Bolitho MD

9834 Genesee Ave Ste 311 La Jolla San Diego, California
Phone: (858) 458-5100

Male Breast Reduction

Male Breast Reduction


There is a population of men who have overdeveloped breasts, otherwise known as gynecomastia. It’s estimated that 40 to 60 percent of men have this condition, and many, seek a breast reduction to correct it.

Although there is no specific cause, it has been attributed to issues such as genetics, hormones, particular drugs or even medical issues.

Gynecomastia may also be present in one breast or both.

Generally, physicians diagnose this condition by determining redundant localized fat and/or redundant glandular tissue growth.

Even though gynecomastia is considered quite common, some men are faced with self-confidence issues when it comes to romantic relationships, intimacy, and physical activities, including water sports.

Cosmetic surgery to correct gynecomastia provides men with a newfound sense of assurance.

Surgical Candidates

Ideal surgical candidates to correct gynecomastia are the following:

Consultation Overview

In your initial consultation, Dr. Bolitho will review your overall medical history. If Dr. Bolitho suspects an underlying medical condition for your gynecomastia, he may refer you to a specialist before you undergo a breast reduction procedure.

Your consultation is a vital one because it’s your opportunity to be candid with Dr. Bolitho in where you can share your aesthetic goals and wishes.

Photos will be taken for your medical file and automatically downloaded to a state-of-the-art software program, Touch MD. The photographs will reflect the areas of potential cosmetic surgical treatment and are then uploaded to a touch screen in your examining room. Dr. Bolitho will utilize this software to get more in depth information regarding your aesthetic wishes. Dr. Bolitho will explain the surgical process with this touch screen and discuss the latest techniques he uses to achieve the most desired aesthetic outcome.

If you choose to move forward with your surgery, your patient coordinator will schedule a preoperative appointment. During this appointment you will meet with Dr. Bolitho once again to review your procedure and goals. You will also receive pre and postoperative detailed instructions. Dr. Bolitho will provide you with prescriptions prior to your surgery.

Male Breast Reduction Surgery

A breast reduction procedure to correct gynecomastia generally lasts under a couple hours and is done as an outpatient. The surgery will reduce your breast size, level your chest and create new aesthetic contours.

In more advanced gynecomastia situations, skin may be stretched to a point where the areola has been compromised. Dr. Bolitho can resize the areola and reposition it, if necessary. This will be discussed during your consultation.

Following the administering of your anesthesia, Dr. Bolitho will begin your procedure.

Depending on the extent of your gynecomastia, liposuction may be needed for only cases of excess fatty tissue. Dr. Bolitho will create small, discreet incisions. Following the delivery of sterile solution to the incision sites, a cannula is placed inside and moved around. This movement releases excess fat and prepares it to be drawn out through a suction vacuum device.

Dr. Bolitho will choose the best liposuction technique for your procedure.

In some gynecomastia correction procedures, Dr. Bolitho may choose to use an excision technique for glandular tissues, redundant skin removal, or for the areola to be resized and repositioned.

Depending on the patient, Dr. Bolitho may utilize both the liposuction and excision techniques.

After your incisions are sutured, Dr. Bolitho will place sterile dressings on the surgical area along with a compression garment.

Male Breast Reduction Recovery

Following surgery, Dr. Bolitho may have decided to insert a temporary thin draining tube to draw out excess fluid during your early recovery phase.

Dr. Bolitho will have provided you with postoperative instructions and also medication to control any discomfort you may have.

It’s also recommended that you make arrangements to have a caregiver assist you for a few days following your surgery.

A compression garment is typically worn for a few weeks. Even though much of your swelling will disappear within a three to four weeks, it will take a few months for all of it to recede. At that time, you will notice the aesthetic changes.

Although you will be up and around a few days after surgery, it can take up to a month to return to your normal, daily activities.

And breast numbness may last up to a year.

In your initial consultation, Dr. Bolitho explains how cosmetic surgery is a journey. The surgical transformations are significant, but patience is needed as your body adjusts to its new contours and improvements.