Male Mastectomy

A male mastectomy, also known as a male breast reduction or gynecomastia surgery, is a surgical procedure to remove excess breast tissue in men.

Causes of Gynecomastia

Gynecomastia is a condition where men develop excess breast tissue due to an imbalance of hormones, specifically an increase in estrogen and a decrease in testosterone. This can be caused by:

• Hormonal changes during puberty or aging
• Certain medical conditions, such as hypogonadism or hyperthyroidism
• Medications, including anabolic steroids, antibiotics, and chemotherapy
• Obesity or weight gain
• Genetic predisposition

Symptoms of Gynecomastia

The symptoms of gynecomastia include:

• Excess breast tissue or fat in one or both breasts
• Tenderness or sensitivity in the breast area
• Nipple discharge or swelling
• Emotional distress or self-consciousness about appearance

Types of Male Mastectomy Procedures

There are several types of male mastectomy procedures, including:

• Subcutaneous Mastectomy: removal of breast tissue through an incision under the nipple-areola complex
• Periareolar Incision: removal of breast tissue through an incision around the areola
• Inferior Pedicle Reduction: removal of excess skin and breast tissue, with repositioning of the nipple-areola complex
• Liposuction-Assisted Mastectomy: removal of excess fat through liposuction, followed by removal of breast tissue

Risks and Complications

As with any surgical procedure, there are risks and complications associated with male mastectomy, including:

• Bleeding or hematoma
• Infection or wound complications
• Numbness or loss of sensation in the breast or nipple area
• Asymmetry or unevenness of the breasts
• Scarring or keloid formation

Recovery and Aftercare

After a male mastectomy, patients typically require:

• 1-2 weeks of rest and recovery at home
• Pain management with medication
• Wound care and dressing changes
• Avoidance of heavy lifting or strenuous activities for 4-6 weeks
• Follow-up appointments with the surgeon to monitor healing and remove sutures

Cost and Insurance Coverage

The cost of a male mastectomy varies depending on the location, surgeon, and type of procedure. In some cases, insurance may cover part or all of the costs if the procedure is deemed medically necessary.