COVID-19 Notice

As we all move together through these unprecedented times, it’s important to be sensitive to those things that are most important – Health and safety for you and your loved. Social distancing is our best tool now, but with time, effective treatments and a vaccine will certainly be available. Until that time, do your best to avoid exposure. If any of you are ill, or have friends or family that are ill or have passed, our hearts go out to you. We pray for your recovery and safety.

Planning for the future, for when things are back to normal (or the new normal), goes on. While I am not performing any elective cosmetic surgery at this time, I am seeing patients as needed, and performing virtual consultations starting May 4th. Surgery will begin as soon as it is safe and prudent to perform surgery. The information in this blog, and all our communications, are directed to the time when we’ll all be back!

Don’t hesitate to reach out with questions. The office is functioning (mostly remotely) and we return all phone calls and emails.

Be safe and stay healthy.

Dr. Barnett, Laurie and Renee

Gynecomastia Bay Area

What is Gynecomastia?

Gynecomastia is the medical term for enlargement or swelling of breast tissue in males. Often referred to as “man boobs”, gynecomastia can affect one or both breasts. Gynecomastia does not respond to exercise because it’s a medical condition rather than simply being out of shape. It is most commonly the result of medication, illness, genetics, or an imbalance between the hormones estrogen and testosterone. In some cases, a cause cannot be identified. It can involve any combination of excess breast glandular tissue, excess breast fat, and excess skin.

What is Gynecomastia Surgery?

Gynecomastia surgery (also known as male breast reduction or reduction mammaplasty) is a procedure to correct unwanted breast tissue found in men. The procedure is usually performed on an outpatient basis under anesthesia and requires minimal recovery time. Since every case is unique, it’s a good idea to schedule a consultation with me to discuss your goals and available treatment options. The majority of cases are treated with a modification of liposuction that removes both breast fat and breast glandular tissue, so the incisions and scarring are minimal. Breast skin in men tends to be fairly elastic, so in most cases no skin is removed. If you’ve lost a large amount of weight, from diet or bariatric surgery, there may be enough excess skin that skin reduction and nipple repositioning may be necessary. All these issues will be discussed at your consultation.

What is the recovery like from Gynecomastia surgery?

This depends on the precise surgery you require. Most men are candidates for the modified liposuction procedure and in that case you can be up and about in a few days. You will wear a special compression vest with foam padding for a week, but many men are back to non-physical work in 2-3 days following the surgery. If you require substantial skin reduction and nipple repositioning, typically you’ll be off work for 5-7 days. Return to physical activity, like working out, is graded depending on your individual procedure. We can discuss all these issues at your consultation.

What are the Risks?

As with any surgical procedure, there are risks and potential complications. Changes to the appearance or sensation of the nipple, and infection or scarring at the surgical site may occur. Nerve, muscle, or blood vessel damage are occasionally experienced. These risks are greatly reduced when performed by a board-certified plastic surgeon with extensive experience in breast reduction in men, like myself. I will discuss all the risks prior to your gynecomastia surgery.

Male Breast Reduction Consultations Available

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Are My Results Permanent?

For the vast majority of patients, Gynecomastia surgery results are permanent. Certain procedures may require touch-ups over time, but unless you experience excessive weight gain, you can be confident that this is a once-in-a-lifetime procedure. Certain medications, steroid use, and medical conditions can cause return of the gynecomastia, and this will be discussed at your consultation.

How Do I Know if I am a Candidate for Male Breast Reduction?

The best candidates are healthy males who are close to their ideal weight. Gynecomastia surgery is not a procedure to correct obesity, but even in overweight patients, breast contouring can provide a dramatic improvement. If you have tried other methods to reduce your enlarged breasts, including weight loss, this procedure may be for you. As with any cosmetic procedure, it is important to have realistic expectations about optimal outcomes. Men taking steroids are not good candidates for this surgery.

Should I have Male Breast Reduction Surgery?

That’s a question only you can answer. Gynecomastia surgery can improve your self-confidence and increase your satisfaction with your body. You don’t have to make a decision during the first visit, and you may discover that male breast reduction isn’t right for you. Whatever you decide, I’ll be there to answer any questions you have in detail during your consultation.

“I cannot express how thrilled I am with Dr. Barnett and my recent breast reduction and lift. He is a true artist! Dr. Barnett explained my procedure clearly, followed up every day during my first week of recovery and the results could not be better! His staff and surgical team are top-notch. I am very grateful to Dr. Barnett and recommend him highly! Anyone considering a breast reduction should not hesitate. It took me 25 years to finally do this for myself and I’ve never been happier. But….having Dr. Barnett do this surgery is a must!” *

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Take the Next Step

Ready to look and feel your best? Schedule a consultation with Andrew Barnett M.D. to discuss your options today. Consultations are available in both our San Francisco and Walnut Creek offices. You may schedule for either location by calling (415) 879-8735. Renee or Laurie will help you and answer any pre-consultation questions you may have!