| About Gynecomastia surgery procedure:
In cases where gynecomastia is primarily the result of excess fatty tissue, liposuction techniques alone may 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.
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 to a more natural male contour.
Sometimes gynecomastia is treated with both liposuction and excision. |
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Is it right for me?
Male who is physically healthy and of relatively stable weight and
- Breast development has stabilized
- 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 procedure depends very much on your thorough discussion with your surgeon. Be prepared to ask and discuss about your expectations, desired outcome, health history and lifestyle.
Be prepared to discuss:
- Previous health conditions, drug allergies and previous medical treatments
- Use of current medications, vitamins, herbal supplements, alcohol, tobacco and drugs including steroids
- Previous surgeries
Your surgeon may also:
- Evaluate your general health status and any pre-existing health conditions or risk factors
- Perform diagnostic testing to determine the underlying cause of gynecomastia; this may include testing of your endocrine function
- 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 the likely outcomes of gynecomastia correction and any risks or potential complications
- Discuss the use of anesthesia during your breast reduction
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
Your plastic surgeon will also discuss where your procedure will be performed. Breast reduction surgery may be performed in an accredited office-based surgical center, outpatient/ambulatory surgical center, or a hospital.
You’ll need help : If your gynecomastia surgery is performed on an outpatient basis, be sure to arrange for someone to drive you to and from surgery. |
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Will there be scars?
Any surgical treatment to correct gynecomastia will require incisions. While most incision lines are concealed within natural contours, some may be visible and are a necessary result of breast reduction surgery.
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 gynecomastia surgery include:
- Unfavorable scarring
- Bleeding (hematoma)
- Blood clots
- Infection
- Poor wound healing
- Changes in nipple or breast sensation may be temporary or permanent
- If liposuction is used, additional risks include uneven contours, rippling or loose skin, irregular pigmentation, excessive fluid loss or fluid accumulation
- Anesthesia risks
- 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
- Allergies to tape, suture materials, glues, blood products, topical preparations or injected agents
- Breast asymmetry
- Fatty tissue found deep in the skin might die (fat necrosis)
- Fluid accumulation
- Deep vein thrombosis, cardiac and pulmonary complications
- Pain, which may persist
- Possibility of revisional surgery
My Recovery
After surgery, dressings or bandages will be applied to your incisions and an elastic bandage or support garment may be used to minimize swelling and support your new chest contour as it heals.
A small, thin tube may be temporarily placed under the skin to drain any excess blood or fluid that may collect.
Gynecomastia Surgery Recovery Time:
Back to work: 3 to 7 days
Strenuous activity: 2 - 3 weeks
Swelling or Bruising: 3 – 6 months
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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Aesthetic Plastic Surgery
