Research indicates that as many as 40% to 60% of men have a condition that creates excess fat deposits in the chest area. This occurs frequently among teen males because of hormones, but naturally resolves itself over time in most cases. For some men the condition is hereditary; for others medical conditions such as cancer and impaired liver function contribute to the problem. Today, men with fatty deposits that create raised breast areas can take advantage of a surgical technique to remove the fatty deposits and excess tissue.
Male breast surgery is generally performed on an outpatient basis using either a light general anesthetic or local anesthesia. A small incision is made at the bottom of the areola (the brown area encircling the nipple) or under the arm. The surgeon removes any excessive glandular tissue and skin. If fat removal is needed, liposuction may be conducted using the existing incision. Small sutures are used to close the incision. The surgery generally takes about 2 hours.
Sometimes drainage tubes are used for the first two days to help remove excess fluid. The skin will likely be wrapped to help reduce swelling. Some swelling, bruising and numbness are normal and will subside over time. Stitches are removed in 1 to 2 weeks after the surgery. Most patient return to work within 1 to 3 days. An elastic pressure garment is worn for 3 to 6 weeks, and sports and strenuous activity are limited for 3 to 4 weeks after the surgery. Patients should avoid sun exposure for 6 months.