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GYNECOMASTIA

Male Breast Reduction
(Gynecomastia Repair)

Naples Plastic Surgery

At some point in their lives, approximately one half of all men in the United States will suffer from gynecomastia, a medical condition in which localized fat and/or excess tissue causes male breast enlargement. This sometimes embarrassing and rarely discussed condition is caused by a hormonal imbalance, and peaks in men between the ages of 50 to 80, affecting about 25 percent of this population. Adolescent gynecomastia occurs naturally in some teenagers due to rapid hormonal changes during puberty, and resolves itself without treatment in the majority of cases. However, about five percent of adolescent cases of the condition remain unresolved into adulthood.
Naples Plastic Surgery is one of the few cosmetic surgery practices in Naples that offers male breast reduction surgery for gynecomastia. Under our surgeons’ skilled hands, gynecomastia surgery is performed to remove and reshape the breast tissue to help develop a more toned chest. The procedure usually results in a slimmer physique, as well as a resultant boost in self-body image and confidence.
Video Transcript

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 they find it 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? uh 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.

Male Breast Reduction in Naples

Before gynecomastia surgery, Dr. Leo Baccaro, Dr. Mark Walsh, or Dr. Andrew Bonett personally consult with their patients in order to fully understand their aesthetic goals and to develop a gynecomastia treatment plan customized for the patient’s unique physique and condition. The patient’s history is examined to make sure the gynecomastia cannot be managed non-operatively, and a physical breast examination will determine which treatment option will best help the patient achieve his goals.

Our surgeons tailor the male breast reduction surgery to each patient’s needs. If the enlarged breast tissue is mostly fat, tiny incisions are made in the nipple and underarm, and liposuction is done to remove the excess fat. If there is excess breast tissue, an incision is placed around the lower part of the nipple at the junction of the skin and the pigmented part of the nipple to hide the scar. The excess breast tissue is then completely removed allowing the pectoralis muscle to become more defined. If there is fat and excess breast tissue, liposuction is done on the remaining fatty tissues. The skin is then allowed to re-drape over the chest wall, re-shaping the breast to a more pleasing contour.

Recovering from Gynecomastia Repair

Male breast reduction surgeries are done as outpatient surgery at our fully accredited Naples Plastic Surgery facility. Some patients are sent home with drainage tubes for a few days to empty any fluid that accumulates in the space where the breast tissue was removed. Patients typically require one to two weeks of recovery during which they must refrain from any vigorous activity. A compression garment is worn for several weeks to help the breasts conform to their new shape.

Like all surgical procedures, male breast reduction surgery has risks. Dr. Baccaro, Dr. Walsh, and Dr. Bonett always review these with patients during preoperative visits. Gynecomastia patients often feel at ease once they review Naples Plastic Surgery’s outstanding surgical record, which reinforces confidence that they are in good hands.

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Your Gynecomastia Procedure


Health is the highest priority to Dr. Leo Baccaro, Dr. Mark Walsh, and Dr. Andrew Bonett, so they work with great care and exacting precision when performing gynecomastia surgery to improve the aesthetics of the male chest. Our surgeons take pride in helping their patients begin their journey toward fulfilling their aesthetic goals and are committed to helping their patients obtain the results they desire.

Additional Plastic Surgery Procedures
with Dr. Gardner, Dr. Baccaro, Dr. Walsh, and Dr. Bonett


The surgical team at Naples Plastic Surgery has a long-standing, stellar reputation for outstanding levels of skill, talent, and beautiful results. Dr. Paul M. Gardner, Dr. Leopoldo M. Baccaro, Dr. Mark Walsh, and Dr. Andrew Bonett are all highly trained, experienced, and respected in the Naples community.

At their state-of-the-art surgical suite in Naples, our plastic surgeons use their many talents, and personalized compassionate approach, to help patients achieve their aesthetic goals.

Naples Plastic Surgey is Proud to Serve Patients from Naples, Bonita Springs, Estero, Fort Myers, Cape Coral, and All Over the Country!

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