Gynecomastia
What is a Gynecomastia Surgery
Gynecomastia is a condition in which the breast tissue – not the fatty tissue – enlarges in boys or men. One of the first signs is a lump or fatty tissue under the nipple. Tenderness or soreness may be present. Gynecomastia can affect one or both breasts and can cause emotional distress and discomfort.
Common causes of gynecomastia include: hormone imbalance, medications (such as anti-androgens to treat prostate conditions, anabolic steroids and HIV medications), health conditions that affect testosterone production, substance use, aging and weight fluctuations.
Gynecomastia Consultation
If you are considering gynecomastia surgery in Boston, the first step is a confidential consultation with Dr. Bartlett. At this time, he will perform a medical evaluation and listen carefully to understand your goals. He will answer questions about the benefits and risks of gynecomastia surgery, describe the treatment process, and may discuss alternative treatments for men, including other male procedures and rhinoplasty if appropriate.
Dr. Bartlett will create and personalize your surgical plan. He will give you instructions on how to prepare for your gynecomastia procedure including specific recommendations for time off from work and exercise.
What to Expect During Gynecomastia Surgery
During the procedure, the glandular breast tissue is removed through direct excision around the nipple and/or liposuction. Sometimes when the breasts or weight changes have led to drooping of the skin (or ptosis), additional surgery is performed to remove and tighten the excess skin. Areolas that have enlarged or stretched can be reduced in size.
General anesthesia is recommended for this procedure.
2 to 3 hours. The exact duration of surgery will depend on the treatment plan, techniques used, and if there are other procedures performed during your procedure.
Gynecomastia surgeries are performed in our AAAASF Certified office operating room in the Boston, Massachusetts, area.
Gynecomastia Surgery Recovery Process
Dr. Bartlett and his staff will go over the details of the recovery process, providing instructions and prescription medications prior to surgery. A friend or family member is recommended to take you home.
After surgery, you will remain in a compression vest which is worn for 1 week at all times day and night. The vest is removed after 1 week to evaluate incisions. If healing is progressing normally, the vest is worn for an additional 2 weeks with the exception of a brief shower.
Patients are restricted from sports and vigorous activity for 6 weeks following surgery. Discomfort is mild and recovery is rapid. Pain medication is prescribed and is typically used for 2 or 3 days after surgery. For more information about Dr. Bartlett and his approach to male cosmetic surgery, visit our practice or schedule your consultation today Numbness and firmness may persist for months but does not affect appearance. For larger cases drains may be used and removed at 1 to 2 weeks.
“I am writing to you today to thank you from the bottom of our hearts! The surgery you performed on our son is just beautiful. This procedure was a very difficult decision (on our part) to make. We were hoping all would go well – but with little to no understanding of the outcome – we were nervous about putting our son through this procedure. We thank you for making this process that much easier by your professionalism. Our son’s self esteem ( just one week post op) has already improved tremendously. That in itself is a true gift for him…and we are so pleased with how it all turned out. Once again, thank you for everything.”
How Much Does Gynecomastia Surgery Cost
The cost is dependent on factors such as the time it takes to perform the surgery, the type of anesthesia used, and the techniques utilized.
An estimate of the cost can be provided over the phone by the front desk administrator. After your consultation with Dr. Bartlett a specific, detailed quote will be provided.
Why Choose Dr. Richard Bartlett in Brookline, MA
Dr. Richard A. Bartlett is a board-certified plastic surgeon with more than 30 years of experience in cosmetic, reconstructive, and gender-affirming care procedures. Boston Magazine has recognized him as one of “Boston’s Most Trusted Doctors.” Dr. Bartlett is also frequently recommended by other medical professionals.
Patients value his depth of medical training, careful surgical judgment, and consistent focus on patient safety. He is one of the top gynecomastia surgeons in Boston and provides an AAAASF-certified on-site surgical suite, hospital privileges, and a dedicated staff that respects each individual’s time.
Gynecomastia Frequently Asked Questions
How long does gynecomastia surgery take?
Most procedures last 90 minutes to two hours under general anesthesia. Surgical time varies depending on the amount of tissue removed and whether liposuction is included.
Is gynecomastia surgery painful?
Most patients experience mild to moderate discomfort during early recovery. Medication and compression garments help reduce soreness and swelling.
How visible will my scars be after surgery?
As a male breast reduction specialist, Dr. Bartlett places incisions strategically around the areola or in natural chest contours to minimize visible scarring. Scars typically fade significantly within 6-12 months as they mature.
Can gynecomastia return after surgery?
Glandular tissue rarely grows back after surgery. However, major weight changes or hormone shifts may affect chest appearance.
When will I see the final results?
Most swelling improves within the first few weeks after surgery. The final chest contour usually develops gradually over three to six months.
Schedule Your Gynecomastia Surgery Consultation Today
Contact our office to schedule a consultation regarding gynecomastia surgery in Boston with Dr. Richard A. Bartlett. He can let you know if surgery is the best option for you and can provide you with outstanding results from your procedure.
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