“The only limit to our realization of tomorrow will be our doubts today.” – Franklin D, Roosevelt
Gynecomastia/Male Chest Contouring
Let your inner strength and self-confidence shine through. Say goodbye to any insecurities and welcome a more masculine contour that embodies strength, power, and self assuredness.
Gynecomastia Surgery in Atlanta: Restore Your Confidence
Gynecomastia, commonly known as enlarged male breasts, is a condition caused by the growth of excess glandular tissue and fat in the chest. While not medically harmful, gynecomastia can deeply impact self-esteem and quality of life. At ESJ Aesthetics, Dr. Stephenson specializes in gynecomastia surgery in Atlanta, GA, providing tailored solutions that sculpt a more masculine chest and renew your confidence.
Understanding Gynecomastia Causes and How to Tell if You Have Gynecomastia
Gynecomastia can result from hormonal imbalances, certain medications, weight fluctuations, steroid use, or genetic factors. If you’re wondering how to tell if you have gynecomastia versus chest fat, Dr. Stephenson will conduct a thorough evaluation. True gynecomastia involves firm glandular tissue beneath the nipple, whereas chest fat (often referred to as “pseudogynecomastia” or “gyno”) is solely due to excess fatty tissue without glandular enlargement.
Gynecomastia Grades: Identifying the Severity
Gynecomastia is classified into different grades based on the severity of tissue enlargement and skin laxity:
- Grade 1: Minor enlargement without excess skin
- Grade 2a: Moderate enlargement without skin redundancy
- Grade 2b: Moderate enlargement with minor skin redundancy
- Grade 3: Significant enlargement with excess skin, often resembling a female breast
Understanding your gynecomastia grade is essential in planning the appropriate treatment approach for optimal results.
Gynecomastia Surgery for Every Type
- 1. Puberty Gynecomastia
This common form develops during adolescence due to hormonal changes. While the tissue often regresses, persistent cases require intervention. Dr. Stephenson’s compassionate approach helps young men reclaim their confidence through tailored gynecomastia gland removal and lipo chest contouring.
- 2. Bodybuilder Gynecomastia
The rise of bodybuilder gynecomastia is linked to the use of steroids, hormones, and other substances that disrupt hormone balance. Dr. Stephenson offers targeted gland removal and chest sculpting to eliminate gynecomastia scars and ensure a natural, defined appearance that complements your fitness goals.
- 3. Gynecomastia from Obesity and Weight Loss
Weight gain and subsequent weight loss can leave behind stubborn glandular tissue and sagging skin that won’t respond to diet or exercise. Dr. Stephenson addresses both the glandular and fatty components, restoring a flat, firm chest through gynecomastia gland removal and liposuction.
- 4. Senior Gynecomastia
Hormonal changes in older men often lead to enlarged breast tissue and sagging skin. Dr. Stephenson offers expert surgical solutions to help seniors achieve a rejuvenated, masculine chest.
- 5. Medical Gynecomastia
Certain medications and health conditions, such as liver disorders or hormone imbalances, can trigger gynecomastia. Dr. Stephenson’s personalized approach ensures safe and effective treatment, tailored to your medical history.
The Surgical Process: Gynecomastia Gland Removal and Lipo Chest Contouring
Dr. Stephenson employs precise techniques to remove excess tissue and sculpt a natural chest contour. Small, strategically placed incisions—often around the areola or within the natural folds of the chest—allow for gland removal and liposuction. These incisions are carefully closed to minimize gynecomastia scars, blending seamlessly with your skin tone.
Gynecomastia Scars: Minimizing and Managing Them
Dr. Stephenson’s expertise in gynecomastia surgery ensures that scars are minimal and discreet. With a focus on careful incision placement and refined suturing techniques, most scars are nearly invisible after healing. Postoperative care, including compression garments and scar management advice, helps further reduce the appearance of scars.
Recovery and Gynecomastia Before and After: What to Expect
Recovery from gynecomastia surgery is relatively swift, with most patients returning to normal activities within a few days. A compression vest is worn for several weeks to support healing and maintain your new chest contour. Dr. Stephenson will provide personalized aftercare instructions and schedule follow-up appointments to ensure optimal results. Explore our gynecomastia before and after gallery to see the transformative impact of Dr. Stephenson’s work.
Embark on Your Transformation with Gynecomastia Surgery in Atlanta, GA
If you’re struggling with gynecomastia and seeking a permanent solution, Dr. Stephenson is here to help. With his expertise in gynecomastia gland removal, liposuction, and scar minimization, you can achieve the sculpted, masculine chest you desire. Take the first step towards renewed confidence and schedule your consultation with Dr. Stephenson today.
Gynecomastia Surgery Photo Gallery
Case 1
Case 2
Frequently Asked Questions
If I want to have the procedure redone later on is that okay?
If there is a desire to undergo the procedure again in the future, it is possible to do so, particularly if the goal is to remove additional tissue. However, addressing depressions or irregularities can be more challenging. It is best to avoid such issues by carefully assessing and planning the initial surgery.
What are the downsides to having gynecomastia surgery?
One potential drawback of gynecomastia surgery is the possibility of contour irregularities. This is more likely to occur in cases where significant liposuction is required, especially in the underarm area, and the skin lacks the necessary tightness to bounce back smoothly. Additionally, if there is a substantial amount of fat in the chest, there is a risk of contour irregularities and waviness, particularly if the skin is not naturally tight.
The most common area where men may experience contour issues is a depression beneath the areola when raising their arms above their head. However, it is important to note that the majority of men do not notice these problems and are highly satisfied with their results. Even if they do notice minor issues, the overall improvement achieved through the surgery is usually quite significant in comparison.
While some contour irregularities may occur, it is crucial to remember that the vast majority of clients are delighted with the outcome of their gynecomastia surgery.
If I gain weight after having the procedure will my gynecomastia come back?
If your gynecomastia was mainly due to enlargement of the gland then weight gain would not lead to the recurrence of gynecomastia. If your Gynecomastia was mainly due to excess fat then weight gain would lead to recurrence of your gynecomastia.
The most common area where men may experience contour issues is a depression beneath the areola when raising their arms above their head. However, it is important to note that the majority of men do not notice these problems and are highly satisfied with their results. Even if they do notice minor issues, the overall improvement achieved through the surgery is usually quite significant in comparison.
While some contour irregularities may occur, it is crucial to remember that the vast majority of clients are delighted with the outcome of their gynecomastia surgery.
Will there be scars after gyno surgery?
Dr. Stephenson’s innovative approach liposuction ensures minimal invasiveness, utilizing two inconspicuous incisions for the liposuction process. To assure removal of the gland an excision is required. Rest assured that Dr. Stephenson will expertly place a discreet incision just inside the border of the areola, positioned between 5 and 8 o’clock. Dr. Stephenson’s meticulous attention to detail extends to the closure of incisions, resulting in remarkably excellent healed incision.
Does insurance cover gynecomastia?
Most medical insurance providers do not cover gynecomastia surgery unless gynecomastia is related to a severe medical condition. Therefore, it is best to check with your health provider to determine your coverage options. Dr. Stephenson is not contracted with any insurance companies, and we do not preauthorize or bill insurance.Our office does offer financing and payment options for your convenience.
Will I get a phone call from the doctor the night of my surgery?
Dr. Stephenson will personally call you on the night of your surgery. He will also provide you with his personal cell phone and email address so that you can reach him directly if needed.
How soon can I go to work?
When you feel ready to do your job is highly individualized. So long as your work doesn’t involve straining and heavy lifting, you can expect to be back to work after no later than 1 week. Some clients go back even sooner, and many work from home 3-4 days after surgery.
When can I resume exercise after male breast reduction?
Dr. Stephenson suggests that you wait a minimum of 4 weeks to be sure that everything is healed. There is always a chance of causing bleeding and/or developing fluid beneath the skin (seroma) if you start much before that time. When you start, listen to your body. You will be a little out of condition and a bit sore. But you will get back to where you were before surgery very quickly.
How long does the swelling last?
Swelling increases after surgery, usually peaking about 5-6 days after surgery. After that, the swelling will subside, rapidly at first, and then gradually. After one month, you’ll think the swelling is gone, but it will still go down more at three months, and even more at six months and even a year, though at that point changes are subtle.
Do I have to lose weight before surgery?
It is best for clients to have plastic surgery at their ideal weight. This means that surgery should be done at the weight a client is most comfortable maintaining because it allows the plastic surgeon to contour the chest out to the surrounding areas so that it blends most beautifully. Some later weight gain or weight loss would not noticeably impact the result.
Can you do gynecomastia surgery on teenagers?
Gynecomastia should be considered normal in teenagers because it typically resolves. Sometimes the severity of the gynecomastia is just too severe to expect the child to live with. In this scenario, instead of just being a bit full or having a pointy shape, there can be a significant amount of asymmetry or the chest may develop very much of a breast like shape. Parents might tell from their son’s behavior that it is affecting their self-esteem. They may not want to take their shirt of and swim or go to a pool party. They may avoid playing a sport because they don’t want someone to see their chest in the locker room. Dr. Stephenson frequently helps teenagers with their gynecomastia. In all cases he speaks extensively with the boy, his parents, and the child’s pediatrician.
What should you keep an eye on after surgery?
If you experience a persistent temperature above 101.5, sudden and painful swelling, it could indicate bleeding. It is crucial to inform Dr. Stephenson right away to receive prompt medical attention. It is essential to be vigilant for any signs of a blood clot. If you experience calf pain, swelling in one leg, or shortness of breath, these are serious symptoms that require immediate medical attention. In the case of shortness of breath, call 911 without delay. Your safety is our utmost priority, and Dr. Stephenson and his staff will provide you with detailed pre and post-operative instructions to guide you through your recovery process.
What should I do to prevent gynecomastia scars?
The quality of your healed surgical incision is mostly determined by genetics and your body’s response to surgery. It is not clear how much applying products to scars will influence their final appearance, but most patients want to do something. Some products that have received positive patient feedback include Scar Guard (a liquid containing steroid, Vitamin E, and silicone), silicone gel strips (such as Neosporin scar strips), and silicone ointment (such as Scar Fade). You can obtain these products from our office and start using them as directed by Dr. Stephenson.
Is there swelling and if so, how long does it last?
Swelling increases after surgery, usually peaking about 5-6 days after surgery. After that, the swelling will subside, rapidly at first, and then gradually. After one month, you’ll think the swelling is gone, but it will still go down more at three months, and even more at six months and even a year, though at that point changes are subtle.
What do I have to do to care for the incisions?
- It is okay to shower 48 hours after surgery and get the incision wet.
- Gently shower with a soapy washcloth to remove any small crusting.
- After showering, blot the incisions dry and reapply fresh gauze.
- Apply a rich moisturizer after your shower, but avoid putting it over the incisions.
Can I have other procedures done at the same time as gyno surgery?
Absolutely. It is common to have liposuction of the abdomen and love handles performed at the same time as your gynecomastia surgery
If I am overweight can I have gynecomastia surgery?
Many clients who undergo gynecomastia surgery are overweight. It is important to note that achieving weight loss through natural means is not only healthier but also results in better contouring. Surgery alone cannot replicate the same aesthetic outcome as weight loss achieved through lifestyle changes. However, even after significant weight loss, some excess chest fat may persist, leading overweight men to seek surgery for their chest.
What form of anesthesia will be used for my procedure?
Dr. Stephenson prefers maximum comfort his clients and recommends general anesthesia.
Will I lose nipple sensation after the gynecomastia surgery?
There will be some temporary decrease in sensation of the nipple and surrounding skin. Normal sensation will return slowly over 6-9 months after surgery. Permanent loss of all sensation is rare.
Do I need to go to an aftercare facility after my gynecomastia surgery?
Clients are well enough to go home after gynecomastia and do not need to go to an aftercare facility. However, some clients may choose to go to an aftercare facility if they do not have someone to watch over them the night of surgery or if their home environment is not conducive to relaxation and recovery. Dr. Stephenson has a vetted list of aftercare facilities for his clients.
How painful is the recovery from male breast reduction surgery?
Most clients describe the recovery period as moderately painful. Clients may experience pressure, tightness and firm areas, but the pain is typically not severe. Pain gradually builds up, so if you start feeling uncomfortable, taking a pain medication as prescribed by Dr. Stephenson will help alleviate the discomfort.
When can I drive?
You can drive when you are off all narcotic pain medication and feel totally unrestricted by your discomfort such that you could make any movement you might need to safely drive your car. The timeline is different for each client. Dr. Stephenson typically recommends 2 weeks after surgery.
When can I shower/take a bath?
You can take a shower two days after your surgery. You should wait about three weeks before taking a bath so that your incisions are somewhat healed.
Will I have a special garment to wear after surgery? How long will I have to wear it?
Dr. Stephenson will place you in a vest in the OR. Your compression vest will help minimize swelling and give you support. Clients will wear this for six weeks.
Can the gynecomastia come back?
Gynecomastia clients are informed that it can recur. This is most often observed in clients that take anabolic steroids after having their gynecomastia surgery. Dr. Stephenson has worked with clients that had inadequate initial treatment, such as doing liposuction but not an excision. Such patients didn’t really have a recurrence of their gynecomastia, but merely need more done.
Does Dr. Stephenson use drains?
Typically Dr. Stephenson does not use drains unless he anticipates removing a large amount of tissue.
Concerned about gynecomastia scars?
It’s fascinating how healing can vary from person to person, even with the same surgical techniques. While Dr. Stephenson employs the best methods to minimize scarring, it’s crucial to acknowledge that some individuals may have more prominent healed incisions or hypertrophic scar (wide healed incisions with or without pigment). That’s why Dr. Stephenson focuses on concealing the healed incisions within the lines of a woman’s preferred underwear or bikini bottom style, ensuring they are as discreet as possible.
Is there bruising and if so, how long does it last?
Usually there is a little bit of bruising on and around the breast, but it is typically very mild and is all gone by ten days to two weeks. This duration of bruising can be shortened by using Arnica and Bromelain tablets starting 3 days prior to surgery and continuing for 5-7 days after surgery.
When do the stitches need to be removed?
For areas of liposuction, the stitches will be removed by Dr. Stephenson’s team in 7-10 days after surgery.
When can I travel by airplane?
Long air travel (greater than 1 and ½ hours) should be avoided during the first 4 weeks after surgery to reduce the rare possible of a blood forming in the legs during air travel. Other issues involved have to do with the difficulty of getting through airports these days, and whether you are going somewhere where there is a plastic surgeon to look after you or should you have questions or problems or just need to be looked at by an experienced doctor. These issues are usually very individualized, and you should discuss them with Dr. Stephenson.
