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Gynecomastia – Male Breast Reduction Surgery – Bellevue, WA (Seattle)

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Men with gynecomastia have enlarged breasts due to excessive breast tissue and fat deposits, which give them a feminine-looking chest. The look can be reversed through male breast reduction surgery, which will restore a masculine look. Seattle area plastic surgeon, Dr. Marosan, uses a technologically-advanced method with the VASER liposculpting system. The thick fibrous fatty tissue of the chest is treated with the VASER first to emulsify the fat for optimum extraction. More fat is removed in a more precise and quicker way and the remaining skin is tightened. Breast tissue can be removed through the same small stealth incisions employed by Dr. Marosan.

Male patients of Dr. Marosan also have the option of Male Chest 4D Sculpt Lipo, which can create a chiseled upper body and chest instead of just flattening the chest by simple liposuction. After fat is removed during reduction surgery,the fat is then treated and injected into the upper pectoralis major muscle to further enhance muscular bulk to the chest. Fat is aggressively liposuctioned from the lateral chest wall between the anterior border of the latissimus dorsi muscle and the lateral pectoralis major muscle.As a result, a man will have a smooth, sculpted chest that he can be proud to show off.

Surgical Technique

Dr. Marosan does not recommend endocrine testing for most patients and there are no medications or exercise which will make the condition go away. Dr. Marosan uses the VASER and Power X cannulas to remove the fat via small inconspicuous stealth incisions in the areola and arm pits. If glandular tissue needs to be removed, he uses the same small areolar incision. He is able to reduce even "C cup" breasts without skin excision or extended scar placement.

During/After Surgery

Male breast reduction surgery uses intravenous anesthesia with the tumescent technique and is performed in our accredited surgical facility. The operation lasts  1-2 hours. It is normal to have minimal bruising and swelling around the chest area for the first couple of weeks. A compression garment with special foam pads inside it must be worn for 3-4 weeks to help with reshaping and healing. Most patients are able to return to their normal routine after a few days but must avoid any strenuous physical activities, especially ones that will put pressure on the chest. Results are highly satisfactory for most patients, regaining their confidence in situations where their chests are bared.

Is This Gynecomastia?

This condition must not be confused with a false gynecomastia, also known as pseudogynecomastia, in which the enlargement is caused by fat deposits instead of breast tissue development. The plastic surgeon will be able to determine this by physical examinations at the initial consultation. If it is a case of excessive fat tissues on the chest, the approach in treatment is the same when removing  excess fat tissues in any part of the body. Proper diet and exercises are recommended afterwards.

Will My Pecs Show?

Gynecomastia, unfortunately, hides the normal chest muscles that lie underneath the layers of overdeveloped breast tissue and fat. With a breast reduction surgery, all excess fat and breast tissues will be removed and the pectoralis muscles will be become more visible.  The muscle can be bulked up with injections into the upper pectoral muscles.  It is very important to contour the lateral chest wall and reveal the lateral pectoral line and muscle edge. With proper diet and exercise after the surgery, men will be able to tone and strengthen their chest muscle to further enhance the chest’s natural form.

Is Lipo A Must?

Liposuction is the primary approach in extracting fat or any soft tissues. Because it uses a small cannula to vacuum the fat out, it is a less invasive approach compared to excising the tissue, which requires longer incisions. There are liposuction options that are even less invasive. These options will be provided with more details prior to the surgical plan so the patient can consider all factors and ultimately decide which technique is preferred.

Will There Be Scars?

If the breast reduction technique uses liposuction, the incisions will be minimal and will be placed in the areola. Another incision is placed in the arm pit. The plastic surgeon will make every effort when it comes to making the incisions and suturing to minimize the effects of scarring. 

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Average Cost  
$4,500 - $6,500
Recovery Time  
1-2 Weeks
Average Procedure Time  
3-4 Hours
Post-op Follow-up  
Next Day
Procedure Recovery Location  
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*Individual results are not guaranteed and may vary from person to person. Images may contain models.