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Gynaecomastia
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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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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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.
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.
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.
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.
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.
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.
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.
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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