Gynecomastia is a condition that can affect men of all ages and results in excess tissue in the chest. This condition can create the appearance of large breasts that resemble a female profile, although it varies in severity among affected men. The excess breast tissue causes men to feel self-conscious and uncomfortable, which is why Dr. Armando Soto is pleased to offer procedures and cosmetic surgery to eliminate the appearance of male breasts and sharpen their masculine image. There are many causes of gynecomastia, such as hormonal imbalances or low testosterone levels, and any known cause should be treated before pursuing cosmetic surgery for improvment. However, once ready, Aesthetic Enhancements Plastic Surgery in Orlando is readily available to offer a consultation for patients to discuss their cosmetic goals with Dr. Soto.
Before surgery is recommended, the Dr. Soto may refer you for testing, or possibly prescribe medications to see if any improvement occurs. If the breast enlargement persists, surgery is an option. Mild cases of gynecomastia are corrected with Coolsculptin, Bodytite, or liposuction, depending on your needs and examination. Small incisions are made surrounding the areola where suction tubes (cannulas) are inserted to extract fat and breast tissues. When the enlargement is severe, a longer incision is done to excise breast tissues and loose skin. Skin tightening may also be incorporated and the nipples repositioned so that they are proportional to the new chest shape.
"Bridget and Amanda made a super weird and uncomfortable procedure quite easy! I was really nervous, but their calming manner and conversation relaxed me. The Geneveve treatment was completely painless and there was no down time. My significant other thoroughly enjoys the results as well."- K.M. / Yellowpages / Jun 26, 2017
"My recent mammogram showed leakage around my 45 year old implants. There was also severe hardened scar tissue surrounding them. I did an internet search and found Dr. Armando Soto’s site. He had the absolute best ratings! I will tell you he and his staff are super and deserve every star. Dr. Soto performed removal of old implants, cleanup of scar tissue, and then replacement with new implants.He and his staff are patient,understanding, reassuring, and caring. They answered every call text and question I had. I And my husband feel truly blessed to have been guided through my searching to have found Dr. Armando Soto. I would give them more stars if I could!!!!!"- Anonymous / RateMDs / Oct 26, 2020
"So Happy I Had the Procedure - It has been 2 months since my procedure. Amy at Dr. Soto’s Office in Orlando, Fl did the procedure and she was absolutely amazing. She injected my armpits to numb them and the procedure took about 15 minutes each arm. She set the machine to level 5, which was the highest. I applied ice for the next 24-48 hours to help with the swelling. It was uncomfortable the day off due to the swelling but very little pain as I was still numb. The next day it felt like a had a terrible sunburn in my armpits and was pretty uncomfortable but by day 3-4 the pain was pretty much gone. Swelling remained for the next week and I did get some lumps that eventually went away. About 2 weeks in I went through the purging stage which lasted 1-2 weeks. Fast forwarding to now, 2 months later, I do not wear deodorant 99% of the time. The 1% of the time to do apply very little to my right armpit as I still develop a very mild odor on a hot day. Additionally I’ve notice my armpit hair is pretty much gone. I’m super happy with the results and will decide ext summer if I want to have a second procedure done."- L. / RealSelf / Oct 20, 2020
"Anchor lift with 255cc implants - best surgeon - Only doing a review because I lived on this site pre & post op, looking for similar procedures (and I chose the best surgeon ever, so he deserves a review). I've always had saggy breast, and what I thought was extra breast tissue in my armpit region. It wasn't until I went to see Dr. Soto for liposuction that I was informed I actually had a slight breast deformity - ptosis 3 tubular breast. Dr. Soto respectfully informed me why my breast were so droopy, and that liposuction would not help get the goal I was desiring. He instead explained he could perform an anchor lift which would result in a youthful, perky and pretty breast shape. I had other consultations scheduled after him, but after speaking with him and seeing his amazing bedside manner and dedication to safety, I cancelled the others & booked my surgery with him that same day. The fact that he didn't try to also push liposuction really made me trust him and his judgement - Vs other surgeons wanting to perform any & everything, only for their benefit. He definitely has your best interest at heart & is very realistic about getting you to your goal image/body. I ended up also asking him for implants to make sure I got the shape and fullness that I really wanted. I showed him goal photos, and trusted him to make the best decision based on my body. I think he said I would be around his 3,500 breast augmentation, and his work 100% showed his talent. He's a true artist, I'm still in shock at how amazing my results are!!! My friends and family don't even believe the photos I show them are actually me. I am only 6 weeks post op and they look better every day. Photos speak for themselves. I also looked through hundreds of results from surgeons around the country, and Dr. Soto had some of the best scar results I had ever seen. Being in my 20s, that was a huge concern of mine and I am so so happy I went with him. My scars are already barely noticeable and continue to face. I only wish I had done this sooner!! The entire office (nurses, PA, coordinator, front desk) is beyond sweet, always making you feel comfortable and going out of their way to accommodate you. After surgery, Dr. Soto saw me at least 5 times within the first month to monitor my healing - just goes to show how much they really care for each patient. If my friends & family ever need any work done, I will be sure to send them to Dr. Soto and his wonderful office!!"- K. / RealSelf / Sep 20, 2020
"Lower Body Lift After 3 Kids and 65 Pound Loss - I’ve always been a yo-yo dieter. I’ve also had 3 kids that spanned from 2004 to 2016. At my highest weight I was 215 pounds. Somewhere between 2016 and 2020, I lost about 25 pounds. In January of this year, I weighed in at 188 and I decided enough was enough. So I started my journey. It never even occurred to me to get a lower body lift at that point. I just wanted to lose the weight. Well, in July, I broke into the 140’s. I was so pleased with my commitment, however I was left with a ton of skin after the babies and weight loss. I have very fair skin and have been told the fairer the skin, the thinner and therefor more saggy. Of course! I decided to go see Dr. Soto, after having a few other consultations with other doctors. I don’t know what it was but I felt more comfortable that he knew exactly how to mold me. I had my Lower body lift surgery on July 29th so I’m now 5 days post op. The first few days were rough. The first night I had immense acid reflux that wouldn’t go away. They tried, I just have a history of acid reflux and I would usually control it with Nexium. Well because my muscles were stitched and tightened, it put on that extra pressure and the acid just traveled upward. This was actually the worst part the first day. I opted for the Exparel, which I think was a huge reason I wasn’t in immense pain. It lasted for the first 3 days and now I just take a painkiller as needed, which isn’t often. Another side effect I wasn’t prepared for was the phlegm. It’s a side effect of the anesthesia but once you get that tickle in your throat, it’s very difficult not to cough. Coughing is not fun when you’ve had your muscles fixed. However, sometimes it’s necessary to rid yourself of the phlegm. On day 5, it doesn’t hurt as much as it did on day 2. So my biggest complaint up to this point has really been the acid reflux. I’m trying to learn how to control it with the foods that I eat. I’m instructed not to drink water and to opt for the fruit juices and Gatorades (something that won’t wash away those important electrolytes). Apple juice proved to be an acid builder so now it’s just Gatorade. It’s all trial and error for me right now but I wanted to share my first before and after photos with you all. Dr. Soto and his team have been very helpful, as I have had a lot of questions along the way. I was so sure he would have to do liposuction, however he did not and I’m still very pleased with my new body, even as heavily swollen as it is. I cannot wait to see my final result! You will see a pic of me at 215, then a before surgery body pic at 149 and then 1 day post op."- F. / RealSelf / Aug 03, 2020
Male breast reduction surgery uses general anesthesia and is performed in our accredited surgical facility. The operation lasts up to an hour. It is normal to have bruising and swelling around the chest area for the first couple of weeks. A compression garment must be worn for about 2 weeks to help with reshaping and healing. Most patients are able to return to their normal routine after a few days but must avoid any strenuous physical activities, especially ones that will put pressure on the chest. Results are generally satisfactory with patients regaining their confidence in situations where their chests are bared.
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Male Breast Reduction FAQs
Is This Gynecomastia?
This condition must not be confused with a false gynecomastia, also known as pseudogynecomastia, in which the enlargement is caused by fat deposits instead of breast tissue development. Dr. Soto will be able to determine this by physical examinations or lab tests during the initial consultation. If it is a case of excessive fatty tissues on the chest, the approach in treatment is the same as when removing excess fat tissues in any part of the body. Proper diet and exercises are initially recommended before considering any surgical treatment. However, if the issue persists, a liposuction – sometimes even combined with a lift – may be performed to reshape the chest.
Will My Pecs Show?
Gynecomastia, unfortunately, hides the normal chest muscles that lie underneath the layers of overdeveloped breast tissue. For those who have severe gynecomastia, it is even possible that the overgrowth of breast tissue has developed into internal scarring. With a breast reduction surgery, all excess fat and breast tissues will be removed and the pectoralis muscles will be spared so that they can become more visible. With proper diet and exercise after the surgery, men will be able to tone and strengthen their chest muscle to regain the chest’s natural form.
Is Lipo A Must?
Liposuction is the primary approach in extracting fat or any soft tissues. Because it uses a small cannula to vacuum the fat out, it is a less invasive approach compared to excising the tissue, which requires longer incisions. There are liposuction options that are even less invasive. These options will be provided with more details prior to the surgical plan so the patient can consider all factors and ultimately decide which technique is preferred.
Will There Be Scars?
If the breast reduction technique uses liposuction, the incisions will be minimal and will be placed around or near the areola. The plastic surgeon will make every effort when it comes to making the incisions and suturing to minimize the effects of scarring.