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GYNECOMASTIA

Gynecomastia: The Very Fixable Problem Most Men Don’t Want To Discuss

“Men don’t think of themselves as having breasts, but all men do. For many men, unnaturally enlarged breasts keep them from truly enjoying life. They tell me they don’t go to the gym; they don’t go to the beach. Men are inhibited by what they think are unsightly breasts, and no amount of exercise or weight loss seems to make them go away.” The great news is we can successfully address excessive male breasts (called gynecomastia) with surgery. In my experience, men who have the procedure have little downtime and over-the-top satisfaction.

Before & After

gynecomastia-treatments Front Before by MilfordMD in Richard Buckley, MD
Before
gynecomastia-treatments Front After by MilfordMD in Richard Buckley, MD
After
see the before & after photos

Why Do Some Men Have Gynecomastia?

Whether a man’s breasts are flat to the chest or enlarged like women’s breasts can depend on several factors, or simply, genetics.

Some men are born with the tendency for larger breasts; others acquire the trait.

Having larger male breasts often has to do with a hormonal imbalance, which can result from medications or lifestyle. For example, commonly prescribed medications, such as cimetidine for heartburn and ulcers, digitalis for heart failure, diazepam (Valium), and the cholesterol-lowering atorvastatin, known as Lipitor, can cause gynecomastia.

Other Gynecomastia Culprits

Frequent use of bodybuilding steroids, marijuana or alcohol are other factors that can cause gynecomastia. Weight loss can leave men leaner everywhere but the breasts. The condition can also result from more serious health issues, such as malnutrition, cirrhosis of the liver, overactive thyroid, breast or testicular cancer.

Understanding the cause is an important step in treating the condition. We have to rule out the more dangerous underlying conditions, including male breast cancer, before addressing the cosmetic concern.

Unfortunately, correcting the underlying problem doesn’t usually undo the cosmetic problem of women-like breasts. Abundant breast tissue lingers even after a man stops using body-enhancing steroids, for example.

Solving Gynecomastia

There are two things we look for when treating gynecomastia: How much of the visible breast enlargement is due to fat and how much to underlying glandular tissue. In most men, we have to take out not only the excess fat but also the enlarged breast glands. These sit below the nipple and areola.

So, we address the fatty tissue by permanently liposculpting it away. Then, we make a small, arced incision just under each of the nipples, in the pigmented areola. We enter the breast through that incision and pull out the gland. The gland easily slides through the incision, which is masked by the pigmented area and hidden nicely after surgery.

The entire procedure is done with only a local anesthetic. Patients are awake and comfortable during the operation. They go home the same day and rest for a day or two (depending on how much tissue we remove). Men usually wear an elastic chest binder 24 hours a day the week following the procedure and part-time the week after that. Otherwise, most report little if any pain and minor discomfort.

This is one of the most gratifying procedures I do. Men, who are on a private emotional rollercoaster because they have enlarged breasts, emerge from the procedure as if we literally took a weight off their chest.

FAQ's

An AquaGold Micro-Botox treatment is suitable for all skin types and complexions, and ideal for adults of all ages. In line with all our elective cosmetic procedures, we do not recommend it for pregnant women. It also may not be recommended for people with certain skin conditions. Contact us to find out whether you are a good candidate for an AquaGold Micro-Botox treatment at MilfordMD.

There is virtually no downtime associated with an AquaGold Micro-Botox treatment at MilfordMD. The vast majority of clients can return to their daily activities as normal. Immediately after treatment, the treated area(s) may look slightly red, but the redness will subside within 24 hours. Other mild side-effects that may occur after each session include:

  • Irritation in the treatment area
  • Temporary pain and sun sensitivity
  • Redness or peeling

With over 30 years of experience, ABLMS board-certified cosmetic dermatologist Dr. Marina Buckley has developed proven techniques to mitigate the impact of any negative side effect.

The results of an AquaGold Micro-Botox treatment typically lasts 2 to 3 months. Results can be maintained with periodic treatments.

Treatments are completely personalized to each client’s specific skin concerns and aesthetic goals. A cocktail of different anti-aging ingredients is created for each individual client. At your consultation, a treatment plan will be tailored by MilfordMD cosmetic dermatologist Dr. Marina Buckley and the price of your personalized AquaGold Micro-Botox treatment will depend on the specifics of your treatment and will be determined at the time of your consultation.
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