Gynecomastia

Male Chest Reduction in Las Vegas, NV

Dr. Cambeiro is a board-certified plastic surgeon performing gynecomastia surgery in Las Vegas, Nevada. If you live outside of the Las Vegas area, please contact us to learn more about our fly-in program.

Gynecomastia is the medical term for abnormal breast development in males. It can occur on one or both sides of the chest, and is the result of excess breast tissue, fat, or both. In some cases, the condition is due to a normal or “physiological” phase of development. It can occur with the onset of puberty, but usually regresses by age 20. It can also occur with aging in otherwise healthy males.

To see why Dr. Cambeiro’s qualifications, excellent service, and results make him the best male chest reduction surgeon in Henderson and Las Vegas, NV, call us at (702) 734-8100 or request a meeting with us today.

The Causes of Gynecomastia

Other “pathological” causes of abnormal male breast growth can occur, either due to decreased production of testosterone (male hormone), increased production of estrogen (female hormone), or certain drugs. The use of anabolic steroids (used by body builders), and other drugs and medications such as: marijuana, alcohol, cimetidine, spironolactone, some anti-depressants can be the cause of gynecomastia.

Gynecomastia can be a sign of liver disease. But the majority of cases have no known cause. Certainly, most affected adolescent boys will “grow out of it” if no treatment is rendered. If this does not occur, treatment is available to reduce the size of the soft tissues by removal of fatty tissue using liposuction in Las Vegas. Dr. Cambeiro usually does not need to make any incisions on the chest wall or around the areola (pigmented area of the nipple).

Always discuss all of your concerns and expectations with Dr. Cambeiro before your procedure date.

If you are considering gynecomastia, Las Vegas plastic surgeon Dr. Cambeiro invites you to request a consultation or give our office a call at (702) 734-4100 for confidential and informative answers to all your questions. If you prefer, you can send us an email using our discreet online form.

How Chest Reduction is Performed

In the least-invasive approach, and if most of the enlargement is fatty in nature, Dr. Cambeiro may utilize liposuction to contour the breast area.
Under general anesthetic (completely asleep) he will make very small incisions through which he inserts a small tube. A vacuum suction is then applied to the tube which extracts the fat, leaving you with a smoother, flatter contour.
If thick fibrous tissue is encountered below the areola (pigmented area around the nipple) he will use a shaving device to remove this tissue. This device allows him to avoid making an incision around the areola.
A pressure dressing is applied to assist the skin in conforming back to the underlying muscle.

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Gynecomastia Surgery Consultation

Dr. Cambeiro will perform a thorough medical and surgical history as well as a focused physical exam. This will include any signs of abnormal secondary sexual development, history of alcohol or marijuana abuse, and a careful drug history. If other signs of either liver or endocrine malfunction seem evident, then a referral to a qualified medical specialist such as an endocrinologist may be warranted. In most cases involving adult males, either a history of anabolic steroid use or no cause at all can be identified. In most cases, breast reduction surgery is the only effective form of therapy.

In addition, he will need to know all of your medical conditions, current medication regime including vitamins and herbal remedies. He will need to know your drug allergies as well as any reactions to medications you have had in the past. If you smoke, you will need to quit four weeks before your breast reduction surgery and not to resume for at least four weeks after your surgery. Smoking decreases blood circulation to the skin and impedes healing.

Your height and weight will be recorded at each office visit — please note that our office is in Henderson, Nevada, just outside of Las Vagas. In addition, he will assess the tone of the skin your chest and determine the best means to remove the redundant tissue. In most case liposuction can be used to correct the excessive chest tissue. He will then discuss the technique of liposuction in detail.

Furthermore, Dr. Cambeiro will explain the anesthesia he will use during your breast reduction procedure. He will address the risks involved in the surgery as well as your expectations of the overall outcome. You will also be given a cost estimate for your procedure. In most cases, your insurance plan may cover the breast reduction procedure, but you should check your policy to make sure.

Your Second Office Visit

You will receive a general physical examination to ensure that no new underlying medical problems exist that may interfere with the safety of the breast reduction surgery. Any infections that you may have should be discussed with Dr. Cambeiro before your operative date.
You will receive specific instructions on how to prepare for breast reduction surgery. The instructions will include guidelines on eating, drinking, smoking, and taking or avoiding certain vitamins, iron tablets and certain medications.
A list of your medications will be reviewed and certain medications should be discontinued at least 2 weeks prior to the operation.
You will be asked to refrain from taking any medications or other substances which could potentially be the cause of surgical complications such as aspirin, NSAIDs and vitamin E. These medications interfere with the blood clotting mechanism and can cause bleeding complications
Patients with high blood pressure must have their condition well controlled prior to breast reduction surgery and should plan to take their blood pressure medication right up to the time of their operation.
Pre-operative digital photographs are taken so that you can see the improvement from your surgery afterwards. You will be asked to sign a photographic consent prior to having any photographs taken. Pictures are usually taken 3 months after your procedure

Dr. Cambeiro will write prescriptions for post-operative antibiotics to decrease your risk of infection and a pain medication for post-operative pain relief.
You will receive specific instructions regarding the date and time of your procedure before leaving his office.
You will be instructed not to eat or drink anything after midnight the night before your breast reduction surgery.
You will be asked to pay your surgical fee at your pre-operative visit. The fee is determined at the time of the consultation, and is different for every scenario or combination of areas treated.
Scheduling breast reduction surgery involves payment of a non-refundable deposit, as there are costs involved with preparing for the operation, and for holding operating room time
You will be asked to sign a consent form for the surgical procedure as well for board-certified anesthesia.
You will be asked to pre-arrange for somebody to drive you home from the surgery office after your surgery. You cannot operate motor vehicles after surgery, and we will not place recently sedated patients in taxis for transport home. We can arrange for medical transport in the event you cannot find an escort. It is mandatory to have someone stay with you for at least 24 hours after breast reduction surgery for your comfort and safety

Your Surgery Day

Wear loose fitting clothing that will wash easily in the event they are soiled.

Leave all jewelry, contact lenses, or other valuables at home. Remove all body jewelry from pierced body parts the day of breast reduction surgery.

Your vital signs will be checked by Dr. Cambeiro's nurse before your operation begins.

Dr. Cambeiro will place skin markings on your chest to direct him during the procedure. You will meet with the anesthesiologist to review your medical history. The breast reduction procedure will take one to two hours, depending on the amount of work required.

Male Chest Reduction Before & After Photos

Keep in mind that each patient is unique and your results may vary.

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Chest Reduction Recovery

At the conclusion of your breast reduction procedure, you will be placed into a pressure vest over tape and gauze dressings.
You should not drive until you have normal return of daily activity and are off any narcotic medications.
You should avoid strenuous activities such as bending, lifting, and sports for about three weeks.
Avoid drinking alcohol as it can lead to fluid retention and delays recovery.
It is necessary that a responsible adult escort be available to transport you to and from the operation, and be available for the first 24 hours.
During that time, the caretaker will assist the patient in getting up to the bathroom, taking medications, and eating and drinking. During the first 12-24 hours you stay on a liquid diet and advance yourself as tolerated.
The chest will become bruised, swollen, and tender for a week or so, but the pain should not be severe, and is usually well controlled with the pain medication that is prescribed
Antibiotics are continued for five days after the breast reduction procedure to lower the risk of infection.
You should be up and walking on the morning following your surgery, and a light solid diet begun to the point of tolerance.
If you have a temperature over 99.5 degrees, chills or sweats, a markedly different degree of swelling between sides, and/or increasing rather than decreasing pain—call the office immediately!
You should be able to return to work within a few days to week, depending on the level of activity required for your job.
You are allowed to bathe 48 to 72 hours after the breast reduction procedure. Showering is then permitted but the incisions should not be submerged, as in a tub or pool.

Final Result

After two to three days, Dr. Cambeiro will remove the dressings, and the incisions are checked to ensure that there are no problems or complications such as infection.
You will be asked to wear the vest around the clock for four to six weeks for support of the skin during the early stages of wound healing.
The skin of the chest may feel numb for a while, usually the feeling will return in six to eight weeks, but can take up to a year to feel completely normal.
Heavy exercise should be avoided for three to four weeks, and you should stay away from sporting activities or work that risks a blow to the chest for four weeks as well.
Avoiding sun exposure to the incisions sites for six months or more reduces the risk of dark pigmentation of the scars; you may need to use a sunscreen for up to a year for this reason. It normally takes approximately six to eight weeks for all of the initial swelling to subside.

How to Get Started

If you would like more information about Gynecomastia surgery, Las Vegas plastic surgeon Dr. Cambeiro invites you to request a consultation or give our office a call at (702) 734-4100 for confidential and informative answers to all of your questions.