Gynecomastia (Male Breast Reduction) Newport
Beach, Orange County, CA

 

Gynecomastia / Male Breast Reduction Information Resource for Southern California including Orange County, Newport Beach, Los Angeles, Beverly Hills and San Diego.

 

 

Welcome to Orange County’s best information resource for plastic surgery and, in particular, gynecomastia / male breast reduction surgery. Dr. Cruise, board certified plastic surgeon, Newport Beach, CA, has filled every inch of this site with the most comprehensive gynecomastia information available. Patient education is a priority. With this in mind, Dr. Cruise is adamant that the information be highly relevant, easy to understand and, above all, lots and lots of pictures.

 

 

 

 

To give you a brief overview, here are some of the important topics that will be discussed. This is in addition to the many gynecomastia before and after pictures available for your review.

 

• What are the different types of gynecomastia?
  classic gynecomastia, fatty gynecomastia, puffy nipples, and saggy gynecomastia.

 

• What causes gynecomastia?
  Steroids, medications, pro hormones, excess weight, etc.

 

• What type of gynecomastia surgery is best?
  Will liposuction alone work or do I need to have breast tissue removed?

 

• Compression garments.
  What works

 

• Complications, risks, recovery and safety

 

• Gynecomastia cost
  Is financing available?

 

The purpose of the site is to give you the good AND the bad to help you achieve your goal. There is a significant amount of information. Make sure you visit the animation of how Dr. Cruise routinely does his surgery. Another must see is the gynecomastia classification system and how it is clearly presented. We hope you find it useful in your journey.

 

Overview of Gynecomastia Surgery

 

Another name for enlarged male breasts is gynecomastia. Ideally, the male breasts are muscular and well defined. It signifies strength and masculinity. Sometimes, for various reasons, the male breast becomes fatty and begins to sag. Instead of a healthy masculine look, the man is left with an unhealthy, out of shape, feminine look.

 

Ideal Chest	Classic Gynecomastia

 

Puffy Nipples	Fatty Gynecomastia

 

The causes of this problem range from hormonal changes, to intake of medications, to genetic predisposition. In fact, it is not uncommon for healthy teenage boys, usually around 14 years of age, to have this problem for 1 to 2 years. The reason is hormonal and usually goes away after puberty.

 

Often, the cause of gynecomastia is never identified. Certain diseases and medications can be the cause but these need to be looked into by your family doctor. The medical causes range from deficiency of testosterone to excess of estrogen. Being overweight can cause too much estrogen and, therefore, it is highly recommended to lose weight.

Before After

 

Medications that are known to cause gynecomastia are as follows: Estrogens, digitalis, clomiphene, ketoconazole, metronidazole, cisplatin, spironolactone, cimetidine, isoniazid, methyldopa, tricyclic antidepressants, valium, heroin, and marijuana. Liver problems can also be the cause. These are the common causes but there are many more possibilities and only a medical evaluation can determine them with any certainty.

 

The good news is that with modern plastic surgery, gynecomastia can be effectively treated so that you no longer have to be embarrassed to take your shirt off. The treatment of gynecomastia depends on what is causing the problem. The three components of gynecomastia are 1) excess fat, 2) excess breast tissue, and 3) excess skin.

 

Excess Fat

 

This is found in almost every gynecomastia patient. It is centered around the nipple/areola but usually involves the entire chest. This is typically removed with liposuction. If the cause is solely from excess fat then liposuction alone will usually take care of the problem. Usually the skin shrinks back after the fat is removed and a good result is obtained.

Before After Example of Excess Fat

 

Excess Fat and Breast Tissue

 

This may seem strange but all men have breast tissue. This is the same breast tissue that women have but, of course, it is not as abundant. In gynecomastia, the breast tissue often grows considerably and is typically located right under the nipple/areola. If a man squeezes the tissue directly below his nipple, he will feel the breast tissue as a firm, squishy, football shaped lump.

 

Before After 31 year old man who had liposuction and breast tissue removal.

With gynecomastia this tissue mass often will enlarge dramatically. Liposuction alone usually will not adequately remove this tissue. It usually needs to be cut out. The incision is typically located just below the areola where it ultimately fades away very discreetly.

 

Excess Fat, Breast Tissue and Skin

 

As mentioned above, after the fat and breast tissue are removed, the skin usually will shrink back and a flat result will be obtained. There are times when the skin does not shrink back and it needs to be removed as well. This is when there simply is too much skin.

 

These patients will have saggy breasts that hang downward. The excess skin is obvious. Other patients who may need skin removal are those with poor skin that does not have the elastic properties to shrink back. These are usually older patients or those with significant stretch marks. Dr. Cruise typically is able to remove skin by making an incision only around the areola. This incision is well hidden because it is masked by the interface between the skin and the areola.

Before After 26 year old with severe gynecomastia treated with liposuction, breast tissue removal, and skin excision.

 

‹‹ Before / After

Causes of Gynecomastia ››

 

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