.