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Gynecomastia

Are you dissatisfied with the size or shape of your chest? You’re not alone - gynecomastia is a common condition that causes boys' and men's breasts to swell and become larger than normal. It is often caused by an imbalance of the hormones estrogen and testosterone. Gynecomastia surgery has a 95% worth it rate, meaning that most people who have done it are happy with the results. If you’re considering gynecomastia surgery, check out our website to find out more about the advantages and benefits of this life-changing procedure.

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What is Gynecomastia?

Gynecomastia is a condition that causes the enlargement of breast tissue in men or boys. It can affect one or both breasts and sometimes make them uneven or tender. Gynecomastia is not harmful or dangerous, but it can be embarrassing or uncomfortable for some people.

The main cause of gynecomastia is an imbalance between the hormones estrogen and testosterone. Estrogen is the hormone that makes breast tissue grow, while testosterone is the hormone that prevents it. Normally, men have much higher levels of testosterone than estrogen, but sometimes this balance can change due to various factors, such as puberty, aging, obesity, medication, or certain diseases.

Gynecomastia usually goes away on its own, especially if it happens during puberty or as a result of weight loss. However, some people may choose to have surgery to remove the excess breast tissue and improve their appearance. This is called male breast reduction surgery, and it is a cosmetic procedure that is not usually covered by insurance.

If you have gynecomastia and you are concerned about it, you should talk to one of our patient coordinators. They can help you determine the cause of your condition and the best treatment option for you.

Gynecomastia self-care

Gynecomastia surgery can offer many benefits for men who suffer from enlarged breasts.

Some of the main benefits are:

Improved appearance:

Gynecomastia surgery can reduce the size and shape of the male breasts and create a flatter, firmer, and more masculine chest contour. This can enhance the overall appearance and proportion of the body and make clothes fit better.

 

Increased confidence:

Gynecomastia surgery can boost the self-esteem and confidence of men who feel embarrassed or ashamed of their chest. Many men report feeling more comfortable in social situations, intimate relationships, and professional settings after undergoing gynecomastia surgery.

 

Reduced physical discomfort:

Gynecomastia surgery can alleviate the physical discomfort and pain that some men experience due to enlarged breasts. This can include chafing, irritation, inflammation, or tenderness of the breast tissue or nipples.

 

Improved health:

Gynecomastia surgery can improve the health and well-being of men who have gynecomastia due to underlying medical conditions or medications. By removing the excess breast tissue, the surgery can help treat or prevent complications such as infections, inflammation, or cancer.

Is Gynecomastia Surgery Right for You?

Gynecomastia surgery is a safe and effective procedure that can help men achieve their desired chest appearance and improve their quality of life. However, not every man with enlarged breasts is a good candidate for gynecomastia surgery. To be eligible for gynecomastia surgery, you should:

- Be in good physical and mental health
- Have realistic expectations about the outcome of the surgery
- Have stable body weight and no plans to lose or gain significant weight
- Have no active infections or bleeding disorders
- Have no medical conditions that could impair healing or increase risks
- Have no history of smoking or substance abuse
- Have tried other non-surgical treatments such as diet, exercise, or medication without success

If you think you may have gynecomastia and are interested in gynecomastia surgery, you should consult with our patient coordinator. After that, the surgeon will evaluate your condition, discuss your goals and expectations, explain the risks and benefits of the surgery, and recommend the best technique for your case. Together, you can decide if gynecomastia surgery is right for you and plan your treatment accordingly.

Types of Gynecomastia

Liposuction

Liposuction is a minimally invasive procedure that removes excess fat from the breast area using a thin tube called a cannula. The cannula is inserted through small incisions in the skin and moved back and forth to break up and suction out the fat. Liposuction can be done under local or general anesthesia, depending on the extent of the procedure and your preference. Liposuction is suitable for men who have mild to moderate gynecomastia caused by excess fat, but not excess glandular tissue or skin.

 

+ Benefits of Liposuction

- It can improve the shape and contour of your chest
- It can reduce pain and discomfort caused by large breasts
- It can boost your self-confidence and body image
- It has a shorter recovery time than other procedures
- It leaves minimal scars that are hidden in the natural creases of the skin

 

- Risks of Liposuction

- It may not remove all the excess breast tissue, especially if you have more glandular tissue than fat
- It may cause unevenness, asymmetry, or irregularities in your chest
- It may cause bleeding, infection, bruising, swelling, or numbness in the treated area
- It may damage nearby nerves, blood vessels, muscles, or organs
- It may require additional procedures to correct any complications or unsatisfactory results

 

Excision

Excision is a surgical procedure that removes excess glandular tissue and skin from the breast area using a scalpel. The incisions are usually made around the areola (the dark circle around the nipple) or along the lower edge of the breast. The excess tissue and skin are then cut out and the remaining skin is stitched together. Excision can be done under local or general anesthesia, depending on the extent of the procedure and your preference. Excision is suitable for men who have moderate to severe gynecomastia caused by excess glandular tissue and/or skin, but not excess fat.

 

+ Benefits of Excision

- It can remove all the excess breast tissue, including glandular tissue and skin
- It can create a flatter and firmer chest
- It can reduce nipple size and reposition it if needed
- It can boost your self-confidence and body image
- It can provide permanent results, unless you gain weight or have hormonal changes

 

- Risks of Excision

- It may cause more visible scars than liposuction, especially if you have large incisions
- It may cause bleeding, infection, bruising, swelling, or numbness in the treated area
- It may damage nearby nerves, blood vessels, muscles, or organs
- It may cause loss of sensation or function in your nipples or chest
- It may require additional procedures to correct any complications or unsatisfactory results

 

Combination

Combination is a procedure that combines liposuction and excision to remove excess fat, glandular tissue, and skin from the breast area. The liposuction is done first to remove excess fat, followed by excision to remove excess glandular tissue and skin. The combination procedure can be done under local or general anesthesia, depending on the extent of the procedure and your preference. Combination is suitable for men who have severe gynecomastia caused by excess fat, glandular tissue, and skin.

 

+ Benefits of Combination

- It can address all aspects of gynecomastia: fat, glandular tissue, and skin
- It can create a flatter, firmer, and more proportionate chest
- It can reduce nipple size and reposition it if needed
- It can boost your self-confidence and body image
- It can provide permanent results, unless you gain weight or have hormonal changes

 

Risks of Combination

- It may cause more visible scars than liposuction alone, especially

Gynecomastia Surgery

Before the Surgery

Before your surgery, you will have a consultation with your surgeon to discuss your medical history, your expectations and your goals. Your surgeon will examine your chest and take measurements and photos for your medical record. You will also have some tests done, such as blood tests and an electrocardiogram (EKG), to make sure you are healthy enough for surgery.

Your surgeon will explain the details of the surgery, including the technique, the anesthesia, the risks and the recovery. You will have the opportunity to ask any questions you may have and to express any concerns.

 

Your surgeon will also give you some instructions on how to prepare for your surgery, such as:

- Stop smoking at least two weeks before the surgery, as smoking can interfere with healing and increase the risk of complications.
- Avoid taking aspirin, anti-inflammatory drugs and herbal supplements that can increase bleeding.
- Arrange for someone to drive you home after the surgery and to stay with you for the first night.
- Fill your prescriptions for pain medication and antibiotics before the surgery.
- Do not eat or drink anything after midnight the night before the surgery.

 

The Day of the Surgery

On the day of your surgery, you will arrive at the hospital or surgical center a few hours before your scheduled time. You will check in and complete some paperwork. A nurse will take your vital signs and review your medical history. You will change into a gown and have an intravenous (IV) line inserted into your arm.

You will meet with your anesthesiologist, who will administer general anesthesia or local anesthesia with sedation, depending on your surgeon's recommendation. General anesthesia will make you sleep during the surgery, while local anesthesia with sedation will make you relaxed but awake. You will also meet with your surgeon, who will mark your chest with a surgical pen to guide the incisions.

The surgery usually takes one to two hours, depending on the extent of correction needed. Your surgeon will make small incisions around the areola (the dark skin around the nipple) or in the armpit. Through these incisions, your surgeon will remove excess fat using liposuction and excess glandular tissue using a scalpel or scissors. Your surgeon will then reshape the remaining tissue and skin to create a flatter and firmer chest contour. Your surgeon may also reposition or resize the areola and nipple if needed.

Your surgeon will close the incisions with sutures (stitches) and apply bandages or dressings to protect them. You may also have small drainage tubes inserted under your skin to collect any fluid or blood that may accumulate. You will be taken to a recovery room where you will be monitored until you are ready to go home.

 

After the Surgery

After your surgery, you will need to rest and recover for several days. You may experience some pain, swelling, bruising and numbness in your chest area. These are normal and temporary side effects that will subside gradually over time. Your surgeon will prescribe pain medication and antibiotics to help you manage any discomfort and prevent infection.

You will need to wear a compression garment or elastic bandage around your chest for several weeks to support your healing tissues and minimize swelling. You will also need to avoid any strenuous activity, such as lifting, bending or exercising, for about four to six weeks. You can resume your normal daily activities as soon as you feel comfortable, but always follow your surgeon's advice on when and how to do so.

You will have follow-up visits with your surgeon to check your progress and remove any sutures or drains. Your surgeon will also advise you on how to care for your incisions and scars. You should keep your incisions clean and dry and avoid exposing them to direct sunlight or tanning beds. You should also use scar creams or gels as recommended by your surgeon to help them fade over time.

 

Results

Gynecomastia surgery can provide significant improvement in the appearance of your chest and boost your self-confidence. The results are usually permanent, as long as you maintain a stable weight and avoid any hormonal changes that may trigger gynecomastia again. However, you should be aware that aging, gravity and

Gynecomastia Recovery

1 Week After Surgery

During the first week after surgery, you will need to wear a compression garment around your chest to minimize swelling and support the healing tissues. You may also have some drains inserted to remove excess fluid and blood from the surgical site. You should avoid any strenuous activity, lifting, or stretching that could put pressure on your chest. You may experience some pain, bruising, and numbness, which can be managed with medication and ice packs. You should keep your chest elevated when sleeping or resting to reduce swelling and discomfort. You will need to visit your surgeon for a follow-up appointment to check your progress and remove the drains.

2 Weeks After Surgery

By the second week, you should notice some improvement in your swelling and bruising. You may still need to wear the compression garment for another week or two, depending on your surgeon's advice. You can resume some light activities, such as walking or driving, but you should still avoid any heavy lifting or exercise that could strain your chest muscles. You should continue to keep your chest elevated when sleeping or resting. You may start to see some results of your surgery, but keep in mind that the final outcome will take several months to appear.

3 Weeks After Surgery

By the third week, you should be able to return to most of your normal activities, except for those that involve direct contact with your chest, such as sports or swimming. You may still have some residual swelling and numbness, which will gradually subside over time. You may also have some scars from the incisions, which will fade and flatten over time. You should protect your scars from sun exposure by wearing sunscreen or clothing that covers them. You should follow your surgeon's instructions on how to massage and moisturize your scars to improve their appearance.

4 Weeks After Surgery

By the fourth week, you should be able to resume all of your normal activities, including exercise and sports. However, you should listen to your body and avoid any activity that causes pain or discomfort in your chest. You should continue to wear the compression garment until your surgeon tells you to stop. You should also continue to protect your scars from sun exposure and follow your scar care regimen.

3 Months After Surgery

By the third month, you should see a significant improvement in your chest contour and appearance. Your swelling and numbness should be mostly gone, and your scars should be less noticeable. You should be able to enjoy the results of your surgery without any restrictions or limitations. However, you should still maintain a healthy lifestyle and weight to prevent any recurrence of gynecomastia.

6 Months After Surgery

By the sixth month, you should see the final results of your surgery. Your chest should look more masculine and proportional to your body. Your scars should be barely visible and blend well with your skin tone. You should feel more confident and comfortable in your appearance and clothing choices.

1 Year After Surgery

By the one year mark, you should have fully recovered from your surgery and enjoy the long-term benefits of gynecomastia correction. Your chest should remain stable and consistent as long as you maintain a healthy lifestyle and weight. You should be proud of your decision to undergo gynecomastia surgery and celebrate your new look.

Risks and Complications

Gynecomastia surgery is a cosmetic procedure that removes excess breast tissue and fat from men who have enlarged or overdeveloped breasts. This condition, called gynecomastia, can affect men of any age and can be caused by hormonal changes, obesity, certain medications, or diseases. Gynecomastia can cause physical discomfort, emotional distress, and low self-esteem.

The surgery can be performed using liposuction, excision, or a combination of both techniques. Liposuction involves inserting a thin tube (cannula) through small incisions and suctioning out the excess fat. Excision involves making larger incisions and cutting out the excess glandular tissue, skin, and areola (the dark area around the nipple). Sometimes, both methods are used to achieve the best results.

The surgery usually takes one to two hours and is done under general anesthesia. You will need someone to drive you home after the surgery and stay with you for the first night. You will also need to wear a compression garment for several weeks to reduce swelling and support your chest.

As with any surgery, gynecomastia surgery has some risks and potential complications. These include:

- Anesthesia risks: These include allergic reactions, nausea, vomiting, low blood pressure, and breathing problems.
- Bleeding: You may experience bleeding or hematoma (a collection of blood under the skin) after the surgery. This may require additional surgery to drain the blood and stop the bleeding.
- Infection: You may develop an infection at the incision site or in the breast tissue. This may require antibiotics or additional surgery to treat the infection.
- Scarring: You will have scars from the incisions, which may be visible or hidden depending on the technique used. The scars may fade over time or remain permanent.
- Asymmetry: You may have uneven or irregular breast shape or size after the surgery. This may be due to uneven fat removal, skin elasticity, or healing. You may need additional surgery to correct the asymmetry.
- Nipple sensation: You may have changes in nipple sensation after the surgery. This may be temporary or permanent. You may lose sensation or have increased sensitivity in your nipples.
- Fat necrosis: You may have areas of dead fat tissue in your breasts after the surgery. This may cause lumps, pain or inflammation. You may need additional surgery to remove the dead tissue.
- Deep vein thrombosis (DVT): You may develop blood clots in your legs after the surgery. This can be a serious complication that can lead to pulmonary embolism (a blood clot in your lungs) or stroke. You should avoid smoking, stay hydrated and move your legs frequently after the surgery to prevent DVT.
- Unsatisfactory results: You may not be happy with the outcome of your surgery. You may feel that your breasts are too small, too large, too flat, or too round. You may need additional surgery to achieve your desired results.

To minimize these risks and complications, you should follow these tips:

- Choose a qualified and experienced plastic surgeon who specializes in gynecomastia surgery. Ask to see before and after photos of their previous patients and read reviews from other patients.
- Discuss your expectations and goals with your surgeon. Be realistic about what the surgery can and cannot do for you. Understand the benefits and limitations of each technique and choose the one that suits you best.
- Follow your surgeon's instructions before and after the surgery. Stop smoking, avoid alcohol, and certain medications that can increase bleeding risk, such as aspirin and anti-inflammatory drugs. Eat a healthy diet and stay hydrated. Take your prescribed medications as directed and keep your incisions clean and dry. Avoid strenuous activities and contact sports for at least six weeks after the surgery.
- Report any signs of complications to your surgeon immediately. These include fever, redness, swelling, pain, drainage, bleeding, or difficulty breathing. Seek emergency medical attention if you have chest pain, shortness of breath, leg pain, or swelling.

Gynecomastia surgery can improve your appearance and confidence by reducing your breast size and enhancing your chest contour. However, it is important to be aware of the risks and complications associated with this procedure and how to prevent them. By choosing a reputable surgeon, following their advice, and taking good care.

Frequently asked questions

Gynecomastia Before and After

Before and after photos of gynecomastia treatments are a valuable resource for anyone thinking about the treatment. They can help you visualize how the treatment can reduce the size of your breasts and make you feel more confident in your body. By looking at these photos, you can see how gynecomastia treatments can restore a more masculine chest contour and balance your proportions. Browse through our gallery of before and after photos to see the incredible changes that are possible with gynecomastia treatments.

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