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CoolSculpting Offers New Hope for Treating Gynecomastia Without Surgery

Gynecomastia, sometimes referred to as “man boobs” in the vernacular, is a common condition that affects an estimated 40-60% of men.

It is characterized by enlarged breast tissue, often caused by excess fatty tissue in the chest area.

For those who suffer from gynecomastia, it can take a major toll on self-confidence and body image.

The good news is there are effective treatment options available, including CoolSculpting. 

But does this body sculpting procedure actually reduce the breast tissue associated with gynecomastia? 

Or does it only freeze and eliminate the fat cells?

Freeze Away Your Stubborn Fat Like Never Before

Up to 25% Fat Reduction With CoolSculpting: Treat Yourself Today!

What is Gynecomastia?

The term “gynecomastia” comes from the Greek words “gynec” and “mastos”, which translated literally means “women-like breasts.” It refers to the swelling of breast tissue in males, resulting in breast enlargement.

Gynecomastia occurs due to a hormonal imbalance where levels of estrogen are higher than androgen hormones. It often arises during times of hormonal fluctuations like puberty or aging. Certain health conditions and medications can also cause gynecomastia by impacting hormone levels.

While gynecomastia sometimes goes away on its own, those who have persistent, bothersome symptoms often seek treatment to reduce the size and appearance of their breasts.

Gynecomastia can also range from mild to severe. Mild cases may resolve on their own over time. But more significant, chronic gynecomastia often requires treatment to reduce breast size for comfort and cosmetic reasons.

Why Does Gynecomastia Negatively Impact Men?

a man with gynecomastia

For men suffering from gynecomastia, the enlargement of their breasts can take both a physical and emotional toll:

Physical Effects

  • Breast tenderness, pain or swelling
  • Impaired movement or exercise due to breast discomfort
  • Poor posture from slouching to conceal breasts
  • Skin irritation or infections under the breast

Emotional Effects

  • Embarrassment about appearance
  • Anxiety and depression
  • Low self-esteem and lack of confidence
  • Avoidance of intimacy or activities that reveal the chest

Studies show that men with gynecomastia commonly feel embarrassed, distressed, and avoid social situations. Treating the condition can dramatically improve men's physical comfort, self-confidence, and quality of life.

Gynecomastia: Fat Cells vs. Glandular Tissue

To understand the difference between treatments, it helps to know what’s actually causing the breast enlargement. Gynecomastia is caused by a combination of:

  • Excess fatty tissue - This adipose tissue accumulates in the chest area around the mammary glands. Fatty tissue responds well to procedures like CoolSculpting that crystallize and destroy fat cells.
  • Glandular breast tissue - Medical conditions, hormones, genetics, and other factors can cause glandular tissue growth under the nipple and areola. This excess glandular tissue and connective fibers make the breast feel firm or rubbery. Glandular tissue will not respond to fat reduction procedures alone.

The characteristics and makeup of gynecomastia vary significantly from person to person. The ratios of fatty tissue, glandular tissue, skin laxity, and muscular definition differ based on age, health, genetics, and other factors. 

A proper diagnosis and examination from a doctor is important to pinpoint the exact causes and degree of gynecomastia.

What Are the Treatment Options for Gynecomastia?

There are several options available to treat enlarged male breasts:

  • Lifestyle Changes: Losing weight through diet and exercise can reduce excess fat cells that contribute to breast size. However, this rarely fixes the problem entirely.
  • Medications: If gynecomastia is caused by certain medications, adjusting dosage or switching prescriptions may help.
  • Hormone Therapy: Testosterone therapy can treat gynecomastia caused by hormonal imbalances, but does not work for all patients.
  • Surgery: Traditional surgical options include mastectomy, liposuction, and excision of glandular tissue through incisions. These are invasive, involve significant recovery time, and leave scarring.
  • CoolSculpting: This non-invasive procedure freezes and eliminates fat cells with no surgery or downtime required. It's an excellent choice for mild to moderate gynecomastia caused by excess fat.

Does CoolSculpting Work for Gynecomastia?

CoolSculpting is a popular non-surgical fat reduction treatment used for sculpting areas like the abdomen, thighs, flanks, back, chin, and arms. But does it work for male breast reduction? Let’s take a closer look.

CoolSculpting utilizes cryolipolysis to selectively freeze fat cells without affecting surrounding tissues. 

Each treatment uses a vacuum-like applicator that draws in underlying fat and chills it to the point of crystallization. Over the next few weeks and months, these destroyed fat cells are naturally eliminated from the body.

Numerous clinical studies validate the safety and efficacy of cryolipolysis for non-invasive fat layer reduction. However, CoolSculpting does have limitations:

  • It only removes fat cells, not glandular breast tissue. The freeze process has no impact on breast tissue.
  • It takes multiple treatments and months to see the full results. On average, 20-25% fat layer reduction per treatment area per cycle.
  • The technology cannot target or focus on reducing "man boobs" specifically. Applicators treat the full underarm-to-underarm chest area.

For those with mild gynecomastia consisting of excess subcutaneous fat (but normal glandular tissue), CoolSculpting can produce very good results. It eliminates fat cells that accumulate around the chest to create the appearance of breasts. 

However, the technology cannot directly reduce enlarged breasts caused by overdeveloped glandular tissue.

CoolSculpting and Gynecomastia: What to Expect

Here’s a quick overview of what to expect with CoolSculpting treatment for gynecomastia:

  • Consultation: Your provider will assess your degree of gynecomastia, skin laxity, and treatment goals. CoolSculpting works best for fat (vs excess glandular tissue) and mild to moderate gynecomastia.
  • Treatment: You’ll sit or lie down while the technician places the CoolSculpting applicator on the treatment area - usually covering the entire chest from underarm to underarm. The suction and cooling sensation will begin, lasting about 35 minutes per cycle. You can read, work, or relax during the process.
  • Number of sessions: Most providers recommend 2-4 cycles per treatment area, spaced 6-12 weeks apart for optimal results. So you may need 8-16 total sessions to treat the full chest.
  • Results timeline: Initial results are visible within 3 weeks. Your body continues flushing out dead fat cells for 3-4 months. Maximum results take about 4 months.
  • Downtime: There is no real downtime after CoolSculpting. You can resume normal activities right away. Some mild side effects like numbness, bruising, and tenderness typically resolve within days.
  • Maintenance: A healthy diet and exercise program helps maintain results long-term. You may want touch up treatments every 1-2 years.

CoolSculpting vs. Surgery for Gynecomastia

Surgical procedures like excision or liposuction remain the gold standard treatment for significant gynecomastia and glandular breast tissue.

 But how does CoolSculpting compare to going under the knife? Here are some key differences:

CoolSculptingGynecomastia Surgery
ProcedureNon-invasive, no incisionsInvasive surgical procedure
AnaesthesiaNoneGeneral anaesthesia
Treatment areasFat cells throughout chestGlandular tissue, fat, skin excision as needed
ResultsUp to 20-25% fat layer reductionRemoves glandular tissue for breast reduction
Number of treatmentsTypically 2-4 cyclesOne surgery
RecoveryNo downtime4-6 weeks recovery
Cost$$ for multiple sessions$$$
Side effectsMild: numbness, bruisingMild: numbness, bruising
Ideal candidatesMild gynecomastia, good skin elasticityModerate to severe gynecomastia, glandular tissue

The pros of CoolSculpting are that it’s non-invasive, easy, relatively affordable, and has little downtime. The cons are that it takes multiple treatments over months, cannot directly reduce glandular breast tissue, and has a moderate reduction capability.

For those with stubborn chest fat or pseudogynecomastia, CoolSculpting can be an excellent first step before considering surgery. But for significant glandular breast tissue growth, most plastic surgeons do recommend excision surgery (with or without liposuction) to properly reshape the breast.

The best way to determine which treatment route is right for you? Consult with a board certified cosmetic doctor or plastic surgeon. Get a thorough exam, discuss your goals, and evaluate all your treatment options.

Choosing the Right Provider for Gynecomastia Treatment

Because gynecomastia requires a customized approach, it’s crucial to have an expert provider develop and carry out your treatment plan. This might involve:

  • Exam by a board certified plastic surgeon or cosmetic doctor – They can diagnose the cause, degrees of gynecomastia, and ideal procedures for your goals. Beware of “medispas” that let uncertified staff perform medical assessments.
  • CoolSculpting at a reputable cosmetic clinic – Look for an experienced facility that specializes in cryolipolysis body contouring. Beware of “bargain” fat freezing procedures at unqualified places.
  • Surgery performed by a board certified plastic/cosmetic surgeon – For excisions, liposuction, and other invasive procedures, a highly trained, accredited surgeon is vital for safety and results. Verify their credentials.

Don’t underestimate the importance of choosing qualified providers at each stage. Even with the most advanced techniques available, practitioner expertise and experience drive success.

Take Control: Living Well with Gynecomastia

Beyond medical treatment, there are also lifestyle steps you can take to manage gynecomastia:

  • Healthy diet – Nutrient-dense foods support hormonal balance. Limit soy, dairy, alcohol, processed carbs, and sugars which may aggravate gynecomastia.
  • Regular exercise – Strength training can build muscle definition underneath the breast. Cardio activity helps prevent excess fat accumulation. But over-training pecs can worsen appearance.
  • Stress management – Chronic stress raises cortisol, triggering hormonal changes. Healthy stress relief improves overall wellbeing.
  • Support forums – Connecting with others living with gynecomastia provides community support and inspiration.
  • Body positivity - Self-acceptance starts within. Be wary of unrealistic body ideals. Focus on your own health and confidence journey.

Conclusion: Weighing CoolSculpting Pros and Cons for Gynecomastia

coolsculpting on tummy

CoolSculpting can reduce fat cells that enlarge the appearance of male breasts, providing subtle improvements for some gynecomastia sufferers. 

However, it has limitations when glandular breast tissue is the primary culprit. The pros of this non-invasive approach are little downtime, moderate results, and no surgery needed. But the cons are the need for multiple treatments and inability to fix overdeveloped mammary glands.

If you're considering CoolSculpting for gynecomastia treatment, consult our experts at NJ Center for CoolSculpting. Our experienced providers can assess your specific anatomy and goals to determine if CoolSculpting is right for you. They can advise you on the potential results, number of treatments needed, and total costs.

There are more treatment options for gynecomastia available now than ever before. By educating yourself and selecting the right approach, you can take control and improve your self-confidence. Schedule a consultation with the experts at NJ Center for CoolSculpting to determine if it's right for you.

Freeze Away Your Stubborn Fat Like Never Before

Up to 25% Fat Reduction With CoolSculpting: Treat Yourself Today!


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What Our Clients Say About Us

  • "The treatment itself was not uncomfortable. Afterwords, I felt great. I didn't really notice anything for about 30 days. After day 30 until about a month later, I started noticing that my favorite jeans were not as tight anymore. I wasn't having to suck in to get them buttoned. And by that two month period after my CoolSculpting

    Lesley Hamilton

    Age 41

  • "It's subtle at first, and then a month later you look and go, "Wow - It really did something!" It really moved the bar for me, and I'm feeling better about myself already. It feels so good to put on anything and know I look as good as I've ever looked. And I didn't say that or feel that when I was in my 20's, 30's, and 40's."

    Anne McMarthy

    Age 56

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