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Dr Gardner on Gynecomastia

Dr. Gardner on Gynecomastia

Hi, Dr. Gardner again, talking about gynecomastia. What is gynecomastia? Gynecomastia literally means female breasts in a male. This is a very troubling problem for a lot of people. In fact, 50 to 60 percent of adolescent males have a little bit or a lot of gynecomastia. 70 to 90 percent of males from the age of 59 to 70 have gynecomastia, so very difficult to wear a tight-fitting shirt, difficult to take the shirt off on the beach if you’ve got breasts that look like a girl.

What are the treatments for gynecomastia? Well the first thing we do when we see a patient for gynecomastia, we make sure they’re not taking any kind of hormone therapy that might be causing the gynecomastia. We make sure that their blood work looks okay. If they do have some hormonal issues and get them on the right hormones to correct that, but if that doesn’t help the gynecomastia go away, surgery is really the only option.

So what do we do for gynecomastia surgically? It’s in some patients we’re actually able to treat it with liposuction. We fill the breast tissue up with a fluid that contains a numbing medicine and a medicine that keeps it from bleeding and it breaks up the fat, and then we just suction out all the excess fat. And on in a subset of patients that actually works really well, no scars and they get better.

However, most patients with gynecomastia have a little bit of a what we call a breast bud. Sometimes it’s a little breast bud, sometimes it’s a big breast bud, sometimes the entire breast is filled with breast tissue and that doesn’t really respond very well to liposuction. In those patients we do go ahead in liposuction and, for my purposes, I actually go in and liposuction under this area of the underarm where the – where the breast tissue extends out. This way so that they don’t have a roll of fat there and that contours that area and then I’ll liposuction the chest get it nice and flat.

And then whatever breast tissue is left, I’ll go through that nipple incision right under the nipple, open up the space, take all the breast tissue off of the muscle, remove it so that the only thing that’s left behind is the pectoralis major muscle, the skin with a little bit of fat on it and it gives them immediate and noticeable improvement in the gynecomastia.

So what is gynecomastia? It’s female looking breasts in a male. It usually has a component of fat and breast tissue, so both have to be removed to get an effective treatment. In some patients there’s so little breast tissue, liposuction alone will do the trick, but in most patients, you have to go through a small incision, barely noticeable, and take out the breast tissue as well. Thanks for your time.

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At Naples Plastic Surgery, our cosmetic services are designed to contour and enhance your body to help you achieve the body image that you desire. Known for offering among the best facial plastic surgery in Naples, our board-certified surgeons are known as much for their artistry as they are for their surgical skills. We understand that your image is the key to feeling great, so we will provide you with the most reliable advice and services to help make you look and feel your best.

The surgical team at Naples Plastic Surgery has the training and experience necessary to help you pursue your own individual cosmetic goals down to the very last detail, all in a warm, comfortable, and private environment.

Dr. Paul Gardner, MD, FACS is a board-certified plastic surgeon serving Southwest Florida. As one of the leading plastic surgeons in Naples, FL, Dr. Gardner has more than 25 years of experience performing facial procedures including composite facelift, mini facelift, brow lift and skin cancer removal procedures. He also possesses expertise in breast augmentations, tummy tucks, and labiaplasty.

Dr. Leopoldo M. Baccaro, MD received extensive training at the prestigious Houston Methodist Hospital in the Texas Medical Center, where he worked with some of the most well-renowned practitioners in the art of cosmetic surgery. With honors and awards throughout medical school and his residency, Dr. Baccaro earned a stellar reputation for high quality surgical care with both cosmetic and reconstructive surgery procedures.

Dr. Mark Walsh, MD, FACS is a board-certified plastic surgeon serving Southwest Florida. Dr. Walsh participated in the prestigious plastic surgery training program at Duke University. He has also served as an invited reviewer and has provided expert commentaries for multiple surgical journals, including the highly regarded Aesthetic Surgery Journal.

Dr. Andrew M. Bonett, MD specializes in both reconstructive and cosmetic plastic surgery, with specific interests in reconstruction after breast and skin cancers, including Mohs reconstruction. His experience also includes reconstruction following traumatic injuries, body contouring, and general cosmetic plastic surgery procedures.

The plastic surgery process at Naples Plastic Surgery begins with a one-on-one, confidential consultation in which your surgeon conducts an examination to determine which procedures are likely to produce the most robust aesthetic improvements. This includes a comprehensive discussion with you to identify the benefits, risks and costs associated with each procedure. It may be possible to combine a number of surgical procedures into a single surgery if you desire and if your medical condition permits it.

As with any medical procedure, there is no guarantee that a desired outcome will be achieved. There are a number of health risks associated with even minor medical procedures. If you have any health issues or concerns, please feel free to discuss them any time with your surgeon at our Naples’ plastic surgery center.
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