When you lose weight, you may have extra skin, tissue, and fat that makes gynecomastia surgery lengthier and more complicated. The goal is to make a chest that looks natural and masculine, with the scars hidden well.
There are many ways to do gynecomastia surgery, which is more generally known as male breast reduction, depending on how the scars look. But people who want to lose a lot of weight should know that they will have to do a lot of work to get decent results.
Most gynecomastia operations make a U-shaped cut on the bottom edge of the areola (around 5 to 9 o’clock) so that the scars blend in with the skin. Doctors can get rid of the extra glandular tissue with this method.
But only males with young, flexible skin can profit from the U-shaped incision method. Patients with MWL typically possess excess skin that necessitates excision to attain the optimal male silhouette.
In extreme situations of gynecomastia, the patient may require an anchor reduction procedure, wherein incisions are made around the areola’s perimeter, extending vertically to the inframammary fold and within the breast crease, resulting in an inverted T-shaped scar.
MWL patients should understand that the visible scar (particularly the vertical line between the areola and the submammary fold) is the only method to have the best breast form.
The scars will be red for the first few months, but they will get better over the course of a year. Some plastic surgeons in Los Angeles say that they often heal quite well and that most patients won’t like how they look.
But some people may get hypertrophic or keloid scars. Studies have indicated that, in addition to genetic predisposition, previous surgical outcomes, familial history, and skin pigmentation are also risk factors.
Still, some risk factors, such wound tension and infection, can be managed, if not completely removed.
One strategy to help healing and healthy scarring is to close a wound properly, such as with thorough suturing, which reduces strain on the skin. Some doctors additionally employ steri-strips to help and protect the incision site even more.
After the lesion has healed, silicone tapes are used instead of steri-strips. These tapes keep the skin moist and stop scar tissue (keloids/hypertrophic scars) from growing in the dermis.
Scar massage, steroid injections, laser treatments, and surgical scar revision are all alternative techniques to make scars seem better. Surgical scar revision is the final resort because it requires another incision.
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Why Do I Have Gynecomastia?
During adolescence, a hormonal imbalance might cause men to have bigger breasts.
It can also happen because of some medicines (including antihypertensives, anabolic steroids for bodybuilders, and HIV therapies), a long-term illness (like chronic renal failure or cirrhosis), an endocrine problem (like hyperthyroidism or peripheral hypogonadism), or even a tumor (like a testicular or pituitary tumor). That’s why your surgeon will always order a full workup before doing surgery. The goal of this test is to find any possible underlying reason (secondary gynecomastia).
But in most circumstances, this test is normal. No clear reason is found. This condition is called idiopathic gynecomastia.
Gynecomastia Or Adipomastia?
Don’t mix up gynecomastia with adipomastia, which is also called pseudogynecomastia.
Adipomastia is when there is too much fat in the chest but not enough breast gland tissue. So, adipomastia is widespread in those who are overweight or obese. Your surgeon will make the difference during the clinical evaluation. A gentle touch of the chest is all that’s needed:
- In situations of adipomastia, probing of the chest does not disclose a solid mass behind the areola. The chest is totally soft. There is only fat here.
- When someone has gynecomastia, they can feel a tiny, hard bump behind the areola and nipple. This means that there is a lot of breast tissue present. The presence of this glandular tissue substantiates the diagnosis of gynecomastia.
A breast ultrasound can back up the clinical diagnosis.
Depending on how much glandular tissue and fat are in the chest, gynecomastia can be divided into different categories. Some guys have pure gynecomastia, which means their breast gland is bigger but they don’t have extra fat. A lot of the time, it’s a mixed type that has both parts (adipo-gynecomastia).
Following substantial weight reduction:
- Adipomastia diminishes as the adipose tissue in the chest region undergoes partial resorption.
- If real glandular gynecomastia was already there, it will be there even if you lose weight, because breast gland tissue doesn’t respond to weight loss.
- A lot of people have loose skin on their chest, which can make gynecomastia look worse.
Why Is Gynecomastia Often Worsened After Weight Loss?
When you lose weight, your body uses up its fat stores. But the method people lose fat is different for everyone. Some guys may readily lose fat from their chests, while others can’t. If you had a big chest before you lost weight, you can still have a big chest. This could mean that you really have gynecomastia or that your adipomastia is still there and hasn’t fully absorbed.
The skin is another prevalent problem. The skin can lose its suppleness if you lose weight quickly or a lot. It gets loose and makes extra skin that makes male breasts look bigger. This is especially obvious following bariatric surgery, including sleeve gastrectomy or gastric bypass.
So, after losing a lot of weight, some men may feel self-conscious about how their chest looks droopy and uneven. This look is caused by fat not being fully absorbed and skin that doesn’t retract adequately. The more weight you lose, the more this effect becomes clear.
How Can You Get Rid Of Gynecomastia After Weight Loss?
If your chest still hurts after you lose weight, surgery is the only thing that will help.
A lot of patients want to know if it’s possible to make their chest smaller without surgery, especially through diet and exercise.
Exercise And Diet
Exercise does not help with gynecomastia or a lot of loose skin in the chest area.
Weight training can help contour the chest by making the pectoral muscles stronger. But it doesn’t get rid of the breast gland. In fact, it might make gynecomastia look worse by having it stand out more. When there is no known cause for gynecomastia, surgery is the only way to address it.
In the same way, exercise, whether it’s weight training or endurance workouts, won’t get rid of extra skin on the chest. Surgery is still the only technique to get rid of extra skin after losing a lot of weight.
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Surgery: The Only Effective Solution
If the chest stays big even after living a healthy life, surgery is the only thing that will work. It lets you take off the breast gland in men and change the shape of the torso. This surgery is known as a gynecomastia correction.
The quantity of breast gland, extra skin, and fat will all be taken into account while planning this cosmetic surgery. A plastic surgeon will thoroughly look at your case and suggest the best course of action for you.
What Are The Specific Features Of Gynecomastia Surgery After Weight Loss?
A personalized surgical technique is needed to fix a man’s chest when he loses weight. The surgery commonly uses a combination of different surgical methods:
- Liposuction: This procedure eliminates excess fat from the chest.
- Excision of the breast gland: if there is still breast gland tissue after losing weight, it must be taken out. To remove the superfluous glandular tissue, you need to cut under the areola.
- Reduction of excess skin: If the skin is too loose, the surgeon may need to take off the extra skin and shift the areola. This is done by making a scar all the way around the areola (round-block technique).
The goal is to make the chest flatter and more manly while leaving as little scarring as possible.
When gynecomastia is very bad or when there is a lot of extra skin (because of weight loss), a scar around the whole areola is needed. This round-block scar makes it possible to take off extra skin, move the areola, and make it smaller if it is too big. The scar will change over the next few months. It is mostly private after one year.
In all circumstances, this is a simple surgery. It takes roughly two hours and is done under general anesthesia. A stay in the hospital overnight is typically necessary.
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