I want know if Male breast reduction procedure can be done simultaneously with areola reduction?
Male Breast Reduction with Areola Reduction?
Doctor Answers (17)
Promoted Local Answer
Areolar reduction is rarley neseccery
This is an important point I would like to make:Areola reduction should rarely be done.I have performed thousands Male Breast Reduction Surgeries over 30 years and I can't remember when I have performed areolar reduction,yet the vast majority of my patients were happy with their results and the post surgery areola size,even when it was large prior to surgery. I did fine that when an adequate excision of the gland and adipose tissue plus an adequate thinning and defatting of the areolas is enough 98% of the time.I am reluctant to perform areolar reduction because a scar on a man is less acceptable then on a woman because it defeats the purpose of the surgery and can not be covered with a bra. Just the possibility that a few of the scars we be unacceptable usually prevent me from doing it in many cases. It does not mean that areola reduction is wrong,it is an acceptable and a standard procedure in plastic surgery. Those thoughts and philosophy are only mine.
I do not perform areolar reduction at the same time as gynecomastia surgery. The complication rate for simultaneous areolar reduction and gynecomastia surgery is logrythmically increased. Areolar size is reduced by the gynecomastia surgery.
Male Breast Reduction with Areola Reduction?
John T. Nguyen, MD, FACS, FICS
Double Board Certified Plastic Surgeon
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Male Breast Reduction with Areola Reduction - one or two procedures?
Yes it is possible to do both procedures at the same time. However, most often I find that the it is best to do it separately. For on reason, sometimes when I anticipate two surgeries - the second one is not needed. When the skin retracts for example after liposuction of the breasts so does the areola (which is a skin appendage) which may satisfy your wishes.
For males with very large breasts staged procedures (more than one procedure) may be required. For example, the first procedure may be liposuction, then several weeks to months later after skin contraction has occurred, a separate procedure is done to remove excess skin. By doing a staged procedure, often the final scars are less.
Larry Nichter, MD, FACS
Gynecomastia Surgery and Areola Reduction
Thank you for the question.
Both of these procedures can technically be done same time. However I have found that correction of gynecomastia and areola reduction surgery done at the same time does carry increased risks compared to either one of the procedures done separately. This increased risk is related to decreased blood flow to the nipple/areola.
Sometimes the areola shrinks enough with the gynecomastia surgery that the areola reduction surgery becomes unnecessary.
Please make sure you're working with a well experienced board-certified plastic surgeon.
The areola will shrink as a by-product of male breast reduction
You may very well not need a formal reduction of the areola. Removal of the breast tissue is often accompanied by a decrease in the diameter of the areola.
Areola reduction with Gynecomastia
Gynecomastia can most definitely be performed at the same time with areola reduction. Performing both procedures simultaneously will not add to the recovery time of either procedure.
Gynecomastia surgery with areola reduction
The best technique for the correction of your gynecomastia ultimately depends on the quality and location of the excess tissue on your chest. If the extra tissue is central on your chest or just underneath the nipple, this may be corrected with a simple incision around your areola. You can combine this surgery with an areola reduction at the same time. Keep in mind that an areola reduction will create a scar completely around the areola and a scar will be more noticeable than the smaller scars we typically use just for the reduction of gynecomastia
Male breast reduction will reduce areolas.
1) If your areolas are just a little wide, simply getting rid of the gynecomastia will make them shrink. This is enough for most patients.
2) If they are really wide, then they are reduced as part of the male breast reduction, with a circular scar at the edge of the nipples.
Areolae reduction in Gynecomastia repair
It is very common for the areolae to unintentionally shrink when performing male breast reduction. This can be observed in the attached youttube video.
However, a surgeon must exercise caution in reducing the areola circumferentially because this may compromise the blood supply to the nipple and areolae.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.