© Copyright 2026 American Medical Association. All rights reserved.
A mastectomy for gynecomastia is a surgical procedure aimed at addressing the condition known as gynecomastia, which is characterized by the abnormal enlargement of breast tissue in males. This enlargement can occur in one or both breasts and is often due to an excess of glandular tissue. The procedure involves the excisional removal of this excess breast tissue, which is typically indicated for patients who have significant amounts of glandular tissue that may cause discomfort or psychological distress. During the surgery, an incision is strategically made at the base of the areola, which is the pigmented area surrounding the nipple. In cases where there is a substantial amount of breast tissue to be removed, the incision may be extended into the inframammary fold, which is the crease beneath the breast. The surgeon carefully dissects the excess tissue from the underlying pectoral muscle and excises it, ensuring that any excess skin is also removed to achieve a more contoured appearance. After the removal of the tissue, the incision is closed, and in some instances, a drain may be placed through a separate incision to facilitate the drainage of any fluid that may accumulate post-operatively. Finally, the chest area is wrapped to provide necessary compression to the surgical site, aiding in the healing process and minimizing swelling.
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