Male Chest Reduction Explained

A procedure that is growing in popularity is the male chest reduction. Many men are self-conscious of their chests. They feel like their chests are too big and resemble small breasts. This can be a significant source of anxiety for them, especially if they are young men or teens.  It is not uncommon for men who suffer with enlarged chests to avoid taking their shirts off in public. This causes them to avoid situations like going to the beach or pools, or changing in a locker room.  Men you suffer from enlarges chests often wear baggy shirts, or even multiple layers of shirts to cover themselves up. 

 

 

 

 

What is Gynecomastia?

 

Gynecomastia, is the enlargement or swelling of breast tissue in males. It can occur in one side or both.  Both males and females have breast tissue. Females, obviously have more, but in some males, the breast tissue can grow and can give the appearance of small breasts. In fact, reports indicate that it can be seen in up to 80% of young adolescent boys. This is likely the result of some hormonal changes and most of the time, the breast tissue shrinks as hormones continue to change during puberty and male hormones like testosterone increase. 

 

 

Causes for Gynecomastia:

 

There are several causes for the enlargement of a male chest.  The vast majority of cases are just simply normal hormonal changes of development and pose no physical danger. These hormonal changes are common during three phases of a male’s life: just after birth, during puberty, and later in life.  Early in life, as a baby, there are high amounts of female hormones (estrogen) in the body, and this is from the mother. This is why newborn male babies often have puffy breast tissue. This shrinks as the mother’s estrogen is naturally removed from the body.  Again, male chest enlargement can occur during puberty as the normal hormones are changing and regulating themselves. As males age, testosterone levels tend to drop. So men between the ages of 50-80 also commonly experience chest enlargement.

 

Normal hormonal changes are by far the most common reason for male chest enlargement, but some other less common causes include:

 

  • obesity
  • liver or kidney disease
  • tumors (testicular cancer, breast cancer)
  • prescription medications (for hair loss, anxiety, depression, bipolar disorder, acid reflux)
  • alcohol
  • marijuana

 

 

What to do if you have Gynecomastia:

 

If you suffer with gynecomastia, the first thing you should do is visit your doctor. He or she will examine you and take a detailed history.  They will also likely do some routine blood tests. This will help them determine the cause for your gynecomastia and help develop a treatment plan.

 

 

Treatment for Gynecomastia:

 

The treatment for your male chest enlargement will depend on what the cause is. If the cause is a medication or drug, then the treatment is to stop the offending thing and see what happens with your chest.  If the cause is an underlying medical problem, then that problem should be addressed. If the cause is a hormonal issue, the treatment would be to adjust your hormone levels so that your testosterone increases and your estrogen decreases. 

 

However, since the majority of cases of gynecomastia have no identifiable cause, the treatment would be surgical correction of the chest enlargement. This would also be true if the cause of the chest enlargement was treated, but the enlargement still remained.

 

Surgical Correction of Gynecomastia:

 

The first step is an evaluation by a Board Certified Plastic Surgeon, experienced in a male chest reduction procedure. During your evaluation, your surgeon will take your medical history and perform a physical examination. He or she will specifically examine your chest, looking carefully at the amount of excess skin, the quality of that skin, underlying breast tissue, and signs of asymmetry.  Your surgeon will also review your medical evaluation to make sure there is no underlying cause that should be addressed before surgery.  Your surgeon will also discuss the required incisions and resulting scars for your chest reduction. These incisions will depend on exactly what needs to be done for you and whether you require only breast tissue removal or also some skin removal. In general, if you are young, you likely only require removal of the underlying breast tissue that has enlarged. If you are older, or obese, you may also require some extra skin removal which would require additional incisions and scarring. Your plastic surgeon will be able to discuss with you which surgical approach is best.

 

 

·         Breast Tissue Removal:

 

The removal of breast tissue can be done either using liposuction or making a small incision and directly removing the densest part of the breast gland.  When liposuction is performed, it can be done through tiny hidden punctures on the chest. These puncture holes are very tiny and often require no more than a single stitch. This is a good technique for removing the majority of breast tissue. However, breast tissue can be very dense, especially directly under the nipple. This is why is is common to also make a small incision around the areola to directly pluck out the thick gland.  If this incision needs to be made, it is small and well-hidden around the edge of the areola.

 

·         Skin Removal:

 

In cases of excess skin, the skin would need to be removed as well, in order to get the best results. This is most common if you are overweight or have lost a lot of weight, or if you are older and have normal skin laxity that comes with aging. Sometimes the skin can be removed from just around the areola. Other times, more incisions need to be made down the chest or in the breast fold. 

 

 

 

 

Where is the Procedure Performed?

 

A chest reduction is a surgical procedure that needs to be performed in an accredited surgery center or hospital. These are regulated facilities with the appropriate safety standards and appropriately trained staff.  The procedure is usually performed using intravenous sedation or general anesthesia. It is usually an out-patient procedure, meaning you are able to go home the same day. In situations where other procedures are being done at the same time, you may be required to stay overnight for monitoring.

 

 

 

 

Recovery

 

After a few hours in the recovery room, you will be discharged home. You will have pain medication and antibiotics. This procedure is very well tolerated and the pain is significantly less than with other procedures like a tummy tuck. You will wear a chest compression garment.   After about a week, most people feel pretty good and you will be cleared to return to normal activities, including work and school.  You will be restricted from heavy exercise for about 3-4 weeks while you are healing. It may take several months for swelling to go away and your appearance will improve during this time.

 

 

Recurrence of your chest enlargement

 

In general, this surgical procedure will permanently correct your chest enlargement. However, if your chest enlargement is due to things like recreational drug use or prescription medications, and you continue to use those things, then certainly your chest enlargement may recur.  In some cases, chest enlargement may come back, simply because it is just way your body is programmed.

 

If you would like to learn more about reducing your male chest and correcting your gynecomastia, contact New York City Board Certified Plastic Surgeon, Dr. Matthew Schulman. During your consultation, you can find out if a male chest reduction is right for your and specifically which surgical technique is most appropriate.

Get Rid of the ‘Dad Bod’ With These Procedures

What is a “dad bod,” you ask?

According to the term’s original source:

“The dad bod is a nice balance between a beer gut and working out. The dad bod says, ‘I go to the gym occasionally, but I also drink heavily on the weekends and enjoy eating eight slices of pizza at a time.’ It’s not an overweight guy, but it isn’t one with washboard abs, either.”

While this isn’t exactly an all-out criticism, it’s also not a glowing review. Furthermore, if you yourself have what someone might describe as a “dad bod,” you’re probably looking for solutions, rather than just accepting the dad bod fate.

The good news is that there is absolutely no reason to settle for a dad bod if you don’t’ want it. If you want to eliminate the beer gut and love handles, you have that option with several plastic surgery procedures.

So, when you’re ready to say “so long!” to the dad bod life, here are the top procedures that will help.

Top Procedures for Tackling Dad Bod

Male Liposuction

Male Liposuction New York CityWhen you look in the mirror, you want to see what your mindset reflects: Confidence and strength. When you don’t see this, however, discouragement is inevitable. And it’s even more discouraging when you’ve been putting in long hours at the gym and you still aren’t seeing results.

When this is the case, male liposuction is the best procedure that can help. Any man with a healthy BMI (Body Mass Index) and with good skin elasticity and muscle tone can be a strong candidate for liposuction. Remember that liposuction is not a weight loss tool – it is a body contouring procedure. It is designed to help the specific areas that are resistant to your diet and exercise.

The liposuction procedure removes stubborn fat from common fatty areas that men struggle with: abdomen, arms, chest, thighs, neck/chin, and flanks. This is achieved through the insertion of a hollow stainless steel tube, called a cannula, into the skin through very small incisions. Once the cannula is inserted, Dr. Schulman will suck out the excess fat cells by a combination of back-and-forth motions and suction. This trusted procedure is highly effective and can be performed as an outpatient. In fact, from start to finish, you’ll generally only have to spend a few hours in our office for liposuction.

Male Tummy Tucks

Male Tummy Tuck New York City Many men assume that procedures like tummy tucks are only for women. It is common for women to get a tummy tuck after pregnancies, but men also complain of excess abdominal skin that occurs with aging or with weight loss. The truth is, men are just as likely to get a tummy tuck as women are. Likewise, tummy tucks performed on men are just as effective as they are with women. Finally, men are just as satisfied with the results.

Whereas the liposuction procedure only removes fat deposits beneath the skin, the tummy tuck procedure (abdominoplasty) tightens up the ab muscles and also removes excess skin. This is often a good procedure for those who have recently lost a large amount of weight as it can help remove stretched out skin and stretch marks, especially on the lower abdomen.

In some cases, male liposuction is used in tandem with male tummy tucks — in effect, removing small deposits of excess fat while at the same time tightening the excess abdominal muscles, and removing excess skin. The entire result will give you a flatter, firmer, decidedly less “dad bod” abdomen.

Male Breast Reduction

It’s not uncommon for fullness in the male chest (gynecomastia) to develop over time. This may be caused by normal aging, hormonal factors, recreational drug use, prescription medications, weight fluctuations, or a genetic predisposition. Some men develop enlarged chests during puberty and it never improves.

Regardless of the cause, wanting to get rid of this excess tissue is completely natural, so many men attempt to reduce on their own. However, even with rigorous exercise and dieting, these efforts often prove futile. This may be because the glandular breast cannot be reduced with diet or exercise, because the fullness is actually caused by stretched skin, or because genetic factors make slimming in this area on your own simply impossible.

Fortunately, the male breast reduction procedure performed by Dr. Schulman is the ideal way to solve this problem.

In a male breast reduction (or gynecomastia surgery) New York City Dr. Schulman removes the excess glandular breast tissue and lifts and firms the area in order to get rid of droopiness and sagginess. Because everyone’s experience with gynecomastia is unique, Dr. Schulman will cater your procedure to you, specifically. In this way, your procedure may involve liposuction, physical tissue removal, and/or skin removal. The scars and recovery will depend on exactly what needs to be done for you.

Botox for Men

In the non-surgical realm, many men are looking for quick and effective solutions to facial rejuvenation. This means the reduction or elimination of wrinkles and lines — often, most troublesome at the corners of the mouth, between the eyebrows, on the forehead, and at the outer corners of the eyes (crow’s feet). As a man, you may also want to combat unfortunate natural facial expressions that can sometimes make you appear angry, worried, or tired — even when you aren’t.

The best solution for these challenges is — time and again —Botox.

Botox provides fast and highly-effective solutions to wrinkles and the appearance of unwanted expressions. It can also slim bulky or unattractive jawlines, and it can even reduce excessive sweating on the hands and feet or beneath the underarms.

Furthermore, Botox will not only reduce and get rid of wrinkles, but it will actually prevent further wrinkles from forming as you age.

Possibly the best news about Botox is that the process is fast, and simple. Discomfort is extremely minimal, and there is no downtime involved.

Chemical Peels or Laser Treatments

When you’re after improvement for skincare issues such as scarring, hyperpigmentation, fine lines, or uneven texture, chemical peels and lasers are simple, noninvasive procedures that can help.

Dr. Schulman uses a variety of chemical peels of varying strengths. These peels may treat the outermost layers or go even deeper into the skin.  Recovery from chemical peels is minimal, but will depend on the depth of the treatment. It may involve several days of redness, followed by several days of peeling. In the end, you’ll enjoy smoother, tighter, more even skin.

Laser treatments are also a great option. Dr. Schulman has a variety of lasers available to you. These lasers may resurface the outer layers with minimal downtime, or he may recommend a deeper laser treatment to reduce lines, wrinkles, and old acne scarring.

For optimal effectiveness, many patients opt to combine their chemical peels and lasers with procedures such as neck lifts and eyelid surgery.

Ready to Start Working on That Dad Bod?

Dr. Schulman a New York City Plastic Surgeon offers the type of male plastic surgery New York City guys can get on board with: Straight-forward, effective procedures with straight-forward, effective results.

From Botox and chemical peels to male liposuction and breast reduction, Dr. Schulman will help you say goodbye to the dad bod lifestyle and hello to a body you can be proud to strut at the beach or gym.

To schedule your “dad bod” consultation with Dr. Schulman today, give our office a call at (212) 289-1851, or send us a message and we’ll be in touch with you soon!

Why is Plastic Surgery Growing Among Men?

matthew schulman instagrammatthew schulman twittermatthew schulman facebook
An area of plastic surgery that continues to grow is procedures for men. While men comprise only about 10% of all plastic surgery patients, this number is increasing each year. More men are requesting both surgical and non-surgical procedures for the face and body.

Top Surgical Procedures for Men and their Statistics

According to the official procedural statistics from the American Society of Plastic Surgery and the American Aesthetic Society of Plastic Surgeons, the top 5 surgical procedures for men includes nasal surgery (rhinoplasty), eyelid surgery (blepharoplasty), male liposuction, male chest reduction (gynecomastia surgery), and hair transplantation.

Hair transplantation For Men

Among these top five surgical procedures, hair transplantation is the fastest growing, increasing about 20% from 2016. This is mostly due to a combination of increased awareness as well as improved technology. Historically, hair transplant surgery involved techniques that were very crude, and resulted in very unnatural results. Oftentimes, the transplanted hair appeared to be “doll-like” and it was very obvious that a procedure was done. This made these procedures undesirable to most men and there was a stigma attached to it. However, there has been significant improvement in the understanding of the procedure and also the technology used.

Doctors have become more knowledgeable about creating an appealing hairline. They recognize that the hairline should be softer. This means that the transplanted hairs should be arranged more “randomly” along the front hairline, in order to avoid creating a sharp “wig-like” appearance. This was often not possible in the past since the older technology only allowed for larger clumps of hairs to be transplanted. Modern technology now allows them to harvest and transplant small number of hairs, even individual hair follicles. This means that the doctor can alternate groups of one, two, or three hairs along the hairline. The result is a much more natural appearance. Additionally, the improved technology allows for a much faster (and more discrete) recovery process. Since “donor” areas can be more hidden and heal quicker.

Liposuction for Men

The second fastest growing surgical procedure is liposuction. This can also be partially attributed to improved techniques as well. The use of smaller cannulas allows for smaller scars and faster recovery. Also, the use of newer energy-based liposuction technologies can help decrease bruising and swelling and also help stimulate more skin retraction. Men have also been happy with newer “highlighting” and “etching” techniques that create the appearance of muscle definition and a more masculine physique. There has been a 7% increase in male liposuction procedures since 2016.

Non-Surgical Procedures for Men

Non-surgical procedures are also more common among men. The top five non-surgical or minimally-invasive procedures among men are Botulinum Toxin injections (Botox, Dysport, or Xeomin), laser hair removal, microdermabrasion, chemical peels, and soft tissue fillers (Restylane, Juvederm, Radiesse, and Sculptra).

Botulinum Toxin injections is the fastest growing of these top non-surgical procedures. Approximately half a million Botulinum Toxin treatments are performed each year on men. This represents a 7% increase since 2016. These are simple injections that are almost painless and require zero recovery time. They are done to reduce or eliminate lines between the eyebrows, on the forehead, and around the eyes. The results last approximately 3 to 4 months.

Why are men requesting more plastic surgery procedures?

So why are men requesting more plastic surgery procedures? As discussed earlier, the increased demand can be partially attributed to improvement in technology and techniques. Modern technologies and techniques allow for more natural results, less pain, and a faster recovery. This applies to all procedures, including those done for women. Those men who have avoided plastic surgery procedures because of fear of scarring, pain, and time off from work are now reconsidering things.

Also important is that there has been a reduced stigma surrounding male plastic surgery. 10 to 20 years ago, most people had plastic surgery done in secret. They were hesitant to let people know that they were having a procedure done. Men were even more secretive of plastic surgery procedures. More recently, everyone, including men, have become more open about what they want to have done and what they have had done. This can be credited to social media and television. Men are more open to discussing plastic surgery with others and this makes them more willing to have procedures. This is especially true when it comes to less invasive procedures like Botox, hair transplantation, and liposuction.

Increased desire among men to look better

There is also an increased desire among men to look better. Men are more concerned about their appearance. They want to look better and are no longer accepting of the old adage that men appear more distinguished as they get older. Men are more aware of personal grooming, fashion, and other things designed to look better. This trend may be fueled by millennials who grew up without the plastic surgery stigma and are now pursuing cosmetic procedures.

Society may also be putting pressure on men to look better as well. It is not uncommon for a man to have a procedure done in order to help advance personally and professionally. Some men feel that as the workforce becomes more competitive, there is a need to look better…. or younger. The influx of younger men into the workplace may put pressure on the older men to appear younger. There is also pressure within the dating world as well to look better.

As you can see, there is a variety of factors that have contributing to the increase number of men having non-surgical and surgical plastic surgery procedures. These are improved techniques and technologies, increased professional and personal pressure to look better or younger, and the reduced stigma surrounding plastic surgery in general. I have seen a growing number of men in my practice and anticipate that this trend will continue in the future. I would not be surprised if the number of men undergoing these procedures becomes 25% of the total plastic surgery procedures within the next 5 years.

Contact Us Today

Take a look at our before and after gallery to results of Plastic Surgery for Men

Contact Schulman Plastic Surgery today to set up your consultation.