November 24, 2015
Gynecomastia is a condition whereby men’s breasts get over developed or enlarged. This condition is not confined to any particular age and may happen at any time. Many factors might also be responsible for triggering this condition such as drug abuse, obesity, heredity etc.
Just as there are many factors which can be held responsible for this condition, similarly there are many consequences of this condition as well such as impairment of your self-confidence and emotional discomfort etc. This discomfort and lack of self-confidence has the capability of growing to such an extent that many men start avoiding physical intimacy or any other such physical activities that require chest exposure.
Characteristics of Gynecomastia
How do you know that you are suffering from this particular condition?
There are certain symptoms and characteristics which characterize this condition and would let you know whether or not you are a victim of gynecomastia.
Excessive development of glandular tissue
Excessive breast skin and localized fat
Presence of one breast or both breasts ( unilateral or bilateral)
Objectives of Surgical Procedure for Gynecomastia
The objectives of this surgery include the following:
Restoration of male breast contour to normal condition.
Correction of breast deformity, nipple and areola.
Surgical Options for Gynecomastia
There are three options available for a patient with Gynecomastia. These options are listed below.
Mastectomy with Liposuction
Combination of Approaches 1 and 2
Amongst these methods Liposuction assisted Mastectomy is the most popular one. In this surgery an areolar incision is made. After making the incision, the surgeon removes fatty tissue along with minimal glandular tissues.
Small to Moderate Gynecomastia
In small to moderate Gynecomastia, mastectomy with liposuction is extended to the patient’s clavicle, then to the sternum, from sternum to the underside of inframammary crease and finally to the axilla.
From Moderate to Large Gynecomastia
In moderate to large gynecomastia, this suction lipectomy goes all the way to the post axillary fold. Statistics claim that in a large percentage of people, liposuction is conjugated with excision. However both these procedures can be carried out separately as well. The intricacies of these procedures have been explained below in detail.
Using Liposuction to treat Gynecomastia
Now a days liposuction is being rampantly deployed for the treatment of Gynecomastia. This is partly owing to latest developments in Liposuction technology. These developments have led to the emergence of minimally invasive or non-invasive techniques that can be deployed to treat gynecomastia.
Local and General anesthesia is given in this procedure, which is followed by incision on both sides of the chest. These incisions can be placed on different places such as either in your arm pit or the edge of your areola. This placement of incisions is determined by your surgeon’s preferred technique as well as your individual desires. Through these incisions, excessive fat and glandular tissue is removed. At the same time, your surgeon will sculpt a new chest contour for you which looks manly yet natural with your body.
Using Tissue Excision to treat Gynecomastia
In cases of extreme Gynecomastia, Tissue Excision might be used to end up with an optimal outcome. Also, if the skin around your breasts has a saggy, droopy appearance to it then this surgical procedure would work for you. Under this particular type of surgery, more amount of glandular tissue can be removed, as compared to the extent of removal carried out by liposuction alone.
The length of the incisions and their placement would depend upon the extent of the surgery, however generally these incisions are made around the edge of areola. At times, your chest’s natural creases might also serve as the perfect locations for these incisions to be made. The surgeon needs to be careful while making incisions so as not to leave very prominent and protruding scars behind.
General or local anesthesia with sedation is given during this procedure as well. Liposuction and Tissue excision are quite similar as far as recovery is concerned, however you might experience comparatively greater soreness and swelling in the latter process as compared to the former one.
Life after the Surgery
There would be an immediate difference both in the appearance and feel of your chest after the surgery. You wouldn’t feel much pain after the surgery, however you might remain sore for a couple of days. Also, in case you do feel pain, you can ask your patient to prescribe some pain medications for you. Your doctor may also advise you to wear a compression garment during this healing period.
The exact duration of this healing period varies from patient to patient and also depends upon the extent of surgery. Some patients might feel fit to return to their work just a few days after the surgery; whereas others might take a longer time to recover. Some patients have also complained of losing any sensation in their chest region, however this numb sensation is only temporary and finishes after some time.
Maintenance is in your hands
The results obtained from mastectomy are meant to last a lifetime. Your excessive fat, skin and glandular tissues are gone for good. However, the maintenance of this improved chest contour solely depends upon you. It is important that you maintain a healthy lifestyle because if you continue abusing drugs or gain excessive weight, then it is very probable that this condition might recur.
How to Select a Surgeon
There are certain considerations which should be taken into account while selecting a surgeon. First of all the surgeon’s education, his/her qualification and certification should be paid heed. Then the next consideration which is equally important is the amount of experience your surgeon has with Gynecomastia. The third one which is generally ignored but which is extremely important nevertheless is your comfort level with the surgeon. It is extremely important that you are on the same ground with your surgeon so that the surgical outcome is not against your desires or expectations.
Dr. Amjadi MD, DDS, FACS
Certified by the American Board of Plastic Surgeons
915 Gessner Rd #870
Houston, TX 77024
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