Procedure Candidates

In our society it has become accepted for a man to walk around with a few extra pounds around his middle, but this is certainly not the case when it comes to carrying weight in the chest. Who knows why this is, but it could possibly be that larger breasts on a man appears too closely related to the feminine quality of women. The causes of this problem could also be hormonal changes, medications, or even genetic predisposition. Occasionally, this procedure may be covered by insurance. Insurance pre-authorization will be sought if it is felt appropriate after your visit with Dr. Lewis. A full medical evaluation is often required by your family physician in order to rule out other medical causes for gynecomastia.

As Dr. Lewis states,

“Performing gynecomastia surgery is very satisfying for me and my staff, as the results are typically very predictable and can be life-changing.”

Procedure Description

The procedure eliminates fat and or glandular tissue from the breasts and in some cases removes excess skin. The patient leaves with a chest that is flatter, firmer and better contoured. In most cases, the incisions for this operation can be placed just inside the areolar border where they will not be apparent. Dr. Lewis uses two techniques to eliminate the excess tissue – liposuction and/or sculpting with special surgical instruments.

What to Expect

Gynecomastia surgery takes approximately two hours. The procedure is done under general anesthesia, though occasionally local anesthesia with sedation may be used. The patient can go home after surgery.


Dr. Lewis will inform you on what medications to take and avoid, and when to stop eating and drinking before surgery. You will need to make arrangements to have someone drive you home after surgery.


You may be required to wear an elastic compression garment for several weeks following surgery, and then for two weeks longer at night. Although the greater part of your swelling will go away in the first few weeks, it may be three months or more before the final results of your surgery are apparent. As with any surgery you should have a period of rest and inactivity. The specifics of your recovery will be based upon the extent of operation required. Dr. Lewis will discuss that with you before your procedure. Most of the time there are no stitches to remove. Occasionally, this  procedure requires the placement of a drain tube which usually is removed by the third to fifth day postoperatively.


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