Exactly how is male breast reduction surgery different from female breast reduction surgery? Is the procedure less time consuming or less complicated for men?
How Visible Are the Incision Scars After Having Male Breast Reduction Surgery?
Doctor Answers 15
Peri Areolar Incisions in Gynecomastia Surgery
In the vast majority of cases a peri areolar incision is used when treating gynecomastia. This incision is made around the inferior border of the areola and is extended slightly to each side. It’s hidden nicely at the border of the areola with the surrounding tissue. As the scar fades, it’s even less apparent.
In contrast, breast reduction in women is much more complicated with much longer incisions. This procedure not only reduces the size of the breast, but also lifts the breast into normal position. The procedure results in a circumferential incision around the areola, a transverse incision in the infra-mammary fold and a vertical incision that connects the two.
Male breast reduction is less complicated then female breast reduction. There’s less scarring, fewer complications, shorter recoveries and shorter operative times. It’s important to note that both procedures have high satisfaction rates.
Male breasts that are predominately fat can be treated with tiny inconspicuous incisions large enough to admit a thin Liposuction cannula. With firm glandular breasts a semi circular incision around the bottom half of the areola is usually required. In very large breasts requiring skin reduction the incision may go completely around the areola. Most incisions hidden in the areola margins heal quite well and give satisfactory normal appearing results.
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Scars After Male Breast Reduction
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Scarring With Gynecomastia Surgery
Thanks for the post. The most common scar used to remove glandular tissue is at the bottom of the areola. This incision tends to heal very well for two reasons:
1. There is no tension on the incision because the tissue that would be pushing on the area has been removed
2. There is always a color difference between the areola and the chest skin. The scar is placed at this border and hides very well.
I wrote a blog post discussing healing of these scars.
Armpit scars placed in the crease are virtually invisible
I hope this is helpful. Good luck!
Breast Reduction Scars for Men Vs Women
The scars for men are very different than for women. For the female, the goal is not to have an almost flat chest as it is for a man. To reduce the size of the breast in a woman there is usually a vertical scar from the areola down to the breast crease and then for many an additional incision across the breast crease for what is known as an anchor or inverted T procedure. For the man in order to remove breast tissue and fat an incision is made around the bottom half of the areola so that when it heals it is almost invisible. I also do a tiny incision in the armpit for the cannula for liposuction and for the drain most of my patients have a hard time finding it. Depending on the severity of the gynecomastia breast determines the incisions, sometimes it can be less, in some cases it can be more if a second stage reduction is needed.
Scars from gynecomastia surgery
The scars from correction of gynecomastia surgery really vary depending on the severity. The most common type of correctin can be done leaving a scar either on the lower border of the areola, or as I prefer, through a small scar off to the side. As the breast becomes larger and saggier, some of the skin may need to be removed leaving you with a thin scar around the entire areola. For the most severe type I perform a nipple graft procedure which leaves you with a single scar along the entire inframammary creasr and another around the areola. I do not like the "T" scar as it is very un-natural for men.
Male Breast Reduction Surgery
The male breast reduction surgery is usually a much smaller surgery when compared to the female breast reduction surgery. The incision is normally under the areola (which fades nicely with time). The glandular tissue must be removed. This firm fibrous tissue extends from the nipple areolar complex down to the surface of the pectoral muscle beneath. In some cases, it is helpful to use liposuction to remove some of the fatty tissue which always surrounds this ductal tissue. Without this liposuction some patients would have a “donut” shaped defect after removal of the ductal tissue.
Proper Incision in gynecomastia surgery
Real Gynecomastia requires a sub areolar incision(under the nipple)and in my experience this is the only way to ensure proper results.This incision fades gradually and usually becomes unnoticeable. In female breast reduction the scars are much more noticeable. It is less complicated in man when the surgeon is experienced with gynecomastia surgery. See wikipedia and surgeons websites for helpfull pictures.
Breast reduction surgery is very different for men
Men's breast enlargement is a combination of excess fat and usually excess breast tissue that is centered right under the nipple, going outwards several inches.
The fat is treated by ultrasonic liposuction, in my practice. The incision is 1/4 inch and is at 6 o' clock under the areola.
The breast tissue, if present, is treated by enlarging the incision under the areola, following the edge of the areola, then carefully and incrementally removing the breast tissue with cautery dissection.
When healed, the incision(s) are barely visible.
Women's breast reduction involves an incision that goes completely around the areola, down the front of the breast, and often in the crease. Larger amounts of breast tissue are removed and the nipple/areola is moved upwards. The procedure is considerably more involved and more time consuming.