“Dr. Marion and his staff put me at ease. He was very caring and considerate as we discussed my needs and the different options available. He was careful and meticulous in getting every detail of my surgery just right. I am very pleased that I chose Dr. Marion to do my surgery and would not hesitate to refer my friends and family to him.”
-Scott, Gynecomastia patient*
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“When I came in I was definitely nervous. I had a lot of questions. That’s why I like Dr. Marion… he answered all my questions. He made me feel comfortable about it. I realized he is a perfectionist. I felt like I was in good hands, and just felt really confident in the choices I was about to make.”
-Krechelle, patient*
Male breast reduction for gynecomastia is one of the most common operative procedure plastic surgeons perform in males. In 2013, an estimated 23,000 males underwent breast reduction in the United States alone.
Male breast reduction provides restoration of the masculine chest shape and proportions with very little downtime or scars.
Operations to reduce the male breast vary based on whether the excess tissue is dense glandular tissue or more loose fatty tissue. Liposuction alone is appropriate for primarily fatty tissue excess while open excision will address the more dense glandular tissue. Sometimes a combined approach of liposuction and open excision is appropriate. If the enlargement is significant, some portion of skin may also need to be removed. The amount of excess tissue also helps determine whether the procedure can be done in the office under local anesthetic or if general anesthetic in the surgery center would be recommended.
After surgery you will be fitted with a compression garment to promote resolution of the swelling and quicker recovery. This is generally worn for at least 3 weeks.
Postoperative restrictions are minimal, with a return to work within one to two days, and strenuous activities in two to three weeks. Patients are asked to maintain a compressive garment in place over two to three weeks to encourage the swelling to decrease. Other recommendations are to avoid direct sun exposure for at least six months.
The main risks associated with male breast reduction surgery are bleeding, infection, fluid collection or fat necrosis, scars, diminished or complete loss of nipple sensation or its blood supply. Commonly bruising and swelling occur which can persist for months after the procedure. Others have noted numbness, a tingling sensation or pain. Discomfort is usually limited to a couple of days after the procedure. A dreaded possible outcome of reduction is described by the term “scalloped deformity” of the nipple and areola. This results from removal of too much tissue behind the nipple, giving a sunken appearance. For this reason a conservative approach is taken to tissue removal, and a repeat procedure to remove more tissue may be recommended.
Dr. Marion is a talented cosmetic and reconstructive surgeon, double board certified and equipped with elite training. Growing up, he worked alongside his grandfather in a bronze sculpture studio, and artistic instinct became second nature. Early in his college career, Dr. Marion became enthralled with human anatomy, and the passion blossomed into advanced surgical education and now a thriving clinic.
