Gynecomastia is a condition that affects an estimated 40 to 60 percent of men at different stages throughout their lives. It may affect only one breast or both. Though certain drugs and medical problems have been linked with male breast over-development, in the vast majority of cases there is no known cause.
Surgery to correct Gynecomastia can be performed on healthy, emotionally stable men of any age. 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.
Excessive drinking and smoking along with anabolic steroids have been linked to the increased likelihood of Gynecomastia. Therefore, patients presenting with these issues are first directed to stop the use of these drugs to see if the breast fullness will diminish before surgery is considered as an option.
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For men 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 initial consultation Mr Klein will carry out a complete medical history, examine the area and undergo an evaluation of your health and wellbeing along with addressing any existing medical conditions.
During the consultation Mr Klein will discuss and check for causes of the Gynecomastia, such as impaired liver function, use of oestrogen-containing medications, or anabolic steroids. If a medical problem is the suspected cause, you’ll be referred to an appropriate specialist.
Surgery for Gynecomastia is most often performed as an outpatient procedure. In some cases an overnight hospital stay may be recommended.
Gynecomastia may be performed under general anesthesia (you are asleep), or in some cases, under local anesthesia plus sedation (you’ll be awake, but very relaxed and insensitive to pain).
When Gynecomastia is performed by a qualified plastic surgeon, complications are infrequent and usually minor. Nevertheless, as with any surgery, there are risks. During your consultation the risks and limitations of the procedure will be explained in detail.
Gynecomastia surgery usually takes about an hour and a half to complete. However, more extensive procedures may take longer. If excess glandular tissue is the primary cause of the breast enlargement, it will be removed with a scalpel. The excision may be performed alone or in conjunction with Liposuction.
In a typical procedure, an incision is made in an inconspicuous location—either on the edge of the areola or in the under arm area. Working through the incision, your surgeon cuts away the excess glandular tissue, fat and skin from around the areola and from the sides and bottom of the breast.
Major reductions that involve the removal of a significant amount of tissue and skin may require larger incisions that result in more conspicuous scars. If liposuction is used to remove excess fat, the Cannula (suction device used to remove excess fat) is usually inserted through the existing incisions.
In extreme cases where large amounts of fat or glandular tissue have been removed, skin may not adjust well to the new smaller breast contour. In these cases, excess skin may have to be removed to allow the remaining skin to firmly re-adjust.
|A. Many men have Gynecomastia – enlarged breasts caused by excess glandular tissue or fat (or both).|
|B. Glandular tissue must be cut out, usually through a small incision near the edge of the areola.|
|C. Fatty tissue can be removed by Liposuction. A small, hollow tube is inserted through a tiny incision, leaving a nearly imperceptible scar.|
|D. Following surgery for Gynecomastia, the patient has a more masculine chest contour.|
Whether you’ve had excision with a scalpel or Liposuction, you will feel some discomfort for a few days after surgery; this can be controlled with prescribed medications.
After surgery your breast area will be swollen and bruised for a little while and in fact, you may wonder if there’s been any improvement at all due to the swelling. To help reduce swelling, you’ll be instructed to wear an elastic pressure garment continuously for a week or two, and for a few weeks longer at night.
Although the worst of your swelling will dissipate in the first few weeks, it may be three months or more before the final results of your surgery become apparent.
Gynecomastia surgery can enhance your appearance and self-confidence. Before you decide to have surgery, think carefully about your expectations and discuss them with Mr Klein. The results of the procedure are significant and permanent. If your expectations are realistic, chances are you’ll be very satisfied with your new look.