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When
men develop breasts, the condition is called as Gynaecomastia.Many
males during adolescence develop breasts due to hormonal changes
occurring at the time. This is called physiological gynaecomastia. A
majority of these subside on their own, but in a small minority, they
persist. Presence of gynaecomastia could be very embarrassing to the
person and affect his self esteem and morale. |
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| There
are many other causes for the development of gynaecomastia such as
liver failure, testicular failure, chonic medication with steroids,
cimetidine ,digitalis etc. It is important that you should get a proper
consultation with either an endocrinologist or aesthetic plastic
surgeon who can rule out any cause for the condition. You no longer
need to suffer this condition as scientific advances in Aesthetic
Plastic Surgery allow us to get rid of male breasts without leaving a
mark. Unfortunately, there is presently no non-surgical way to get rid
of male breasts. |
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| Who should have it done? |
| 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. |
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| 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. |
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| Where do I begin? |
| A consultation with your Aesthetic Plastic surgeon at Aesthetics
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. |
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| What kind of anesthesia is required? |
| Usually
the procedure would be done under a general anesthetic for improved
comfort, yet it is possible to do it under local anaesthetic as well. |
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| The procedure |
| If
the breasts are fatty, 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. |
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| What to expect after surgery? |
| There
might be bruising and swelling after surgery that should subside in 3 -
6 weeks. 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
7 days to 2 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. |
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| Risks and complications- |
| 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 anaesthesia. There are very few risks if
the procedure is done under local anaesthesia. 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” will discuss the possibilities of this and ways to avoid
them. |
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| Progress and healing- |
| Incisions
usually heal in 7 to ten days. Stitches are removed around this time.
You will be able to return to work and light normal activity in a weeks
time. You will then be asked to use a moisturizer and massage the skin
of your chest. 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. |
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| Results and outlook- |
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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