Male Breast Reduction Surgery in Washington DC
Male Breast Reduction (Gynecomastia Surgery) in Washington, DC
It can be surprisingly common for a man to have over-developed or enlarged breasts – this is called Gynecomastia. It can occur in men of any age. The cause of this could be changes in hormones, hereditary or a result of drug use or disease.
When a man has gynecomastia, it can cause trouble emotionally and affect the self-esteem of the individual. This condition can impact a man so much that he chooses to hide his chest instead of engage in certain physical activities or intimacy.
‘I worked out a lot in an effort to address what I later found out to be gynecomastia. After having it fixed with a male breast reduction surgery, the relief is enormous. Dr. Feledy truly changed my life. ‘ – F.E.*
Male Breast Reduction Consultation with Dr. Feledy:
If you are looking at getting a male breast reduction, schedule immediately for a consultation with Dr. Feledy. Your consultation and exam will take an hour or more with a chance to discuss:
- Your goals for the surgery and the result you would like to achieve
- Dr. Feledy will perform a thorough examination
- You will have explained the potential outcome and possibilities once Dr. Feledy has finished the exam and consult
- Any questions about financing will be completely answered
Male Breast Reduction Before & After Photos
See Belmont Plastic Surgery’s male breast reduction before and after results. It is important to look at before and after images to get an idea of what can be achieved with a surgery and to help guide the process with the doctor of determining the outcome you are going for.
Schedule your consultation with Belmont Plastic Surgery in Washington DC today
Washington, DC Male Breast Reduction (Gynecomastia Treatment)
Gynecomastia refers to a condition affecting the size of a male’s breast. Gynecomastia can cause the breasts to swell and to develop excess glandular tissue, and fat. Many times, this condition occurs due to hormonal changes. Dr. Jules Feledy is a board-certified aesthetic and reconstructive plastic surgeon at Belmont Plastic Surgery who specializes in performing a variety of breast enhancement procedures, including male breast reduction for the treatment of gynecomastia. He provides male breast reduction services to men residing in and around the Washington, DC, area.
Understanding Gynecomastia and the Male Breast Reduction Procedure in Washington, DC
The swelling, excess fat and breast tissue may be present in just one of the breasts, making the chest appear lopsided or both breasts. However, even when both breasts have the symptoms associated with gynecomastia, the breasts can still be asymmetrical (uneven).
Dr. Feledy knows that gynecomastia can greatly affect a man’s quality of life. Some men with this condition feel uncomfortable taking their shirts off in front of others, which means that even swimming in a pool or visiting the beach requires the use of a shirt. In addition, men who have gynecomastia may avoid intimacy.
Dr. Feledy addresses gynecomastia by performing a male breast reduction. During this procedure, Dr. Jules Feledy creates his gynecomastia patients a firmer, more masculine-looking chest.
What Causes Gynecomastia?
Hormonal changes, weight fluctuations, certain medications (e.g., steroids) and drugs (e.g., marijuana) can all cause this condition. Furthermore, pituitary and testicular tumors as well as other systemic diseases can cause gynecomastia. For some patients, there is no underlying cause.
While being overweight can contribute to male breast enlargement, with gynecomastia, the larger breasts are typically caused by excess glandular tissue. Unlike fat, excess glandular tissue cannot be addressed through diet and exercise.
Are There Certain Age Groups More Prone to Develop This Condition?
Excess fat and/or glandular tissue in the breasts is rather common in adolescent boys, with as many as two-thirds of boys in this age group developing gynecomastia. However, the majority of these cases resolve spontaneously. Males who have gynecomastia that does not resolve on its own can have a male breast reduction with Washington, DC, breast specialist Dr. Jules Feledy.
The hormonal changes that can lead to the development of excess fat and glandular tissue frequently occur during adolescence and then again as a man ages. Starting at the age of 30, testosterone levels begin to slowly decline. After the age of 30, a man’s testosterone level decreases by 1 percent each year.
Who is a Good Candidate for Male Breast Reduction Surgery?
Men who would like smaller breasts and men with puffy-looking nipples may want to consider having a male breast reduction in Washington, DC, with renowned breast specialist, Dr. Jules Feledy.
Issues that gynecomastia surgery in Washington, DC, can address include:
- Excess breast skin and fat.
- Puffy-looking nipples.
- Excess glandular tissue.
Ideal male breast reduction patients include those who:
- Would like a more masculine-looking chest.
- Are healthy, without any issues that would negatively affect the body’s healing process (e.g., using products that contain nicotine).
- Realize the positive aspects that this surgery offers, yet understand the limitations of the procedure.
- Are having this procedure for themselves and not as a way to please someone else.
- Follow a healthy diet and exercise routine.
Male Breast Reduction Techniques
At Belmont Plastic Surgery male breast reductions are outpatient procedures, which means the patient returns home shortly after his surgery. To ensure the patient remains comfortable during the procedure, he receives general anesthesia. The technique that Dr. Jules Feledy uses depends on the relative amount of glandular tissue and fat that needs to be removed, and the patient’s specific desires.
Gynecomastia treatment options available near Washington, DC:
When there is very little fat and glandular tissue beneath the nipple, Dr. Feledy can remove this tissue through a small incision created along the border of the patient’s nipple-areolar complex.
If there is a substantial amount of glandular and fatty tissue, liposuction may be used to remove the excess fat. After removing the fat, Dr. Feledy will reassess the patient’s breasts to determine if he still has a significant amount of glandular tissue that needs to be addressed. If so, this tissue can be excised (i.e., removed) during the same surgical session. When an excision takes place, the patient may need a temporary drain. This drain helps to prevent fluid buildup, which decreases the amount of inflammation the patient experiences.
Your Gynecomastia Consultation at Belmont Plastic Surgery
During your first appointment with Dr. Feledy, you are encouraged to ask questions. Frequently, patients forget some of the questions they would like to ask, therefore, if you wish, please feel free to write your questions down and bring the list with you to this consultation. Many of Dr. Jules Feledy’s patients find this helpful.
Prior to your initial consultation for a male breast reduction, please print out your registration forms and complete them at your leisure before your appointment with Dr. Jules Feledy. You can find these forms by clicking here.
What your medical information should include:
- The date (year) you had the surgical procedure (e.g., 1999).
- The type of surgical procedure you had (e.g., hernia surgery).
- What the procedure was for (e.g., to fix a hernia).
- Who performed the procedure (e.g., Dr. Goode).
- Where the procedure was performed (e.g., the Outpatient Surgery Center at Yellowstone).
- Any complications associated with the procedure (e.g., a reaction to the anesthesia).
- Treatments (e.g., physical therapy).
Your detailed medication list should include:
- The name of the medications that you take regularly.
- The reason for each of your medications.
- Medication dosage amounts.
- The number of times a day that you take each medication.
Your vitamin and herbal supplement list should include:
- The name of vitamin and/or herbal supplement.
- The dose of the vitamin and/or herbal supplement.
- The reason for the herbal supplement.
- The number of times a day that you take each vitamin and/or herbal supplement.
If you have any medication allergies and/or an allergy to latex, please be sure to include this information on your registration form.
After reviewing your medical history, medications, vitamin and herbal supplement information, Dr. Feledy will evaluate the skin on your breasts and examine them. The examination is used to determine how much fat and glandular tissue you have in each of your breasts. He may take pictures and/or measurements of your breasts. Once he has this information, he uses it to determine which surgical technique will address your gynecomastia best. He can then create your personalized male breast reduction plan.
Dr. Feledy will explain the male breast reduction procedure to you and he will inform you about what you can expect following your surgery. Ultimately, Dr. Feledy wants his male breast reduction patients to feel comfortable and confident about their upcoming procedure. Therefore, please ask questions.
Since you will receive general anesthesia during your male breast reduction surgery, you will need to bring a driver with you to the surgery center.
After any procedure requiring sedation, Dr. Feledy has a strict policy against his patients using public transportation or hiring a company that provides transportation services. This policy is in place to keep patients safe.
A Washington, DC, Male Breast Reduction at Belmont Plastic Surgery
Removing even the smallest amount of fat and glandular tissue from the breast and nipple-areolar complex can provide the patient with dramatic results. At Belmont Plastic Surgery, a male breast reduction to treat gynecomastia is performed as an outpatient procedure. During this procedure, the patient receives general anesthesia. General anesthesia is used to place the patient into a deep sleep so he remains comfortable during his male breast reduction.
Surgical techniques for a male breast reduction in Washington, DC:
The amount of excess tissue that the patient has will determine which method Dr. Jules Feledy uses to remove it. He can use direct excision alone, liposuction alone or liposuction and direct excision together.
Liposuction is used to contour the body. Dr. Feledy can use liposuction to address the excess fat and glandular tissue in the breast. Patients whose primary issue is excess fat with little to no excess glandular tissue and skin are good candidates for liposuction. When this procedure is used, excess fat and glandular tissue is extracted via suction through a thin, hollow tube (i.e., a cannula).
Liposuction and Excision
When the patient has more glandular tissue than fat, Dr. Feledy uses both liposuction and excision.
Patients with excess skin, moderate to severe fat and/or glandular tissue as well as those who need their nipple-areolar complexes reduced and/or moved to a more masculine position on the their breasts may require more extensive incisions.
More extensive incision options include:
The anchor incision
The anchor incision – This incision is created around the nipple-areolar complex and then down to the base of the breast. Another incision is created along the fold at the base of the breast.
The double incision
The double incision – These incisions are created above and below the nipple-areolar complexes.
Vaser Liposuction (VASERlipo) for the Treatment of Gynecomastia
Dr. Feledy uses Vaser Ultrasonic Assisted Liposuction for male breast reductions because this liposuction technique uses minimally invasive ultrasound technology to break up the tissue. Vaser liposuction is a revolutionary technique that allows Dr. Feledy to remove fatty components and glandular tissue from the breasts through small incisions that are only 2- to 3-mm wide. He will create two or three of these incisions along the nipple-areolar complex of each breast. Since these incisions are very small, they usually heal quickly and, once healing is complete, the resulting scars are nearly invisible. If there is fatty tissue that extends to the side of the patient’s chest, Dr. Feledy can remove this excess fat during the same surgical session. Removing this fat helps give the patient a natural, more masculine-looking chest. However, to accomplish this, Dr. Feledy must create very small incisions near the patient’s underarms.
With traditional liposuction, breaking up the tissue requires fluid to be injected into the area being treated. Once the tissue is liquefied, it can be suctioned out with a cannula. When VASERlipo is performed, there is no need to inject this fluid into the treatment area because the ultrasonic waves break up the tissue, separating the cells to allow for easy removal.
The key benefits of using VASERlipo for male breast reduction include:
- The ability to remove stored fat easily.
- Surrounding tissue that does not require treatment remains unharmed.
- Eye-catching results from just one VASERlipo procedure.
- The ability to refine and emphasize the appearance of the patient’s chest muscles.
- Smoother, tighter skin on the patient’s chest.
- When compared to traditional liposuction, VASERlipo causes less bruising and pain after surgery.
During the VASERlipo procedure, a probe transmits ultrasonic energy to break up the tissue. Once the tissue is liquefied, it can be suctioned out via a cannula.
One major benefit of using the VASERlipo technique is that it does not disturb the surrounding blood vessels and nerves. In addition, with VASERlipo, patients who have little to no excess skin will not need to have direct excision performed. Dr. Feledy will discuss his surgical plan with the patient prior to his male breast reduction.
Most of Dr. Jules Feledy’s patients state that the recovery process following gynecomastia treatment via VASERlipo feels like nothing more than a good work-out.
The VASERlipo Procedure at Belmont Plastic Surgery
All surgical procedures are performed at Belmont Plastic Surgery’s certified plastic surgery center.
On the day of their procedure, patients must arrive at the surgery center with their driver.
The length of time the patient is in surgery varies, typically ranging anywhere from two to four hours.
While the patient is in pre-op, Dr. Feledy may come in to make markings on his chest. These markings are used as guides throughout the surgery. If patients have any questions for Dr. Feledy, they are encouraged to ask them now, before they head into surgery.
VASERlipo procedure steps for the treatment of gynecomastia
1. The patient receives general anesthesia.
2. The chest and armpit area are infused with tumescent fluid. This fluid does not liquefy the tissue, it contains a medication that causes the blood vessels to contract, which reduces the amount of blood flowing to the breasts. In addition, this fluid contains a numbing solution.
3. Several small incisions are created along the lower edge of the patient’s nipple-areolar complexes. When the side areas are also receiving treatment, small incisions will be created near the patient’s underarms.
4. A small, metal probe that emits sound waves is used to liquefy the cells.
5. Dr. Feledy gently moves a thin, hollow tube that is attached to a machine specifically designed to remove liquid through suction, back and forth in a controlled motion to suction out the liquefied cells.
6. Dr. Feledy and his medical team carefully raise the patient so he is sitting at a 90-degree angle: This position mimics standing.
7. Once the patient is at the 90-degree angle, Dr. Feledy removes half of the breast tissue to provide the patient with a flatter chest.
8. Dr. Feledy uses sutures to close the incisions.
Some patients will require direct excision to remove excess glandular tissue and skin. To accomplish this, a crescent-shaped incision is created along the lower half of the patient’s nipple-areolar complex. The excess glandular tissue is removed through this incision. Furthermore, if Dr. Feledy is reducing the size of the patient’s nipple-areolar complexes and/or moving them to a more masculine position on the breast, direct excision is required.
Once the VASERlipo and direct excision procedures are complete, the patient receives a dressing that consists of gauze and elastic bandages. These bandages are wrapped around the patient’s chest. In addition, patients may receive a compression garment. The bandages and compression garment help reduce the amount of inflammation the patient experiences. Reducing inflammation keeps bruising at a minimal and decreases the amount of pain the patient experiences. In addition, the compression garment and bandage provide support for the patient’s newly defined chest.
Sometimes, during the early stages of recovery, Dr. Feledy uses drains to assist with the removal of excess fluid from the surgical sites. These drains are not painful and are usually removed within a day or two.
After the patient’s gynecomastia treatment, his chest area will look more defined.
Since VASERlipo does not affect the elastic connective tissues, the patient’s skin will begin to lay over his new chest contours.
What to Expect as You Recover from Your Male Breast Reduction in Washington, DC
During the first 24 hours following your Washington, DC, male breast reduction procedure, you should expect to have some drainage from your incision sites. This drainage will stain your surgical dressings and become visible on the outside of the dressing. This is normal.
If you have drains, you will return to Belmont Plastic Surgery to have your dressings and drains removed a few days after your gynecomastia treatment. Unless you already received one in recovery, during this visit, Dr. Feledy may provide you with a compression garment. This garment is designed to apply pressure to your chest because the pressure helps maintain the new chest contours and reduce inflammation as the body heals.
After receiving your compression garment, it is vital that you wear it 24 hours a day (except while showering) for the first two weeks. After the first two weeks have passed, you can wear your garment just during the day for the next two weeks. To attain the best results possible, it is essential that you follow these directions.
Most patients return to work within a week of their procedure.
Your Limitations During Recovery
Limit the use of your arms:
For approximately two weeks from the day of your procedure, you need to keep your elbows by your sides as much as possible. After the initial two weeks, you can gradually resume your normal activities. You should be back to normal within three to four weeks’ time. Approximately four weeks after your surgery for gynecomastia, you may be able to resume lifting weights and playing contact sports. However, you should never begin participating in or performing these activities without receiving a release from Dr. Feledy to do so.
As long as the patient maintains a healthy diet and exercise routine, his results will be long-lasting. Adults have a certain number of fat cells and, since the body does not replace those that have been lost, the fat cells that were removed are not replaced. However, patients need to keep in mind that the remaining fat cells still have the ability to expand.
Potential Complications Associated with a Male Breast Reduction in Washington, DC
While uncommon, there are risks and complications that could occur during the procedure and while the patient recovers.
The complications that could occur following surgery include, but are not limited to:
- Visible scarring.
- A seroma may develop.
- The sensations of the nipple-areolar complex may be affected: Resulting changes may be an increase in sensation, a decrease in sensation or a loss of sensation altogether.
- Excessive bleeding.
- Lung complications.
- The need for a revision surgery at some point in the future.
- Loss of the nipple-areolar complex or the skin. This is an extremely rare complication.
- Persistent breast irregularities. Breasts may be lopsided, uneven, or look disproportionate.
- Nerve damage.
- Blood clots.
- A reaction to the anesthesia.
- Heart complications.
Belmont Plastic Surgery is dedicated to providing the safest gynecomastia procedures available in Washington, DC. In addition, Dr. Feledy strives to make every procedure as easy and painless as possible.
A Gynecomastia Treatment in Washington, DC; How Much Does It Cost?
The cost of your treatment can be determined after your initial consultation with Dr. Feledy. He will use the information he gathers from you to make this determination. Since many of Dr. Feledy’s patients are unable to pay for their cosmetic procedures outright, Dr. Feledy accepts CareCredit and ALPHAEON CREDIT.
Will Insurance Pay for a Male Breast Reduction in Washington, DC?
It is possible that your insurance company will cover your gynecomastia treatment or certain aspects of it. Therefore, Dr. Feledy encourages his patients to contact their insurance before scheduling their male breast reduction procedure to find out if this type of procedure is covered under their policy.
If you have gynecomastia, let Dr. Feledy help you attain the more masculine-looking chest that you desire. Dr. Jules Feledy is a board-certified, award-winning aesthetic and reconstructive plastic surgeon who is dedicated to helping men attain the physical characteristics they desire. He addresses gynecomastia using the most innovative procedures available. To schedule your initial consultation with Dr. Jules Feledy please call (301) 654-5666. Belmont Plastic Surgery is located at 5530 Wisconsin Ave, Ste 818, in Chevy Chase, Maryland.
As many as 30 percent of men are affected by gynecomastia – enlarged breasts that may even appear woman-like or have excess fatty tissue. For those who are affected by such a condition, surgical solutions to restore a more masculine appearance are the primary reason to have a male breast reduction.
For men that have this condition, it will not go away except with surgery.
Most men get the gynecomastia surgery because they want to restore a flatter and more masculine looking chest. This is achieved through removing the extra tissue in the breasts and above your pectoral muscles. This can be achieved with little down time and small, minimal and well-placed scars.
The surgery for male breast reduction is an out-patient procedure that will be conducted in Belmont’s state of the art surgery center. It may take several hours to complete. Your consultation with Dr. Feledy will allow him to establish the exact incision location, approximate amount of tissue that needs to be removed and how long the surgery will take to get the results you want.
The gynecomastia surgery will be performed while you are under general anesthetic.
If you are interested in Male Breast Reduction Washington DC has available, get more information by contacting Belmont Plastic Surgery and schedule your consultation today.