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Meet: Dr. Elliot Jacobs - photo

Why Choose Dr. Jacobs for Gynecomastia Surgery?

  • He is one of the best gynecomastia surgeons in South Florida
  • He has more experience with male breast reduction than almost any other plastic surgeon in the country
  • His expertise has won him several awards including “America’s Top Doctor”
  • Dr. Jacobs’ work has been featured on shows such as 20/20 and Good Morning America
  • Dr. Jacobs accepts cash, credit cards, and medical financing via CareCredit and Alphaeon

What is Gynecomastia?

Gynecomastia, or male breast enlargement, is a benign condition that affects many men and adolescent boys. The term “gynecomastia” has derived from the Greek words gyne (meaning female) and mastos (meaning breast) – in essence, a female-type breast or contour on a man. Although it is a benign condition and does not predispose to breast cancer or other problems, the presence of gynecomastia has a profound physical and emotional effect on a guy. In essence, it makes him feel less of a man. He cannot wear snug shirts or t-shirts. Oftentimes, he is reluctant to remove his shirt in public, swim, participate in sporting events, or go to the gym to work out. He is often the butt of jokes, taunting, bullying, and even physical abuse. It is a source of continued embarrassment and emotional distress for him.
Male breast, before gynecomastia treatment, l-side oblique view, patient 35
Male breast, after gynecomastia treatment, l-side oblique view, patient 35
Male breast, before gynecomastia treatment, front view, patient 36
Male breast, after gynecomastia treatment, front view, patient 36

Gynecomastia in Puberty

For young and sensitive adolescent boys, man boobs may lead to isolation, poor self-image, loss of self-esteem, reluctance to socialize with women, and even poor grades at school. Psychological depression is not uncommon. Furthermore, in many circumstances there is accompanying pain or tenderness of the breasts. And occasionally, there can even be lactation (production of milk). The majority of these cases begin during adolescence. In some, the enlargement starts around puberty and gradually subsides over several years. But for many young men it remains for life – affecting them in untold ways. In these cases, gynecomastia surgery is the best option. There is no diet, no exercise, no pills, no massage, and no injections that can provide any substantial improvement other than surgery. Once gynecomastia surgery is performed and Dr. Jacobs removes all of the excess tissue, the results are long-lasting. The tissue does not re-grow (except if one gains substantial weight after surgery or takes certain drugs or anabolic steroids). It is similar to a woman who has a mastectomy for breast cancer, her breast does not re-grow spontaneously – it has to be reconstructed by a surgeon.

What is Gynecomastia Surgery?

During your gynecomastia surgery in Boca Raton, Florida, tumescent fluid is injected into the areas of concern through a tiny 1/8 inch nick in the skin on the side of the chest just under the armpit. This fluid contains medication to numb the tissues, different medicine to reduce bleeding, and saline (saltwater), making the tissues soft, mushy, and easier to remove. First, Dr. Jacobs contours the breast using liposuction performed through the same nick in the skin and using specially designed instruments. In some cases, this is all that is necessary since the instrument is capable of removing both fat and breast tissue. In addition, the chest wall muscle (the “pec”) is unaffected by the surgery. The skin will tighten, contour, and re-drape to reveal the underlying muscular contours by removing the overlying excess tissues. In essence, it removes the tissues “masking” the muscles.
Male breast, before gynecomastia treatment, l-side oblique view, patient 37
Male breast, after gynecomastia treatment, l-side oblique view, patient 37
Male breast, before gynecomastia treatment, front view, patient 74
Male breast, after gynecomastia treatment, front view, patient 74

A More Masculine Physique

If there is residual breast tissue directly beneath the areola, the instrument cannot remove it. An additional incision around the areola edge facilitates the direct removal of the excess breast tissue in these cases. In addition to removing enough breast tissue, care is taken to ensure there is no “cratering.” If necessary, fat flaps will reinforce the areola. The Boca Raton gynecomastia surgeon then closes the incision with dissolving sutures underneath the skin, so there are no external stitches to remove. If additional fat extends onto the sides of the chest or into the armpit, Dr. Jacobs will remove it through the same nick in the skin. During surgery, the chest skin will spontaneously tighten, depending upon the patient’s innate skin elasticity. In addition, the diameter of the areola will spontaneously decrease in size. Drains are rare. At the end of the procedure, the chest will have a better, more trim, and contoured shape, which will reveal the contours of the underlying muscle. In addition, the skin will be tighter and the areolar diameter will have diminished – all with minimally visible scars!

Ideal Candidates for Gynecomastia Surgery

There is no right or wrong age for male breast reduction to be performed.

Teenagers Teenagers who are embarrassed or concerned about this condition
Older men Older men suffering are also candidates, and can combine treatments to maximize results
Patients affected Patients affected by gynecomastia that has remained stable
Individuals Individuals who work with the support of Dr. Jacobs to follow a care plan

What to Expect from Recovery

As a result of male breast reduction surgery, there will be some swelling, bruising, and temporary loss of sensation in the chest and nipples. This is normal! All of these symptoms go away within a few weeks. After the surgery, there is pain described as a “burning sensation in the chest muscle” that fades within 2-3 days. An antibiotic and pain medication prevent infection. Most men can return to office work within three to seven days after the surgery. A snug compression garment will be placed on the chest and worn under clothing for approximately four weeks. Strenuous exercise and sports may begin four weeks after surgery. Complete healing may take from three to six months.
Male breast, before gynecomastia treatment, front view, patient 38
Male breast, after gynecomastia treatment, front view, patient 38
Benefits of Gynecomastia Revision Surgery

Benefits of Gynecomastia Revision Surgery

Gynecomastia surgery is great for boys and men looking for:

  • Permanent results
  • Greater confidence levels
  • A more masculine profile
  • Scarring that is not noticeable

Risks of Male Breast Reduction Surgery

While rare, persistent pain or tenderness may happen after gynecomastia surgery. This may be due to damaged muscle, nerve injury, or scar tissue. Sometimes a cortisone injection may help. After gynecomastia surgery, there will always be decreased sensation of the skin of the chest and the nipples. This is usually temporary and full or nearly full sensation returns very slowly during the months after the operation. Very rarely will there be total numbness of the chest skin. Should this occur, however, there is no treatment possible.
Male breast, before gynecomastia treatment, l-side oblique view, patient 265
Male breast, after gynecomastia treatment, l-side oblique view, patient 265
Gynecomastia Surgery - reception room

Why Choose Dr. Jacobs for Breast Reduction Surgery?

If you are looking for a permanent solution for your gynecomastia, please schedule a private and free consultation with Dr. Jacobs or call our South Florida office to talk to one of our representatives. Contact Us

Contact Us

Reach out to Dr. Jacobs today to schedule your consultation!

Gynecomastia Frequently Asked Questions

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What type of sedation is used?

Safe, “twilight sleep” anesthesia is administered by a board-certified MD anesthesiologist. You will be sleeping gently and comfortably – eyes closed, without any pain, and totally unaware of the passage of time. You will awake quickly after surgery – refreshed, alert, and with no grogginess, nausea, hangover, or sore throat.

How long does gynecomastia surgery take?

The surgery takes from 60 to 90 minutes.

What can be expected after gynecomastia surgery?

This is real surgery – it should not be undertaken lightly. Yet, after some brief soreness and healing, there is a substantial change in the chest. Clothing that could never be worn is now worn routinely. There is a change in posture, a change in attitude, and a new self-confidence. Some guys can now go to a pool and play with their kids. Others will now go to the gym and build up their muscles – and their physique will now show! For all, there is an enhanced self-image and self-esteem.

How does gynecomastia develop?

Gynecomastia can be defined as excess tissue on a male chest. That tissue is either fat or breast tissue (gland) and most often a combination of both. All men have a certain amount of breast tissue on their chest, usually directly under the areola – that is normal. Gynecomastia develops when that breast tissue begins to increase or there is additional fatty tissue. There is no such thing as pseudo-gynecomastia, which purports that all the accumulation on the chest is simply fat. That is not true. There is always some amount of breast tissue present as well. When present in our Florida patients, gynecomastia consists of breast tissue that is concentrated directly under the nipple/areola. It then spreads out in a horizontally-oriented, oval distribution over the lower portion of the chest. As it spreads out, it begins to join and blend in with fat tissue, in a manner similar to fingers interlocking with one another. There is no wall or capsule which separates the breast tissue from other tissues – they simply grow together. Therefore, there is no way that a surgeon can remove only the breast tissue and leave the remaining fat intact – or vice versa.

Is gynecomastia life-threatening?

Gynecomastia can be small – just an accumulation of excess breast tissue beneath the areola, which results in elevation of the areola alone. Or, it can be very large, assuming the appearance of a large, pendulous female breast. Or anything in-between. Since it is a non-life-threatening condition, the decision to seek a surgical remedy is entirely individual. Some men accept it and go on with their lives. For others, it can become a significant negative focus in their lives and they will only find solace by having surgery.

How does Dr. Jacobs’ gynecomastia approach differ?

During Boca Raton male breast reduction surgery the goal is to produce a trim, taut, and contoured chest that blends in with the surrounding areas of the body. Men do not want to have surgery to remove their gynecomastia but replace it with lots of scars – that is trading one problem for another. There is also an art to doing this surgery – knowing how much tissue to remove and how tissue much to retain. When a guy is on the heavier side, removing too much tissue can result in contour irregularities and discord between the chest and the surrounding areas. In these cases, the surgeon must leave some extra tissue for a normal appearance. The surgeon should also examine the entire chest, not just the breasts. It is possible for fat to extend into the armpits or lateral chest. For a truly contoured chest, these areas should also be treated and contoured at the time of the initial surgery. Otherwise, the patient would have a flat chest and residual fat bulging on the sides of the chest. Some men may suffer from excessive sweating of the armpit area. This, too, can be addressed at the same time.

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