Gynecomastia is a condition that occurs when there’s an imbalance of the hormones estrogen and testosterone. It results in an overgrowth of breast tissue in young and adult males. It can make them feel self-conscious, but it can also cause breast pain, too.
The risk of developing gynecomastia and its pain are lessened by prophylactic breast irradiation. Following the development of gynecomastia, treatment options include readjustment of the estrogen-to-androgen ratio using antiestrogens, surgery in the form of liposuction or, for more advanced cases, breast tissue excision. Mastodynia may be controlled by post-treatment irradiation or analgesics.
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Male breast reduction is performed if you have excess breast gland tissue. Male breast reduction surgery is usually carried out under general anaesthetic. It involves making a cut around your nipple that allows your surgeon to remove the tissue. Cuts may be extended and your nipples repositioned if you have a lot of tissue to remove. The procedure will typically take 90 minutes. Your cosmetic surgeon will take care to place incisions so that the resulting scars are as inconspicuous as possible.
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If gynecomastia weighs heavily on your self-esteem and negatively affects your quality of life, surgery may be a healthy consideration. The procedure is fast, scarring is minimal, and the results are permanent. Patients experience increased confidence as a result of their more masculine chest appearance.
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Most surgeons perform the operation under general anesthesia, but it is a procedure that is also well-suited to being performed under oral sedation and local anesthesia. Depending on how the sedative affects the patient, they could be awake during the procedure or fall in and out of sleep. The area that is anesthetized will be completely numb and no pain will be felt during the gynecomastia surgery.
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Gynecomastia surgery typically has a relatively gentle recovery period. You may feel sore during the first three days of at-home rest, but pain is usually minimal. Most men who use medication to improve their overall comfort find that over-the-counter pain relievers are sufficient. Mild tightness and discomfort typically persists for up to four weeks.
While some men do experience a temporary loss of sensation in the treated area, in most cases, full sensation is gradually restored over the course of a few weeks or months.
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The concern that most patients have is if the problem returns after surgery. After all that risk, money, and maybe some amount of discomfort it is only right to ask these questions.
Once the firm breast tissue is removed, it will not generally return. However, there are other factors that can lead to its recurrence. If the condition arose from the use of medications, anabolic steroids, or hormones, these could contribute to a recurrence of the condition. Post-operative weight gain may also result in a recurrence. Nearly 90% of patients won't see their gynecomastia return after surgery.
What can I expect after gynecomastia surgery?
You’ll notice a trimmer, more contoured chest profile immediately after your procedure, with improved results as postsurgical swelling subsides. Your final physique should be fully apparent within three to six months of surgery.
Gynecomastia surgery produces permanent results, as long as you maintain a stable body weight and avoid using steroids and other medicines or drugs that affect your testosterone levels.
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Surgery for gynecomastia is incredibly safe and most patients have smooth recoveries. In general, surgery for gynecomastia is incredibly safe and most patients have smooth recoveries. Despite the greatest attention to safety on the part of the patient and surgeon, complications can occur. Common complications include bruising, bleeding, fluid collections, contour irregularities, loss of nipple skin, visible scarring, numbness of the nipples, inverted nipples, loose breast skin and asymmetries. Attention to meticulous surgical technique and pre/peri/postoperative management is essential to good outcomes.
If you believe you have gynecomastia and want to discuss treatment options, be sure to seek out a board-certified plastic surgeon in your area.
There is a risk of death in every procedure performed, made greater or lesser depending on any number of patient and procedural factors. Rates of death for plastic surgery is approximately 1 in 50,000 cases.
Your Plastic Surgeon will discuss with you the benefits, risks, and alternatives of any procedure you are considering as part of the informed consent process.