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Gynecomastia

Gynecomastia, a medical term that comes from the Greek words for "woman-like breasts," affects aa estimated 40% of men. It may affect only one breast or both. Enlarged breasts on young boys last only a few years and are generally resolved by age 18. Gynecomastia may be associated with obesity, hormonal metabolism imbalance, liver disease or medicinal causes. In the vast majority of cases there is no known cause. Enlarged breasts on a man, however, can be uncomfortable, as well as socially and psychologically devastating.

For men and boys who feel self-conscious about their appearance, breast-reduction surgery can help. The procedure removes fat and or glandular tissue from the breasts and in extreme cases removes excess skin, resulting in a chest that is flatter, firmer, and better contoured.

During your consultation, explain your goals and expectations of the surgery. We will assess the nature of your breasts and the elasticity of your skin to determine the cause of your breast enlargement. It may be caused by fatty tissue and/or glandular tissue. We may need to investigate other causes of the gynecomastia, such as impaired liver function, use of estrogen-containing medications, or anabolic steroids. If a medical problem is the suspected cause, you'll be referred to an appropriate specialist.

The best candidates for surgery have firm, elastic skin that will reshape to the body's new contours. Surgery may be discouraged for obese men, or for overweight men who have not first attempted to correct the problem with exercise or weight loss.

The procedures

Male breast reduction is performed on an out patient basis using a general anesthesia. In some cases overnight stay may be required. The procedure can last from one to two hours depending on the extent of correction.

Liposuction:

If your gynecomastia is primarily caused by fatty tissue, liposuction is usually the procedure of choice.  A slim hollow tube called cannula is inserted through a tiny incision placed in an inconspicuous location on the skin. Using a vacuum system attached to the cannula, excess fat cells are sucked out. The result is a resculpting of bulging breasts into more attractive contours.

Traditional Surgical Excision:

If your gynecomastia is the result of excess glandular tissue, traditional surgical excision may be a better option. The excision may be performed alone or in conjunction with liposuction. Typically, the incision is placed in an inconspicuous area, on the edge of the areola (colored area of the nipple) along lower half of its circumference. Through this incision, excess glandular tissue and fat are removed.

WHAT WILL MY RECOVERY BE LIKE?

For the first few days following your surgery, you will wear elastic surgical dressings which will be exchanged for a special compression garment. This will be worn for about two weeks. Most discomfort associated with surgery can be controlled with oral medication. Some degree of swelling, bruising and tenderness usually subsides in 8-10 days. Most patients are back to work within a week and may resume normal activities after a month.

When male breast-reduction surgery is performed by a qualified plastic surgeon, complications are infrequent and usually minor. The temporary effects of breast reduction include loss of breast sensation or numbness, which disappear after several weeks.

YOUR NEW LOOK

Your breast reduction surgery will result in a chest that is flatter, firmer, and better contoured. Many of our patients say their surgery, in addition to appearance, has enhanced their self-confidence. The results of the procedure are significant and permanent. If your expectations are realistic, chances are good that you'll be very satisfied with your new look.

 


 
 

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