Male Breast Reduction

Male breast reduction surgery is performed on men who have experienced abnormal breast growth (gynecomastia).

This procedure is appropriate for men in good general health who desire reduction of the breast and improvement in contour.

Patients desiring this surgery are seen in consultation with Dr. Casso. The patient’s general health is assessed, and he is examined.

Laboratory examination may be performed to assess body hormonal levels.

Typically, surgical correction involves an incision around the areola, with liposuction performed in the breast and surrounding tissue to flatten and smooth the breast contour. In some patients, direct excision of remaining breast tissue is performed.

A drain is inserted in order to prevent fluid correction.

Gynecomastia Procedure Details

Some patients have significant skin excess associated with abnormal breast tissue development. These patients benefit from reduction of the skin envelope, in conjunction with removal of excess fat and breast tissue. Scarring associated with this procedure is discussed with the patient before surgery.

This procedure is performed by Dr. Casso under general anesthesia at Houston Methodist St. John Hospital. While this procedure is sometimes performed under local anesthesia in outpatient facilities and doctors’ offices, Dr. Casso recommends general anesthesia at Houston Methodist St. John Hospital, which provides the patient with a comfortable surgical experience, and close, expert nursing attention, treatment of postoperative nausea, if present, and immediate medical attention in the event of any unforeseen emergency. The option for surgery in a full-service, state-of-the-art facility such as Houston Methodist St. John provides patients with a measure of safety and security which is unmatched.

Dr. Casso marks the patient before surgery. The patient is then taken to the operating room, where general anesthesia is induced. Prior to performing liposuction, fluid is injected into the subcutaneous space. This keeps bleeding and bruising to a minimum.

The surgery typically takes 1.5-2 hours. Afterwards, a bulky dressing is applied. Often, a compression garment is applied.

Gynecomastia Surgery Recovery

Post-operative pain is typically moderate, and controlled with oral pain medication. Most patients elect to go home in the afternoon after surgery.

Patients are seen the following day in Dr. Casso’s office, if possible, where dressings are changed. Drains are typically removed within about 4 days, at which time showering may resume. All sutures are removed within 10 days.

Patients are allowed to return to light work within a week. Vigorous exercise is discouraged for about 6 weeks. Use of a compression garment is recommended for 2-3 months.

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