Conveniently located to serve St. Louis, Missouri

gynecomastiaGynecomastia occurs in men for a variety of reasons and can be a source of embarrassment or dissatisfaction. It can occur due to hormone intake (steroids or medications), excess alcohol or marijuana use, testicular tumors, liver dysfunction, obesity or can be idiopathic (unknown causes). Whatever the cause, the result is the formation of breast tissue below the areola. This can create a feminine shape to the breast where the nipple is “pointing” and can cause cyclical pain, or discomfort.

Dr. Cabbabe usually advises that you check with your medical doctor about potential causes of gynecomastia such as liver problems or hormonal imbalances prior to pursuing surgery. Alcohol and cannabis use can also contribute to this condition. Your insurance company may pay for this operation in severe conditions,assuming there are no exclusions to the policy. Photographs will need to be taken and submitted for review. The appropriate blood work may need to be done as well as described above.

In a gynecomastia repair procedure, Dr. Cabbabe will reduce the size of your chest and reshape/sculpt the chest as needed. Liposuction is usually incorporated. Some men may only require liposuctioning to achieve their desired result. Most men, however, will require an additional incision in order to remove dense glandular tissue that cannot be liposuctioned under the nipple – areola complex. In moderate or severe cases, more incisions are needed to re-shape the breast and to relocate a low nipple – areola to the appropriate position. Dr. Cabbabe will review these techniques with your prior to surgery.

Preparing for Surgery

Dr. Cabbabe will ask that you refrain from taking any aspirin, plavix, Coumadin, ibuprofen or any other type of blood thinner. Dr. Cabbabe strives to meet and exceed his patient’s expectations. He will meet with you and plan the best procedure based on the quality of your skin and the amount of dense breast tissue versus fatty breast tissue as well as the location of the nipple – areola.

male breast reduction
removal of breast tissue

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The morning of the procedure, Dr. Cabbabe will place marks on your chest where small incisions will be made to perform liposuction and around the areola where the incision will be made to remove the dense breast tissue. Liposuction is usually done first in the breast and around the breast. This is followed by a small incision to remove all of the fibrous breast tissue so that the condition will not recur. Finally, further liposculpting is done to minimize the risk of depressions and create a natural appearance. A drain is left in place for approximately one week to facilitate healing.

Your Gynecomastia will be performed in a hospital or surgery center in St. Louis, MO.


Dr. Cabbabe strives to make the procedure as easy and comfortable as possible for his patients. Before surgery, patients may receive anti-inflammatory pain medications that do not cause bleeding. At the time of surgery, local anesthesia numbing medicine is used that is long – lasting into the breast. After surgery, early range of motion is begun and pain medications are given. If this procedure is done by itself, most patients are able to go home the same day. Pain medication and antibiotics may be prescribed. There may be some numbness in the chest that will improve with time. Most patients are able to shower within 24 hours. Dr. Cabbabe will ask you to wear compression garments for 2 weeks after surgery to help minimize swelling and maximize your result. Recovery is approximately 1-2 weeks from gynecomastia surgery.


Bleeding may occur after surgery and necessitate a return to the OR. Most men have asymmetry before surgery and minimal asymmetry may be present after surgery. Some of the skin may lose sensation, including potentially the nipple – areola complex. There may be areas of skin that are slow to heal, including the nipple – areola complex. Finally, scars may become thick and irritated and require revision surgery.

Irregularities in the chest contour may be present, possibly requiring revision.

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