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Cosmetic_Concerns

MALE BREAST GYNAECOMASTIA CORRECTION

Overview

Development of breasts in men is called as gynaecomastia. Many males during adolescence develop breasts due to hormonal changes happening at the time. This is called physiological gynaecomastia.

A majority of these subside without the need of any treatment, but in a few they persist. It can be mild called Grade I or severe called as Grade III. Presence of gynaecomastia could be very embarrassing to the person and affect his self esteem and morale. Unfortunately, after adolescence medical treatment will not cure Gynaecomastia and only surgical treatment will give an effective cure..

 

Who should have it done?

male breast The traditional technique of removing Gynaecomastia was through a cut under the breast or nipple. This technique has a higher risk of complications such as scarring, inversion of nipple, tethering and saucerisation. Hence we use the more modern scarless technique using liposuction. Through a tiny keyhole we suck the fat and majority of the glandular part of the breast from under the nipple. Please read FAQ's for more information.

Any physically fit male who has significant breasts large enough to embarrass him is a candidate for surgical correction. Male breasts could be mild, moderate or severe. Mild breasts usually have a glandular structure under the skin, made up of fat and fibrous tissue. There is usually no excess of skin. In moderate breasts, along with the gland, there is some excess of skin, which can contract after the gland is removed. In severe gynaecomastia, the excess skin may have to be removed as well.

 

Could you benefit from gynaecomastia correction?

It is possible to remove the gland and excess skin leaving an almost normal looking chest. The scars are not visible if only liposuction is used. In other techniques, the scar is barely visible. This procedure is likely to give a boost of confidence to your personality. A feeling of normalcy will improve the quality of your life. It's not likely to change your life or the way people treat you. It might possibly improve your confidence and self esteem when you start seeing a better you in the mirror.

 

Where do I begin?

A consultation with your Aesthetic Plastic surgeon at Aesthetics Medispa is the first step to learn how gynaecomastia surgery can improve the appearance of your chest. This consultation will fully educate you in a non-pressured environment and will include a discussion of your goals, options available for Gyanecaomastia correction, likely outcomes, potential risks and complications.

 

What kind of anesthesia is required?

Usually the procedure would be done under a local anaesthesia with conscious sedation for improved comfort, yet it is possible to do it under General anaesthetic as well.

 

Can you tell me about the procedure?

If the breasts are rotund, it is possible to get rid of the breast gland by liposuction alone. Power assisted Liposuction or Ultrasonic liposuction is preferred as male breasts are more fibrous. This way, apart from a few access ports of less than half a centimeter in size, no other marks are left. It is possible to remove all the fat and leave an even chest. The excess skin contracts in the next six weeks. If the breasts are more fibrous and nodular or if a small nodule is left behind after liposuction, then through a small infra-areolar incision the residual nodule is removed.

 

What to expect after surgery?

There might be bruising and swelling after surgery that should subside in half or full month. You will have a soft and comfortable dressing around chest for firm support. You will also have a tube draining accumulated fluids from each side, if excision is done. The dressing and tubes will be removed simultaneously once the drainage stops. Wounds normally heal in less than two weeks. Your plastic surgeon at Aesthetics and the assisting staff will fully attend to your comfort and safety. You will be advised to wear a compression garment for six weeks after surgery. This will allow all the empty spaces to collapse, allow the skin to contact and retract. The skin will also stick to the chest wall muscles.

 

What are the risks and complications involved with the surgery?

Although there are very few risks associated with this procedure, a possible general risk includes bleeding and collection of blood under the skin (hematoma). Bleeding is rare but may have to be stopped. Any surgery carries risks associated with anesthesia. There are very few risks if the procedure is done under local anesthesia. These risks will be fully discussed with you prior to your consent for surgery. General risks like delayed wound healing and infections are common to many other operations and can be treated satisfactorily. Specific risks, which are likely to happen after open or excision technique are saucer deformity, inversion or retraction of nipple. Your consultant at "Aesthetics Medispa" will discuss the possibilities of this and ways to avoid them.

 

What is the progress and healing period?

Incisions usually heal in one and half of weeks. Stitches are removed around this time. You will be able to return to work and light normal activity in a week's time. You will need to massage your chest with a moisturiser. Healing will continue for several weeks. The compression garment would have to be worn for six weeks. You can start light aerobic lower body exercises by two weeks. Proper weight training can be started in six weeks.

 

What about the results and outlooks?

Your final result will be visible almost instantly; however, the swelling and bruising will still make the skin look puffy. Most of the swelling resolves by three months.

 
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