Male Breast Reduction

When Should I Consider a Male Breast Reduction or Gynecomastia Correction?

  • Enlarged breasts following puberty.
  • Excessive breast size, which may decrease self-confidence.

Anticipated Results:

  • Restores the normal male contour to the male chest.
  • Reduction of breast tissue; flat contour in proportion with the male anatomy.
  • Improvement in psychological and social well being.

Dr. Kimberly Short, a board certified plastic surgeon, has been selected as a speaker at the national plastic surgery meeting highlighting her breast reduction technique, the SPAIR technique as compared to previous, older breast reduction techniques.  Dr. Kimberly Short is a premier breast surgeon and her most recent presentation was a presentation on “Incorporating the SPAIR Mammoplasty into Your Practice”.   Dr. Short was able to personally train with the inventor & founder of the SPAIR technique in Grand Rapids, Michigan.   As a female plastic surgeon, Dr. Short understands the importance of achieving the optimal, correction of breast fullness and enlargement to the male anatomy.  Dr. Short performs two male breast reduction techniques, the most common approach is using her revolutionary ultrasound assisted liposuction (UAL) technique for reduction in male breast glandular and fatty tissue.  The second approach would be a direct excision of the breast tissue through an incision confined to the areolar border (pigmented circular border around the nipple).

Scarless Breast Reduction: Liposuction of the Breasts

Dr. Short can perform a liposuction only breast reduction, often called the scarless breast reduction, through two small 1.0 cm incisions at the areolar border and chest crease.  Because the breast tissue is composed primarily of fatty tissue, liposuction can be used to remove this fatty tissue component and promote skin contraction after surgery.  This is an ideal option for most male patients to provide permanent reduction in the breast tissue and fullness, promote skin contraction post operative, and minimize the incisions.   On average, Dr. Short is able to remove 500-1000 cc from each breast. The results are permanent. Liposuction typically does not interfere with nipple sensation.  The patients have a more limited recovery but are required to wear a compression garment for 6 weeks following surgery.  The patient are also recommended to perform external ultrasound massage to the breasts following surgery to decrease the areas of firmness and to reduce the swelling. The recovery period is 7-10 days with restrictions to minimize lifting and arm movements for 2 weeks.

Male Breast Reduction: Excision of Tissue

For male patients, it may be recommended to combine the liposuction technique with direct excision of any residual fibrous breast tissue through an incision confined to the areola. In patients with significant weight loss, this approach is required to address the excess skin and stretch marks to the chest area as well as reduction of the breast tissue. This technique allows Dr. Short to remove fibrous breast tissue that may not be amendable to liposuction and the ability to tighten the skin envelope for an improved contour. The areolar complex can be decreased in size and re-positioned in a more central position on the chest.  Dr. Short can utilize a permanent suture around the areola, a pursestring suture,  to maintain the diameter long term. The breast reduction surgery is able to preserve nipple sensation.  The recovery period is 1-2 weeks with lifting restrictions and arm movements less than 10 lbs for the first 2 weeks.  Patients are required to wear a compression device for 6 weeks following surgery.

Patient who smoke are required to stop smoking a minimum of 6 months prior to surgery involving a direct excision of the breast tissue to ensure adequate healing and decrease the risk of complications related to decreased blood flow to the incisions after surgery.  Smoking has been shown in the literature to reduce the blood flow to the incisions by at least 30%, significantly contributing to complications.

 

Planning the Surgery:

Time off Work:

7-14 days with lifting restrictions for the first 2-3weeks depending on the approach and amount of tissue removed.

Caregiver:

You will need someone to take care of you for the first 24-48 hours following surgery.  You are required to have a driver for the first 1 week post operative.

The Day of Surgery:

The procedure is performed as an outpatient basis under general anesthesia. The breast reduction procedure takes approximately 1.5-3.5 hours, depending on the approach or combination of approaches.

After Surgery:

You will go home with light dressings over the incision sites with Topifoam pads under a compression chest vest  for 2 weeks, 24 hours a day. You may shower after 72 hours or 3 days if no drains are placed. If drains are placed, then you are not able to shower until the drains are removed in the office.  Typically, drains are removed after 5-7 days. Skin glue adhesive or steri-strips are applied to the incisions. Scar treatment options are available at your two week appointment. Extensive taping to the breast incisions is recommended for the first 6-8 weeks to improve scarring for the direct excision approach. The scars will fade over time.  Light activities can be resumed after 2 weeks and all activities are resumed at 6 weeks.  The compression male vest is required for 6 weeks.

Insurance Guidelines:

This is a procedure that may be covered by your insurance company. Each insurance company has certain standards or criteria that must be documented in order to receive approval. The insurance company will require documentation from your primary care physician for treatment and diagnosis.   Following the consult, Dr. Short can supply you with preoperative pictures, a letter stating it is medically necessary, measurements of the chest, and support from the examination that a male breast reduction will improve symptoms.  You can then submit this information to your insurance company.   Dr. Short is out of network with all insurance companies so we do recommend checking into your out of network benefits prior to surgery. With out of network benefits, the Gillian Institute does require full payment prior to surgery.  After you submit the appropriate documentation to your insurance company,  you will receive reimbursement from the insurance company at a later date if they agree the procedure is medically necessary . Also, please keep in mind, our office and surgery center are not able to bill the insurance company for these services since we do not have the appropriate insurance billing computer software or forms; but we are happy to provide you with the documentation for you to submit for reimbursement on your own.

Note: It is important to address any concerns with Dr. Short at the time of your consultation. There is some risk, as with any surgical procedure. Minor complications that do not affect the final outcome occur occasionally. Major complications are unusual. Dr. Short can explain the procedure and potential complications to you in detail, and she can assist you in determining if a breast reduction is right for you.

What Patients Are Saying

I had a face lift, eyes upper and lower, neck. To this day I still get the comment. “You look so good” What did you do? It was the best thing I ever did and would recommend it to anyone. No pain, No problems. Thanks to Dr. Short and her team, they make you feel at home. They are the BEST !!!! * 

 

 

Penny O

I would refer Dr.Short to all of my friend and family. She are her staff was very professional and was willing to answer any question that I had. My surgery was a breast augmentation, I was a size A and went to a cup size D. I am very pleased and so happy with the out come. Dr.Short is the best there is. I would never even consider going any place else. *

Jennifer K

I came to Dr. Short for a Breast Augmentation and tummy tuck about 3 1/2 years ago. I was a mother of 5 children and had spent the past 15 years giving birth and taking care of kids. Even before the kids though, I struggled with a poochy tummy. I decided for my 40th birthday that I was finally going to do something about it. I searched the internet extensively and finally found Dr. Short. The results she was showing on her website were exactly what I was looking for. I flew out from Washington State for my consultation and immediately liked her and her entire staff. They put me at ease and answered all my questions.

I was thrilled with the results of the surgery. I went immediately from a size 12 to a size 4. I couldn’t believe it. The surgery got me so motivated that I continued to diet and exercise and have now dropped another 13 pounds and now wear a size 0. In addition to the fantastic results, Dr. Short and her staff made me feel like a girlfriend. I felt that they truly understood what my needs were, not just clinically, but from a woman’s perspective. I can’t recommend Dr. Short and her office enough for any cosmetic procedure. Thank you so much. It’s the best thing I’ve ever done for myself. *

Allissa S

I went to Dr. Short 2 years ago with an A cup breast size. She gave me a low C cup, and i get compliments on my breasts daily. They are very natural looking and feeling. A lot of people do not even believe me when I tell them I have had breast augmentation. Shes the best and I’m very very pleased with the outcome of the surgery. *

Deborah M

I used Dr.Short for a breast enlargement. I was more then impressed with the results. They did a great job and I recommend her all the time to people who ask for a Dr. I went in with a lot of questions and attended a seminar that helped me feel at ease. The surgery was not as bad as everyone makes it out to be. I was back to normal in no time. The scars left are not even visible unless you look really hard. I highly recommend Dr.Short. They made me feel comfortable by having proper follow up appointments to make sure that everything was ok with surgery. I have nothing bad to say about my whole experience. It is going on three years now and I have had no complications at all. Dr. Short does a great job of giving you a natural look and making sure she keeps the look proportional to your body type. She really does a great job. *

Amy B
* Disclaimer: The claims made on this website are not intended to represent the results that every patient can expect. Surgical results vary greatly from patient to patient and are not guaranteed.

Northside Location

Plastic & Cosmetic Surgery
8455 Clearvista Place
Indianapolis, IN 46256

317.913.3260

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Plastic & Cosmetic Surgery
317 S Delaware St
Indianapolis, Indiana 46204

317.787.3260

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