Gynecomastia is enlargement of breast tissue in men. There may be enlargement of one or both breasts. It occurs in as many as 40 - 60% of men. The cause is not always known, but the incidence increases with certain drugs (digitalis, anabolic steroids, Tagamet, and spironolactone), use of marijuana or alcohol, and obesity. This condition can cause extreme embarrassment, social inhibition and self-consciousness for boys and men who suffer from it.
This procedure is used to remove fat and/or glandular tissue from the breasts. In extreme cases, skin is removed as well. The result is a flatter, firmer and more masculine-looking chest.
If you think that you have this condition, you should consult with your physician to rule out a more serious condition such as liver or endocrine disease. If you are otherwise healthy, breast reduction surgery may significantly help your appearance and self-image. Benefits
Q. What are the causes of Gynecomastia (male breast enlargement) ?
Physiologic Gynecomastia is seen in newborn infants, pubescent adolescents, and elderly individuals. The other causes may include obesity, aging, chronic liver disease. It can be the side effect of some medications such as gonadotropins, clomiphene, phenytoin, and exogenous testosterone - drugs that enhance estrogen synthesis or drugs that inhibit production or action of testosterone such as ketoconazole, metronidazole, alkylating agents, cisplatin, spironolactone, cimetidine, flutamide, finasteride, and etomidate Gynecomastia can also be due to genetic causes.
Klinefelter's Syndrome is one such genetic disorder characterized by abnormal enlargement of one or both breasts in men; hard tiny testicles that never grow, infertility, incomplete masculine body build, height, (6 ft. or more), may not be particularly athletic or co-ordinated.
Q. Who can undergo male breast reduction surgery or surgical correction for Gynecomastia ?
If you are not over weight and have skin with normal elasticity overlying your breasts, are mentally and emotionally stable (whatever your age may be), if you do not smoke or drink, then youcan undergo for surgical correction of Gynecomastia.
Q. How is the surgical correction for male breast (Gynecomastia) done ?
Reducing the size of the male breast involves performing liposuction in the area in order to remove the fatty tissue that is beneath the breast. First, a small incision is made around the nipple of the breast or breasts. Then, a small metal tube is inserted through the incision and used to help suck the fatty tissue out of the patient's breast. In some cases, the surgeon must also remove glandular tissue from the breast in order to achieve the desired results.
The entire male breast reduction procedure generally takes one to three hours to complete, though the exact amount of time required will depend upon the size of the breast and what needs to be removed in order to achieve the desired results. Some patients may be released to go home on the same day of the surgery, while others may need to remain in the hospital for one or two nights. Following the surgery, patients must also wear a special Lycra garment for three weeks in order to provide additional support and to assist with the healing process.
Q. How to prepare for the surgical correction for male breast (Gynecomastia) ?
All the routine screening tests including blood and urine examination x-ray of chest will be preformed before surgical correction for Gynecomastia. Make sure you discuss in detail all the aspects of the procedure i.e. description of the procedure, scars from the incision, risks involved, chances of post-operative complications, before and after photographs, all the prescription and non-prescription medications that you take including vitamin and herbal supplements.
These discussions will help you to make an informed decision and be comfortable with your decision to undergo Gynecomastia correction. You will be advised to eat a healthy diet and stop smoking at least 2 weeks prior to surgery. You will also be advised to refrain from eating or drinking anything at least 12 hours prior to Gynecomastia correction surgery.
Q. What is the outcome of surgical correction for Gynecomastia ?
Surgical correction of Gynecomastia has good results and men undergoing this procedure are quite pleased with the results. The changes produced by this procedure are significant and permanent.
Risks
As with any type of cosmetic surgery, there are certain risks associated with male breast reduction (gynaecomastia surgery).
Some of the risks associated with all cosmetic surgeries include : -
Bleeding
Bruising
Infection
Negative reaction to anesthesia
Scarring
Swelling
Some of the risks and potential complications that are specifically associated with male breast reduction include : -
Change of pigment in the breast, which may be temporary or permanent
Excessive accumulation of fluids in certain areas of the body
Excessive loss of fluids in the body, which can lead to shock
Experiencing asymmetry in the breasts from uneven fat and tissue removal
Feeling unhappy with the results
Loss of sensation in the nipples
Numbness in the breast, which can last for up to one year
Uneven positioning of the nipples following the procedure
In order to decrease the risks associated with male breast reduction, it is best to perform the procedure in younger men whose skin is still elastic and capable of springing back into place. Nonetheless, men of all ages are eligible for treatment.
Q. What is the after care and how long is the recovery period ?
Depending on the extent of surgery, pain can vary from minimal to moderate, and will last from several days to two weeks. Usually, the chest is temporarily swollen and bruised after the surgery. One may also experience numbness or a burning sensation.
Recovery time and privacy needs varies from person to person .Light activities can be resumed within a few days, although your chest will be sore. Most people are able to return to (sedentary) work within three to seven days, and resume more strenuous activities in two to three weeks.
Routine physical activity and exercising (especially lifting, pulling and pushing motions) should be avoided for at least 6 weeks. This will help the scars to heal. Some degree of swelling and bruising may last for 3 to 6 months.
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