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Treatment of Gynecomastia

In Latin, "Gyne" means female and "mastia" means breast. Gynecomastia (also known as man boobs) is a very common problem that affects male patients causing significant discomfort with chest appearance.

Gynecomastia can be caused by multiple causes including hormonal disturbances, medications, marijuana use, obesity or genetic. The treatment involves identifying the cause and surgical excision of the breast bud commonly with liposuction of the chest area to provide a defined masculine look.

Before and After Gallery

Gynecomastia + Liposuction: Patient #1

All before and after photos are of actual Akkary Surgery Center patients and are shown with permission. Please remember: these pictures are courtesy of patients who kindly agreed to share their experience on our website. The pictures are to be viewed only and not to be downloaded, copied, captured or used for any other purpose. Individual results may vary.

Additional Facts

Who is a good candidate for Treatment of Gynecomastia?

Male patients who suffer from gynecomastia for at least 1 year and who desire improvement of the shape and appearance of the breasts and chest area.

What are Treatment of Gynecomastia contraindications?

We recommend avoiding the procedure in severe or uncontrolled systemic diseases, connective tissue disease, malignancy, unrealistic expectations, local skin pathology and pregnancy

Note: A contraindication is a condition or factor that serves as a reason to withhold a certain medical treatment due to the harm that it would cause the patient.

How is this procedure performed?

The procedure is commonly done under tumescence anesthesia with monitored sedation. Tumescence anesthesia consists of diluted Lidocaine with epinephrine in a crystalloid solution that is infiltrated into the operative area in calculated amounts based on patient’s body weight. This is then commonly followed by liposuction of the chest area to remove the fatty tissue through small incisions. The breast bud is then removed via an incision around the inferior border of the areola. A drain maybe placed. The incisions are then closed in layers.

How long does the effect last?

Treatment of gynecomastia provides durable long term results, however, significant weight gain, some medications, marijuana use and other factors might affect the results of the procedure.

What should I expect during recovery?

Since the area is numb after the procedure, we routinely do not use narcotics for pain control and pain is easily controlled on acetaminophen (Tylenol). Also, since general anesthesia and narcotics are usually avoided, nausea and vomiting are very rare after the procedure. If drains are used, they are usually removed within 1-2 weeks. A compression garment is usually worn postoperatively for 2-4 weeks or longer. Patients are usually discharged to the care of a responsible adult and recover at home. Light activity and early ambulation are encouraged after the surgery but we recommend avoid upper body exercise and arm lifting above the head. Activities are advanced gradually based on your healing.

Where is the scar?

There is a small scar hidden at the inferior border of the areola. Another very small scar might be placed under the breast for liposuction or drain incision.

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Dr. Akkary

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I have been seeing Dr. Akkary since 2014. The first day I was given his cell number...that has NEVER happened before at any other doctor's office. He is genuine and compassionate and really only wants to help you succeed. I have called him so many times and he has ALWAYS answered my questions. He has performed 2 surgeries on me and I wouldn't go anywhere else! I trust him and his staff completely. They will listen to all of your concerns and explain everything completely!

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Great for anything in his speciality

If you are looking for a doctor who will listen to you and explain what & why he’s going to do something, you have found him. He has the added benefit of a wonderful bedside manner minus the arrogance found in doctors ( just because they are doctors, you have met a few if you’re reading this I’m sure). In all he’s a wonderful person who if you’re lucky enough to find him, give him a call. You will have an amazing doctor who is there for you without dodging your call’s no matter how silly you think the question or thought may be ( this isn’t a paid ad I promise, you have his cellphone number incase of anything no matter the time. Sorry, but I’ve never been able to reach a doctor 24-7 without going through a answering service and even then how many times do you get to talk to them? Not many from my experience and I’ve seen more doctors than I care to think about.) he’s always able to answer it or calm your pre surgery nerves. He’s great if you’re looking for anything in his specialty and if I could, he’d be my doctor for everything, but he’s only one person so I will settle for his specific fields.

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