Gynecomastia, Washington DC

Gynecomastia is a condition of over-developed or enlarged breast tissue in men. This involves either enlarged breast glandular tissue or excess fatty tissue on the chest. The condition can be the result of hormonal changes, heredity, obesity or the use of certain drugs. Breast enlargement can occur in one or both breasts.

Gynecomastia can cause emotional discomfort and impair your self confidence. Some men may be so bothered by the condition that they are uncomfortable taking their shirts off in public or may even be self-conscious during intimacy with their partner.

In your consult, Dr. Pittman will discuss your concerns and go through your medical history. If there is concern that the condition is caused by a medical condition, you will be sent to a medical specialist for evaluation before planning surgery.

The Procedure

Corrective surgery for gynecomastia involves removing the excess breast tissue and in some cases removal of excess skin. This is accomplished with liposuction and/or surgical removal of skin and/or breast tissue.

Generally, patients with excess fatty tissue of the breast benefit from Ultrasound Assisted Liposuction through small incisions around the chest. If there is excess glandular tissue this can usually be removed by making an incision around the areola (the colored area around the nipple). In patients with a large amount of excess skin, larger incisions may be necessary for correction. The technique used is slightly different with each patient. Dr. Pittman will discuss specifics with you during your consult.

What to do After Surgery

After surgery, patients are placed in a pressure garment that fits like a vest. Small surgical drains may also be left in place. The drains are generally removed about a week after surgery. The compression garment is worn for 6 weeks to help prevent swelling and improve the overall contour of the chest. Some tenderness and post-operative discomfort is expected and can be controlled with pain medications. Most patients are able to return to normal light activity within a few days. Some patients may experience a stretched, tight sensation after the surgery, but this usually subsides in a week. Swelling continues to go down over the next 4-6 weeks. Limited activity for the first couple weeks is recommended and will be discussed in your post-op visits.

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