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Plastic Surgery for Gynecomastia

Gynaecomastia

Enlarged or overdeveloped breast in men is known as gynecomastia. Gynecomastia can be present at any age due to genetics, use of certain medications, or other reasons. It may be present in one breast (unilaterally) or in both breasts (bilaterally).

Gynecomastia can hamper self-confidence in some men. Due to which they avoid certain physical activities and intimacy simply to hide their condition.

You don’t have to let gynecomastia keep you from feeling your most confident. With male reduction surgery, you can restore a naturally masculine appearance to your chest. Male reduction surgery is a removal of excess fat and glandular tissue to restore a flatter, firmer and more masculine contour to the chest.

In some cases, gynaecomastia can be improved with non-surgical treatments, such as changing a medication or by medically treating the cause of the abnormal hormone levels. For some men, however, surgery to remove the excess breast tissue may be the best treatment option.

Indications for male reduction surgery

Best reduction is indicated only if:

  • Alternative medical treatments are ineffective in treating the condition
  • You are self-conscious about the appearance of your breasts
  • You experience discomfort as the breast tissue is tender and sore
  • You are physically healthy
  • You have realistic expectations
  • Your breasts are fully developed
  • You are not a smoker or a drug user

Types of procedures

Your doctor may perform:

  • Liposuction technique
  • Excision technique
  • Combination of liposuction and excision techniques

Your doctor will carry out the surgery under intravenous sedation or general anesthesia. Before performing surgery your doctor will administer medications for your comfort.

Liposuction technique

In cases where gynecomastia is primarily the result of excess fatty tissue, liposuction techniques alone may be used.

Procedure

Several small incisions are made in chest, where cannula is inserted.

Depending on your and your surgeon’s preferred technique, incisions may be located along a portion of the edge of the areola or within the armpit.

The cannula is moved back and forth in a controlled motion to loosen the excess fat. Then it is removed from the body by vacuum suction.

Post-surgery recovery

The recovery process following liposuction is typically quite tolerable.

To minimize swelling and offers support to the healing tissues, you’ll be given a compression garment to wear for the first few weeks after surgery.

Your doctor will ask you to avoid vigorous exercise for about 3 weeks.

Tissue Excision Technique

Excision technique is recommended:

  • When removal of glandular breast tissue or excess skin is needed.
  • If the areola needs to be reduced or the nipple needs to be repositioned to a more natural male contour.
  • In patients who have stretched, sagging skin around the breasts.

Incision patterns vary depending on the specific conditions and surgical preference.

Typically your doctor will make an incision around the edge of the areola (peri-areolar incision) or within the natural creases of the chest.

Post-surgery recovery

  • You may experience soreness and some swelling.
  • You can return to work within 1 week of surgery.
  • A gradual return to exercise is usually permitted after the first couple of weeks.

If you experience any of the following symptoms post-surgery, notify your surgeon immediately:

  • Temperature higher than 38ºC or chills
  • Nausea, vomiting, shortness of breath or diarrhea
  • Heavy bleeding from the incisions
  • Leakage of blood or fluid beyond the first day after surgery
  • Worsening and/or spreading redness around the incision sites
  • Increasing pain or tenderness in either breast

Complications

Post-surgery, you may find following symptoms over the treated areas:

  • Scarring that will fade over time
  • Heavy bleeding
  • Pain or swelling
  • Temporary loss of sensation

Usually results in male reduction surgery are permanent. However, significant weight gain, steroid use, or certain medical conditions could result in a recurrence of gynecomastia. Additionally, drugs that influence testosterone levels could also affect your results.

For further information about plastic surgery for gynecomastia, consult our skilled surgeon at CMC, Mohali.