Gynecomastia Surgery (Male Breast Reduction)

Male Breast Reduction

Gynecomastia Surgery is a surgical procedure for male breast reduction; it is the removal of breast tissue via liposuction of fat cells in the breast.

Alternative Names:

Male Breast Reduction, Male Breast Liposuction, Man Boobs Reduction

Length of Procedure:

1.5 to 2 hours

Cost:

From $11,999

Recovery Time:

4-6 weeks

Where:

Surgical OR

Anesthesia:

Local or General

Who:

Dr. Mulholland

Before and After Gallery

Who is a good candidate?

The best candidates for liposuction are those individuals who have unwanted depositions of fat that detract from ideal shape and contour and have tried their best at diet and exercise to modify their shape and figure.  Good candidates are medically well patients without uncontrolled illnesses such as diabetes and uncontrolled heart disease or hypertension.  Contraindications to liposuction include anyone who is unrealistic about the shape and figure they can achieve or are medically unwell or excessively overweight.

Gynecomastia Before and After Gallery

What is male Gynecomastia and male breast tissue liposuction?

Gynaecomastia is a term used to describe male breast tissue.  Male breast tissue, also commonly called male boobs are increased amounts of fatty tissue in the breast tissue overlying the pectoralis major.  Gynaecomastia can also include frimer glandular tissue.  Male glandular tissue can result from underlying hormonal abnormalities and occasionally testosterone, hormonal screens and internal investigations to make sure there’s no metabolic cause for the male gynaecomastia are required.  Once any underlying metabolic cause for the male gynaecomastia has been corrected, which can include medications or underlying endocrine abnormalities, male gynaecomastia liposuction can be performed.

The problem in older liposuction techniques was the inability for the tumescent liposuction to adequately remove the glandular tissue.  This often required large additional scars to be placed around the areola or under the breast to perform an invasive male breast reduction procedure.  With the advent of modern liposuction techniques, such as BodyTite™ radiofrequency-assisted liposuction and SmartLipo™ laser-assisted liposuction and VASERLipo™™ ultrasound-assisted liposuction, glandular tissue, as well as fatty tissue, can be coagulated, liquefied and removed.

Dr. Mulholland is an innovator, leader and pioneer in these energy-assisted liposuction techniques.  During your gynaecomastia procedure, BodyTite™, SmartLipo™ and VASERLipo™ are deployed to liquefy and coagulate the glandular tissue and fat through tiny incisions without any need for deforming and sometimes embarrassing breast scars.

BodyTite™ uses radiofrequency electrical current to coagulate and liquefy the fat and glandular tissue, leading to a 35% area contraction, minimizing the risk of any loose chest skin after the removal of the fat.  It is very important in modern assisted liposuction to deploy these energy-assisted devices to get a reciprocal retraction of the skin and the soft tissue while liquefying, coagulating and removing the glandular tissue and fatty tissue.

SmartLipo™ uses laser energy to liquefy and coagulate glandular tissue and fat and is excellent for treating under the skin to induce a 70% area contraction of the skin.  Most commonly, during energy-assisted male gynaecomastia liposuction, Dr. Mulholland will deploy two or three of the technologies simultaneously to different areas and depths to optimize the overall contraction and contour result.

VASERLipo™ ultrasound-assisted liposuction also is able to coagulate and liquefy unwanted breast tissue, fat and glandular tissue.  The advantage of VASERLipo™ is not so much in its ability to contract, but its ability to separate and soften the fat cells, allowing their easy removal but also preserving these fat cells for transplantation.  In male gynaecomastia procedures, occasionally this VASERLipo™ fat can be spun down, purified and put into small syringes and re-injected into other areas of the body for contour enhancement, such as the buttock or the cheeks or even the pectoralis muscle itself.

The combined use of energy-assisted devices that has been pioneered and innovated by Dr. Mulholland during male Gynecomastia can ensure optimal soft tissue contraction and contour while removing the fatty tissue

How is male Gynecomastia liposuction performed?

When Dr. Mulholland is using Bodytite™ radiofrequency-assisted liposuction, the procedure is generally performed either under local anesthesia with oral sedation or local anesthesia with IV or general sedation. Once the local anesthesia, also called tumescent anesthesia, is completed, the energy-assisted device – Bodytite™  – is deployed to liquefy, coagulate and tighten the male breast tissue.  Once this phase has occurred, this liquefied, coagulated fat is immediately aspirated with a gentle, small, blunt-nose tipped microcannula.

What kind of anesthetic is used during male liposuction?

Liposuction is performed under tumescent local anesthesia.  Tumescent local anesthesia is an extremely dilute local anesthetic that is then inserted gently into the fat, distending the fat and providing loss of sensation during the procedure.  The tumescent anesthesia also distends and expands the fat cells, exposing them to the ultrasound energy of VASERLipo™.

Is the Gynecomastia procedure painful?

Modern liposuction, using energy-assisted devices, pre-coagulate and liquefy the fat, turning it into a sort of “fat, mango milkshake” and this is very easy to aspirate and is a very gentle procedure.  The energy-assisted liposuction techniques, such as VASERLipo™, have been shown in peer-reviewed medical studies to be far less painful and have far less discomfort, bruising and swelling than old-fashioned liposuction techniques where energy is not used.  This means much less pain, mild bruising sensation and much quicker return to work and activities.

How long is the recovery following Gynecomastia surgery?

Modern liposuction using energy-assisted devices such as VASERLipo™ have a very rapid recovery. It is not uncommon for individuals to undergo multiple-area liposuction on an afternoon and return to very light, sedentary work/non-work-related activities the following day.  It is usually recommended, however, that you take two to three days off after your lipocontouring procedure to allow focus and time on recovery.  The recovery process is also characterized by the patient wearing a post-liposuction garment.  A post-liposuction garment is a high-tech, Spandex-like, Lycra® type of Spanx® compression garment.  It is used to shrinkwrap the overlying soft tissue while it heals in the ideal shape and contours.  In general, these liposuction garments can be worn under any clothing and are quite comfortable.  They provide very comfortable support during the healing process.  Generally, liposuction garments are worn 22 hours a day for three weeks.  After three weeks, the liposuction garments are worn for support during the day and left off in the evening and overnight.  Patients can return to low-impact activities such as walking, stair climber, ellipticals within the first week or two.  Return to high-impact activities such as jogging, running, aggressive weight training and activities such as hot yoga and stretching should wait till the fourth to the sixth week.

What will I look like after Gynecomastia liposuction?

Immediately after the procedure, there will be some swelling, which is contained by your compression garment.  Modern liposuction, using energy-assisted devices such as BodyTite™, do not generally result in much bruising.  Avoidance of aspirin if possible three weeks prior to the procedure will minimize the risk of any bruising.

What kind of results can I expect after male Gynecomastia liposuction?

Modern liposuction using energy-assisted devices such as VASERLipo™, BodyTite™ and SmartLipo™ , all deployed during the same procedure in an expert symphonic orchestration of fat reduction,  can result in very elegant results.  Dr. Mulholland is well-known for his advanced liposuction body contouring of all body areas.  Improvements in figure, shape and contour are virtually assured, as fat is removed in the areas of contour concern.  The focus of Dr. Mulholland’s liposuction patients should be on improvement in body, shape and contour, not on weight.  Naturally, fat is removed, so there will be some weight loss, but the focus is on inches and contour, not kilograms and pounds.

What are the patients saying about Gynecomastia liposuction?

Dr. Mulholland has performed his energy-assisted liposuction techniques such as VASERLipo™ radiofrequency-assisted liposuction on multiple TV shows, programs and newspaper magazine articles.  Most patients are extremely happy with the results of their body contouring because they realize no diet and exercise can, in a localized and focal way, reduce unwanted bulges and contours, such as pots, bra lines, love handles, saddlebags, bat wings and inner thigh/inner knee fat.  Dr. Mulholland’s patients are particularly satisfied because of his expertise in assuring the best possible soft tissue contraction after the removal of the fat, ensuring the best possible probability of tight, soft, compact, shapely figure enhancements after liposuction.

How long will the results last after a Gynecomastia procedure?

The results of your liposuction will be lifelong.  The fat that is removed will not return.  It is very important to have weight maintenance after liposuction and stay within five to ten pounds of your liposuction weight to ensure permanent contour and figure enhancements.  Excessive weight gain will result in fat travelling not usually to the liposuction area, but to other areas where traditionally you would not have collected fat; again, compromising figure, shape and form.

Is there any maintenance required after Gynecomastia surgery?

There is no liposuction maintenance required for the fat that has been removed, as it is permanently gone.  However, maintenance skin-tightening body heating treatments, such as bulk heating radiofrequency devices, using Venus Freeze, Accent®, Exilis®, the VASERShape™,  and the Forma™ or Thermage® Body are deployed in your program to ensure optimal skin contraction and tightness.  Once your series of post-operative treatments have been completed, Dr. Mulholland will recommend a single treatment every three months to maintain skin tautness, elasticity and contour.

How much will Gynecomastia surgery cost?

Dr. Mulholland has a range in liposuction pricing, depending on the size and amount of fat and number of areas to be removed.  In general, single-zone modern energy-assisted lipo with three combined devices such as, VASERLipo™, SmartLipo™ and BodyTite™ deployed during a treatment will start at between $3,999.00 to $6,999.00 for the first zone with subsequent zone discounting for second, third and fourth zones.  Generally, depending on the size of the patient and their Body Mass Index, patients can have three to four zones performed with total body contouring for $9,999.00.

Why choose SpaMedica and Dr. Mulholland for my Gynecomastia procedure?

Liposuction is an art.  That art meets science with the application of energy-assisted devices.  The use of energy-assisted devices is a highly-specialized skill; one that Dr. Mulholland has been an innovator and pioneered.  He has helped develop the radiofrequency VASERLipo™ and the BodyTite™ and SmartLipo™ procedures and has taught hundreds and hundreds of physicians from around the world.  He has more combined energy-assisted devices than any other physician in Canada, in North America and is sought out by patients worldwide for lipocontouring procedures.  In choosing Dr. Mulholland, you’re getting one of the foremost experts in the world in advanced modern liposuction using energy-assisted devices.  The SpaMedica team is well-known for their service experience and care and attention to your postoperative and preoperative needs.  In addition, Dr. Mulholland and SpaMedica combines postoperative skin tightening in addition to the lipocontouring to ensure the best possible contour.

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