Hi! Wondering if I am a good candidate for breast reduction (Photo)

It is very likely, based on these photos, that combination of liposuction and direct excision of glandular tissue would achieve satisfactory correction of current deformity. Good luck.

Hello Dtaseer,

Thank you for your question regarding the possibility of breast reduction. Based on the photos you provided and your description, it sounds like you are experiencing gynecomastia, which is relatively common and can indeed be addressed effectively.

Considering your specific case, you appear to be a good candidate for VASER liposuction. This technique is less invasive than traditional breast reduction surgery and uses ultrasound technology to break down fat cells, which can then be removed more easily. This method is particularly effective if the tissue involved is mostly fatty rather than glandular.

If your breast tissue is particularly firm, indicating a significant component of glandular tissue, a minor additional procedure might be necessary. This could involve a small incision around the areola to remove this harder glandular tissue, ensuring a more comprehensive reduction.

VASER liposuction also has the benefit of promoting skin retraction, which should help your skin 'shrink wrap' to your new contour, an advantage given your description and concerns about how your breasts appear under clothing.

I recommend consulting with a board-certified plastic surgeon who specializes in gynecomastia to discuss these options in detail. This will help you understand the potential outcomes and ensure that the treatment plan is tailored to your specific needs.

Good luck, and I hope this information helps guide your decision toward achieving your desired results.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS
Plastic Surgeon

Gynecomastia in men is usually caused by a combination of excess fat and excess breast tissue. This can lead to excessive fullness, which can eventually even look like a female breast. Gynecomastia surgery usually consists of either liposuction, glandular excision alone, a combination of both or an actual breast reduction. Male breast reductions are usually reserved for men with severe gynecomastia that have a severe amount of skin. Incision is typically made in the breast crease and a circular incision around the areola. Based on the pictures, it is difficult to tell because of the straps around the chest. If there is excess skin a breast reduction may be indicated, if not, then perhaps a liposuction with glandular excision.

Hello, in many men it is very frequent to find excess fat and/or excess mammary gland, this is called gynecomastia. There are different degrees of gynecomastia and depending on which one you might have, the treatment option that we would suggest. In mild cases usually we treat this tissue excess with liposuction only, whereas in more severe cases we would suggest taking some of the excess gland out directly by a very small incision under the nipple. Both options don´t require more than a couple of days to recover completely and it is usually done under sedation and local anestesia. You can find the gynecomastia technique that we published at the Plastic and Reconstructive Surgery Journal in the link below.

Thank you for uploading these photos. I can definitely see the areas you mentioned. You are an excellent candidate for a reduction

It would be helpful in regards to making an assessment if you didn’t have the red wrap on your chest. Regardless, it looks like you have full developed bilateral gynecomastia and this should be treated. There are generally three components, plastic surgeons look at when making an assessment. Understanding how much each of the three components is contributing helps decide what surgical approach will be best and what type of results the patient can expect. The three variables are excessive glandular breast, tissue or true gynecomastia, excess subcutaneous fat, and lastly, skin laxity. even if the skin doesn’t appear loose the development of breast tissue may have stretched out the skin envelope leaving you with a skin lack of the issue that can compromise the results if the skin is not addressed. Removing the majority of breast tissue and doing a breast lift at the same time is tricky and the approach is very different than female surgery. if you’re interested in having this treated, then I suggest scheduling multiple in person consultation with plastic surgeons in your community. Who seem to have a lot of experience doing guided Kasta surgery. This type of work is not always straightforward or easy so be careful when choosing providers. During each consultation, I suggest you ask each provider to open up their portfolio and show you as many before, and after pictures as possible of previous patients who had similar chest characteristics to your own. and experience plastic surgeon should have no difficulty showing you before and after pictures of at least 50 previous patients. Being shown a handful of pre-selected images, representing only the best results of a providers career or of patients whose characteristics are very different than your own does not give you sufficient information , regarding that providers competence experience, what results are likely to look like. Being board-certified in plastic surgery does not mean a surgeon has mastered every procedure and there is going to be significant differences in outcomes, depending on how you choose your provider.
There’s no correct number of consultations needed to find the best provider. The biggest mistake you could make is having only one consultation and then going straight for surgery. Instead, I suggest spending a significant amount of time interviewing multiple providers before selecting a provider. Personally, I think having five consultations before choosing a provider seems Reasonable since poorly done surgery can leave people disfigured, be very expensive if people need revisions and leave people disappointed. The time to be critical of plastic surgeons is before you schedule surgery during the vetting process. Take an active role during the consultation, recognizing it is your responsibility to find the most experienced and talented provider for your needs.
Good luck,
Mats Hagstrom, MD