Contact Jay M. Pensler, M.D.

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Jay M. Pensler, M.D.
Plastic Surgeon
680 North Lake Shore Drive Suite 1125
Chicago, IL 60611
312.642.7777

Gynecomastia Defined

If you’re considering male breast reduction or Gynecomastia, the following information will provide you with a good introduction to the procedure. For more detailed information about how this procedure may help you, we recommend that you consult Dr. Pensler, a Board Certified Plastic Surgeon who has successfully performed Gynecomastia corrections for men around the world.

Gynecomastia is derived from the Greek term “gyno” for feminine, and the Greek term “mastos” for breast. Galan first introduced the term during the 2nd Century A.D. A description of a surgical reduction was first described in the 7th Century A.D. by Paulis of Aegina who described it as an “effeminacy of men”. The condition involves excessive development of the breast tissue in the male, and occurs in as many as 40 – 60% of men worldwide. Gynecomastia may be the result of an increase in ductal tissue and stromal tissue of the breasts commonly referred to as glandular tissue. In conjunction with the increased ductal and stromal tissue, there may be an increase in the size of adipocytes which is typically referred to as the fatty component. Gynecomastia may also be the result of a variety of hormonal, genetic, neoplastic or environmental changes. However, most of the cases occur without a clearly defined causal agent and are referred to idiopathic.

Treatment has gradually evolved over the ages. We utilize a multi-faceted surgical approach for optimal correction of the deformity. The fatty component is addressed by first infiltration of tumescent solution, a mixture of saline, lidocaine, and epinephrine into the area of Gynecomastia. Specifically designed cannulaes are then utilized to direct ultrasonic waves at the fat which result in implosion of the fat cells and contraction of the fibrous septa to the skin, resulting in an overall shrinkage of the volume of the breast and the overlying skin envelope. A specifically designed reciprocating cannulae is then utilized to remove additional fat and glandular tissue. A large amount of glandular tissue is treated with direct excision. If direct excision is required an incision in the areola is used. Depending on the individual’s specific anatomy, an individualized treatment plan is designed to optimize the final result. Drains are required in approximately 2% of patients. Most patients do not require any drains. All patients are given and required to wear a compressive vest. The purpose of the vest is to reduce bleeding in the postoperative period and to facilitate support for the skin to maximize shrinkage. The vest, which cannot be seen in clothes, is worn approximately one month.

To read Dr. Pensler’s eMedicine article on WebMD published December 28, 2012 CLICK HERE.

For a confidential consultation please contact our office at (312) 642-7777 or fill out the contact form and a Patient Coordinator will contact you directly.