- About Gynecomastia Surgery
- Good Candidates are
- During your consultations
- Prepare for the surgery
- Possible Risks and complications
- Surgery time required
- My recovery
About Gynecomastia Surgery:
Technically known as reduction mammaplasty surgery, this can be done through the excision technique or liposuction technique or combined. Excision techniques are recommended where glandular breast tissue or excess skin must be removed to correct gynecomastia. Excision also is necessary if the areola will be reduced, or the nipple repositioned is required. An incision is made in the areola, the dark area surrounding the nipple, or in the armpit. Fat and glandular tissue are removed to create a chest that is flatter and firmer, contributing to a more masculine contour.
In case where gynecomastia is partly or primarily due to the result of excess fatty tissue, liposuction technique can be combined to the surgery or this technique alone can be used. This requires insertion of a cannula, a thin hollow tube, through several small incisions. The cannula is moved back and forth in a controlled motion to loosen the excess fat, which is then removed from the body by vacuum suction. There are various liposuction techniques that may be used; the technique most appropriate in your case will be defined prior to your procedure. |
........There are three common incision patterns:
- A circular pattern around the areola
- An inverted T or anchor-shaped incision pattern
Good Candidates are:
.........Men who are physically healthy and of relatively normal weight and
- Your breast development has stabilized
- You are bothered by the feeling that your breasts are too large
Adolescents may benefit from surgery, although secondary procedures may be needed in the future should breast development continue. |
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During your consultation
The success and safety of your Gynecomastia surgery depends very much on your thorough discussion during your consultation. You’ll be asked a number of questions about your expectations, desired outcome, health history and lifestyle.
.....Be prepared to discuss:
- Health history, drug allergies and medical treatments
- Use of current medications, vitamins, herbal supplements, alcohol, tobacco and drugs
- Previous surgeries
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.....Your surgeon may also:
- Evaluate your general health status and any pre-existing health conditions or risk factors
- Examine your breasts, and may take detailed measurements of their size and shape, skin quality, placement of your nipples and areolas
- Take photographs for your medical record
- Discuss your options and recommend a course of treatment
- Discuss likely outcomes of gynecomastia correction and any risks or potential complications
- Discuss the use of anesthesia during your surgery
Prepare for surgery
.....Prior to surgery, you may be asked to:
- Get lab testing or a medical evaluation
- Take certain medications or adjust your current medications
- Stop smoking well in advance of surgery
- Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding
.....Special instructions you receive will cover:
- What to do on the day of surgery
- Post-operative care and follow-up
You’ll need help : If your breast reduction procedure is performed on an outpatient basis, be sure to arrange for someone to drive you to and from surgery. |
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Surgery: time required 1 - 3 hours
Possible Risks and Complications
Your plastic surgeon and/or staff will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks or potential complications.
Risks and risk rates vary from patient to patient depending on a range of factors. The risks listed below are possible risks associated with this type of surgery and are mentioned regardless of how remote the possibility
.....Possible risks of breast reduction include:
- Unfavorable scarring
- Infection
- Changes in nipple or breast sensation, which may be temporary or permanent
- Anesthesia risks
- Bleeding (hematoma)
- Blood clots
- Poor wound healing
- Breast contour and shape irregularities
- Skin discoloration, permanent pigmentation changes, swelling and bruising
- Damage to deeper structures - such as nerves, blood vessels, muscles, and lungs - can occur and may be temporary or permanent
- Breast asymmetry
- Fluid accumulation
- Excessive firmness of the breast
- Potential inability to breastfeed
- Potential loss of skin/tissue of breast where incisions meet each other
- Potential partial or total loss of nipple and areola
- Deep vein thrombosis, cardiac and pulmonary complications
- Pain, which may persist
- Allergies to tape, suture materials and glues, blood products, topical preparations or injectable agents.
- Fatty tissue deep in the skin could die (fat necrosis)
- Possibility of revisional surgery
.....You should know that:
- Breast reduction surgery can interfere with certain diagnostic procedures
- Breast and nipple piercing can cause an infection
- The procedure can be performed at any age, but is best done when your breasts are fully developed
My recovery
When your procedure is complete, dressings or bandages will be applied to the incisions. An elastic bandage or support bra may be worn to minimize swelling and support the breasts as they heal.
A small, thin tube may be temporarily placed under the skin to drain any excess blood or fluid that may collect.
.....Breast Reduction Recovery Time :
Back to work: 3 to 4 weeks
Strenuous activity: around 6 weeks
Fading of scars: several months to a year or more
Following your physician’s instruction is key to the success of your surgery. It is important that the surgical incisions are not subjected to excessive force, abrasion, or motion during the time of healing. Your doctor will give you specific instructions on how to care for yourself.
Your specific instruction may include: How to care for your breasts following surgery, medications to apply or take orally to aid healing and reduce risks of infection, and when to follow-up with your plastic surgeon |
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