PATIENT RESOURCES / DR’s Blog

Plastic Surgery for Men Part 2: Gynaecomastia or Man Boobs

by | Male Breasts, Men

This is for the men out there, or ladies with men in their lives, who may be interested. I previously talked about plastic surgery for men to give them a more youthful appearance. The focus then was on the face.
Today I’m going to talk about one of the most frequent concerns for men, gynaecomastia (aka. male breasts, aka. man boobs, aka. moobs).

This is by far one of the most distressing cosmetic conditions that men have. It can happen to anyone. They can be fit or overweight. Men with this often avoid taking off their shirts in public. They won’t go swimming or to the beach. If they do, they wear a shirt. Often they wear two shirts to better conceal the area, or even a compression shirt under their regular clothes. They complain that they can’t wear the tight fitting clothes they want to because of their chests. Often guys work out like crazy to get super fit, but won’t show anyone. I have patients talk about how they worry about getting intimate with their partners because of their gynaecomastia.

What can be done about Gynaecomastia?

In fact, a lot can be done. The most important thing is to make sure that it is not a health concern.
There are a number of causes for gynaecomastia that are perfectly natural, but there are others that are not, and need to be ruled out. This includes hormone disorders and even male breast cancer. Your doctor is a good resource to screen for any medical causes. There are drugs that cause this: prescriptions, steroids, illicit drugs, and excessive alcohol. If these are the cause, then cessation may be enough. In the case of a prescription, then a change to another medication may be all that is needed.
Controlling your weight is important. There are two reasons for this. The first is that a portion of gynaecomastia is gland tissue and a portion is fat. Weight loss will help decrease the fat in the area. The other thing that weight loss will do is lessen the conversion of natural male hormones in the body to female hormones which increases the volume of gland. And of course there is plastic surgery for gynaecomastia.

So what does gynaecomastia surgery entail?

Like all surgeries it has to be customized to you and your specific problem. As I mentioned, gynaecomastia is usually made up of fat and excessive glandular tissue. For the really fit men, it is usually just the gland that contributes to their gynaecomastia. Both need to be treated to get the best cosmetic result. The gland is removed through a very small incision that runs along the boarder of the areola and the chest skin. I usually use less than 1/4 of the diameter in the lower-outer portion of the areola.
I find this leaves a scar that is very hard to see without careful scrutiny. A small amount of gland is left behind to prevent excessive hollowing that could lead to indentation. The other component is fat removal. I love this part of the surgery. The fat I remove is done through liposuction. Oftentimes, I don’t need to add any scar for this. I remove the fat over the pec muscle, I make sure to remove it from under the areola and then I do what I think takes a good result and makes it great. This is a trick I had never seen in Canada and I had to go to Australia to learn. I remove very aggressively the fat that lies just below and lateral to the pectoralis major muscle. If you see pictures of really fit men, they have a very defined edge to their pec.
By thoroughly removing the fat below the pec, extending towards the armpit, I am able to chisel the chest, creating really nice pec muscle definition. By doing so I am not just removing the gynaecomastia, but creating an athletic looking chest wall. For the extra time in surgery and the recovery, it is well worth it to get the best result from your gynaecomastia surgery.

Results from gynaecomastia surgery can be amazing and life changing.

I have been contacted by potential patients from across Ontario, Canada and even the USA because of patient reviews. They have seen photographs and been in a blog discussion with past patients who’s lives were altered by this surgery. It is a very rewarding surgery for me and something that brings a high level of satisfaction to my patients.

For more information on gynaecomastia visit https://drshortt.com/body-contouring/male-breasts-gynaecomastia/

If you are interested in gynaecomastia surgery please contact my office for a discreet consultation. Click here or telephone 905-849-4282.

Dr Rodger Shortt is a specialist plastic surgeon who graduated from Queen’s Medical School in 2004 and became certified by the Royal College of Physicians and Surgeons of Canada in 2009. He received further sub-specialty fellowship training with international plastic surgeons in micro-vascular breast reconstruction, cosmetic plastic surgery, and body contouring after bariatric (gastric banding) surgery, significant weight loss or post-pregnancy. Dr Rodger Shortt strives to be the best plastic surgeon and is committed to providing high quality patient care and achieving excellent results. He is considered one of the top plastic surgeons and one of the few plastic surgeons in Canada that has the top rating of five stars in Realself, Rate MD, and Ontario Doctor review.

Reviews

Fabulous Doctor, Extremely smart ( like Mensa IQ ) with attention to detail.

Fabulous Doctor, Extremely smart ( like Mensa IQ) with attention to detail. Confident, clear, and precise in conversations. Hand surgery was done extremely well with 4 breaks in one shattered bone. Bone was wrapped and pinned in titanium chain links and micro screwed. Recover has been excellent I have 100% of mobility in my hand and work in home renovation. The scar is small pin sized line, not noticeable; no extra bumps or blemishes. Truly a five star surgeon. I am hoping he does face surgery.

I was so pleased that my GP referred me to Dr Shortt

I was so pleased that my GP referred me to Dr Shortt, for knee surgery. Excellent caring Doctor, if you need plastic surgery place Dr. Shortt, at the top of your list. Great experience, great results, this Doc, is a 10!

I simply cannot find enough superlatives to express my gratitude

I simply cannot find enough superlatives to express my gratitude to Dr. Short for his wonderful work.
I have, for many years now, had numerous black moles and dark spots on my face and they seemed to be multiplying. Dr. Short removed over 40 of these and when I left his office, I have to admit, I was worried. I looked pretty rough. But there are no crevices or dips in my skin (of which I thought there’d be many) and most incredibly there is no visible scarring at all. It’s hard for me to say how much better I feel now. I have a refreshed, natural look. I am a career musician and in the public eye so, needless to say, I feel so much more confident about my appearance.
Dr. Short was honest with me from the beginning. He clearly explained options to me but never made me feel that he was up selling other services. I was fearful and had huge reservations about having anybody touch my face but everything about my experience with Dr. Short and his staff was positive and I would have absolutely no hesitation to recommend him. He has my sincere thanks.

You can tell the enthusiasm and passion Dr.Shortt has for his work

From the get go the professionalism and expertise I had received far surpassed those from other consultations I had done. I had gone in for a breast augmentation and am amazed from the results. You can tell the enthusiasm and passion Dr.Shortt has for his work. He had stated that afterwards my breast would look “perfect”, I figured anything would be better then what I had. Unbelieving then, here I am now absolutely thrilled with the results. I had a tattoo where the implant incision would be, to my surprise Dr. Shortt was able to work around it as well.

Breast Augmentation – What an Amazing Doctor !

From the get go the professionalism and expertise I had received far surpassed those from other consultations I had done. I had gone in for a breast augmentation and am amazed from the results. You can tell the enthusiasm and passion Dr.Shortt has for his work. He had stated that afterwards my breast would look “perfect”, I figured anything would be better then what I had. Unbelieving then, here I am now absolutely thrilled with the results.

I had a tattoo where the implant insission would be, to my surprise Dr. Shortt was able to work around it as well.

The day of my surgery Dr. Shortt and his team made me feel very comfortable and well taken care of. Thank you again !

Dr. Shortt has a great eye and is a creative visionary

Everyone reacts differently to a diagnosis / treatment of breast cancer. For me, after the mastectomy, I no longer felt whole. I decided reconstructive surgery was the answer which was very intense – but no regrets. The results were good but I still felt a little mismatched. My surgeon referred me to Dr. Shortt. Like so many others on this site, I felt like he knew exactly what I was looking for and how to get there. Dr. Shortt has a great eye and is a creative visionary that can determine what need to be done, coupled with the skill to do it. What really differentiates him from the rest though, is his empathy and understanding. You don’t often find doctors who are good at combining the science with compassion. This was a surprising and greatly appreciated aspect of my care. I am 4 weeks post op now and I have to say the results are spectacular. I feel like the sisters have been reunited and I am whole again. If you have had reconstructive surgery and feel you need a little more finessing, take my advice and make it happen. You will be glad you did. I would highly recommend Dr. Shortt to my closest friends and family and to anyone looking for cosmetic improvements.

Thank you again,

Susan

Amazing plastic surgeon

Amazing plastic surgeon who was initially referred to me by another plastic surgeon. From my first consultation, Dr Shortt immediately knew what surgical procedures were the best option for my situation. No hesitation in diagnosis and recommended plan of action. I’m a breast cancer survivor and I thought a breast reconstruction was a lost cause for me due to my extension radiation treatments and consequential skin damage. Dr Shortt was very methodical and professional throughout the entire 18 month process. Before each surgery, I witnessed assertiveness and confidence with a sure hand mapping my body with his sharpie pen. He made me feel at ease with his good sense of humour and music.
My breast cancer journey is at long last over and I am quite happy with the final results. I feel rejuvenated and have gained my confidence back. I am so glad that I didn’t hesitate with my initial decision to go forward with the breast reconstruction. Thank you so much Dr. Shortt.

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Dr. Shortt does not control any third party websites and is therefore not responsible for the content of third party sites.
They are provided as a source for your review and discretion.

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