Solution for Male Breast Reduction After Bariatric Surgery?

Thank you for your question. According to the American Society of Plastic Surgeons the
average #cost of #gynecomastia #surgery can vary widely. Surgery quotes should
include the #procedure itself, operating room facilities, #anesthesia fees,
surgeon’s fees,# medical tests, #post-surgery garments, prescription medication
and other related costs. Most #plastic surgery offices offer convenient finance
plans that allow #patients to pay a low monthly payment. #Costs will also vary
with geographic location. Estimated
costs can be found on RealSelf.com , PlasticSurgery.org or Surgery.org Unfortunately, exercise will not do anything to help your condition.  It sounds like surgery will be necessary.  Of course, without photos it is difficult to tell.  You will need to make an in-person #consultation with a #BoardCertified #PlasticSurgeon.Best of luck.

Hi Wayne,Congratulations on your massive weight loss. Thank you very much for your question regarding male breast reduction for gynecomastia after massive weight loss. This is a very common problem after massive weight loss.The surgical treatment depends on your physical examination. If you have excess male breast fat, you may only need breast liposuction. If you have male glandular tissue, you may require surgical excision of this glandular tissue. If you have severe excess male breast fat, tissue, and skin, you may require surgical excision of male breast skin and fat. The placement of the male breast reduction, depends on the severity of your breasts. If you only have minimal excess skin, an incision can be placed around the areola. If you have more excessive skin, an incision may need to be placed vertically.  In the vertical male breast reduction surgery, an incision is made from the armpit towards the mid rib cage.  If you have severe excess male breast skin and fat, an incision is placed underneath the male breast in inframammary fold. The inframammary fold is where the breast meets the chest wall.Gynecomastia breast reduction surgery takes approximately 1 to 3 hours to perform. The length of time depends on severity. Gynecomastia or male breast reduction surgery is performed under general anesthesia and is usually an outpatient procedure.  Recovery after gynecomastia or breast reduction surgery takes approximately 7 to 10 days.If you have any questions regarding gynecomastia or male breast reduction, please not hesitate to contact my office. Sincerely Dr. Katzen.

You probably have a lot of loose skin following your bariatric surgery, and this can be addressed with a body lift. This procedure would remove the loose skin on your chest, around your stomach and thighs if necessary. However, it's strange that the skin around your waist wasn't addressed with your tummy tuck.

Photos would be helpful to evaluate the type of surgery you would need to contour your chest.  You likely have significant sagging skin of the chest requiring skin resection and liposuction to improve the contour.  Consult with a board certified plastic surgeon.  Good luck
and be safe.John T.
Nguyen, MD, FACS, FICSDouble Board
Certified Plastic Surgeon

It sounds like you may need a circumferential body lift, which would tighten loose skin around your waist and a male breast reduction to tighten the sagging skin in your chest.The price of your procedures depends on several factors, including the following:surgeon feessurgical facilityanesthetist feesIn Toronto, Ontario, the cost of the procedure ranges from $4000-$6000 for your chest and $9000-$11000 for your circumferential body lift. Financing options are available.

 

For males with very large breasts following bariatric Surgery - staged procedures (more than one procedure) most often be required. The first procedure is usually 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.

Oftentimes, specific types of liposuction cannulas are used and often in conjunction with direct removal of excess breast glandular tissue through small incisions for mild to moderate gynecomastia. Other specific techniques can reduce the areola when needed or reposition the nipple to create the appearance of a more natural contour.

In Southern California Male Breast Reduction -Typical Prices Vary on a lot of factors but averages between $5000-$10,000.
Gynecomastia prices vary greatly because the procedure itself encompasses a wide range of techniques that can be performed to different extents. My recommendation is to first find qualified surgeons   that are board certified by the American Board of Plastic Surgery you trust, then compare prices between them.

Factors that influence the price include:
1. Number of procedures - One procedure or two?
2. Location - Will it be performed in a hospital with an overnight stay, an independent out- patient facility or a doctors office?

3. Type of Anesthesia - local, IV sedation or General Anesthesia? Will a board certified anesthesiologist or a nurse anesthetist be used, or an RN?
    
4. Experience and training of your surgeon. The best trained (and longest) would be a surgeon board certified by the American Board of Plastic Surgery
5. Length and Complexity of Surgery - how much will be removed, how long is the procedure, etc. In Southern California the range is usually between $5000 and $10,000.

Your comment about the Tummy Tuck that left you with an excess skin apron about your waist is unfortunate and should have been addressed by the abdominoplasty

Firstly, cogradulations for the weight loss.

If you chest has excessive skin, poor quality skin and a low position nipple, then skin excision will be required. You must go to a very experienced plastic surgeon for advice and treatment.

The waist skin sometimes need be excised, also known as a body lift.

good luck

Mr. Smith,
Congratulations on your weight loss. The combination of bariatric and plastic surgery can help you regain your form. Despite your efforts to workout (and you should continue to workout) the sagging skin is best treated by gynecomastia surgery. Cost depends on what method is used to recontour your chest, the time to perform the surgery and the cost of the facility.
The best thing to do would be to visit with several board certified plastic surgeons.
I hope this helps.
Dr.ES

Hello - Gynecomastia is treated very well with removal of the excess skin and fat with grafting of the nipple.  The procedure is done as an outpatient with minimal pain and downtime.  The nipple is grafted, so you may lose sensation in this area.  Good luck!

When there is excessive loose skin about the male chest after weight loss, most notably after bariatric surgery, it must be addressed surgically. Most men want a flat chest, and I have not found that patients object to their scars. When there is significant loose skin of the chest the nipples are often quite droopy as well. Male breast surgery is very different than female breast surgery because the fundamental goals are different. Males typically desire a flat chest with a flat, small, oval nipple that is not "puffy" or raised. Females typically desire a well-coned and projected, uplifted breast with the nipple areolar complex more or less centered over the breast mound. Attempts to "pedicle" or preserve the nipple complex in a male patient often preserve fullness and can "feminize" a male patient seeking improvement.
I utilize a horizontal elliptical incision that is placed just about at the inframammary crease (crease under breast area) that sometimes goes down under the armpit and also addresses all the loose skin of the chest/breast area and also deals with the side of the chest torso or even armpit area if that is also present. I take the nipple off completely and reduce in circumferentially usually in diameter and place it back on as a full-thickness skin graft at the anatomic ideal position for that patient's chest measurements. I have found this technique leads to excellent contour improvements of the male chest. The patients do not find the scars objectionable because of the improvements in shape in gives to the chest, both in and out of clothes. So it's real simple: scars vs. shape. I have never had a patient that regretted the surgery because most agree shape and contour improvement is the most important goal after weight loss.
I hope this helps!