Gynecomastia Surgery

Gynecomastia is often triggered by an imbalance between the hormones testosterone and estrogen, which can occur during various life stages such as puberty or older age. Certain medications, health conditions, or the use of specific substances can also contribute to the development of excess glandular tissue. At EmilMD, the clinical team evaluates each patient to rule out underlying medical issues before proceeding with surgical correction. While lifestyle changes may help in some cases, persistent glandular growth often requires a more direct intervention. Dr. Emil Kohan ensures that the root cause is understood to provide the most effective long-term solution.

The choice of surgical technique depends on whether the enlargement is caused by fatty deposits, firm glandular tissue, or a combination of both. Liposuction is highly effective for removing soft fat, but it cannot successfully eliminate the tough, rubbery glandular tissue that defines true gynecomastia. The experts at EmilMD often utilize a small incision at the edge of the areola to manually remove this firm tissue for a flatter result. In many instances, a combined approach is used to sculpt the entire pectoral region for a natural transition. Dr. Kohan performs a physical examination to customize the surgical plan for each individual.

Most men can return to a sedentary work environment and light daily activities within one week of the procedure. During the initial healing phase, wearing a specialized compression vest is essential to minimize swelling and support the new chest contours as recommended by EmilMD. While some soreness and bruising are expected, these symptoms usually subside significantly within the first ten days. Strenuous upper body exercise and heavy lifting should be avoided for approximately four to six weeks to prevent complications. Dr. Emil Kohan monitors the healing progress during follow-up visits to ensure the tissues are settling correctly.

The surgical removal of glandular tissue and fat cells provides a lasting improvement to the chest profile that should endure for a lifetime. Because the removed tissue does not regenerate, the masculine shape achieved at EmilMD is generally stable as long as the patient maintains a healthy weight. However, significant weight gain or the use of certain medications that affect hormone levels could potentially cause new tissue growth. Following a balanced lifestyle is the best way to preserve the athletic appearance created during the surgery. Dr. Emil Kohan utilizes precise techniques to ensure the foundation of the chest remains firm and well-defined.

To ensure the most discreet result possible, incisions are typically placed along the lower half of the areola where the dark skin meets the lighter skin of the chest. This strategic placement allows the experts at EmilMD to access the underlying glandular tissue while keeping any resulting marks well-hidden. If liposuction is also performed, tiny entry points are made in inconspicuous areas like the armpit or the side of the chest. Over time, these fine lines fade and become very difficult to detect even during close inspection. Dr. Kohan prioritizes meticulous closure to promote seamless healing of the skin.

In cases where there is a large amount of redundant skin along with the excess tissue, a simple excision may be combined with a skin lift. This more extensive approach allows the team at EmilMD to tighten the remaining skin and reposition the nipple-areola complex for a more youthful look. Without addressing skin laxity, the chest might appear deflated or wrinkled following the removal of the underlying volume. During the consultation, the surgeon assesses skin elasticity to determine if a lift is a necessary component of the makeover. Dr. Emil Kohan focuses on creating a smooth and tight pectoral surface.

The procedure is typically performed under general anesthesia or deep intravenous sedation to ensure the patient remains completely comfortable and still. This allows the surgical team at EmilMD to focus on the precise sculpting of the chest wall in a controlled and safe environment. Most patients appreciate the ability to sleep through the process and wake up once the corrections are complete. A thorough preoperative medical screening is conducted to confirm that the patient is a healthy candidate for the chosen anesthetic. Dr. Emil Kohan reviews the safety protocols with each patient prior to the operation.

While enlarged breasts are common during puberty, they often resolve on their own within a few years as hormone levels stabilize. EmilMD generally recommends waiting until the late teens or early twenties to ensure that the condition has persisted past the normal growth phase. If the enlargement causes significant emotional distress or physical discomfort, an earlier intervention may be considered on a case-by-case basis. It is important for younger patients to have a stable hormonal profile before committing to a permanent surgical change. Dr. Kohan provides a compassionate evaluation to help young men and their families make an informed decision.