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What is gynecomastia?
This is a medical name for the enlarged male breasts (from Greek
language “woman-like breasts”). Sometimes it may be associated
with male/female hormonal imbalances. In most cases, however, it
is a common, benign condition consisting of breast fibrous
tissue enlargement and extra fat deposition.
Who is a candidate?
Anyone who is in good general health is a good candidate. There
is no age limit, although, patients with elastic, firm skin have
the best chance to avoid skin excisions. Although temporary
breast enlargement is common in teenage males, prolonged
enlargement may lead to significant emotional distress.
Therefore, correction of gynecomastia may be indicated in this
age group.
How is male breast reduction performed?
The recent development of ultrasonic liposuction almost entirely
eliminated the need for skin excision in cases of male breast
enlargement and thus the creation of unsightly scars typical for
surgical breast excisions. Excess amount of breast tissue and
fat is removed through minute, well hidden incisions, allowing
the skin envelope to conform to the new shape of breasts. The
nipples are preserved. In some extreme cases skin excision might
need to be performed but is then usually limited to circular,
non-conspicuous incision around the nipple. The procedure can be
performed under general anesthesia or IV sedation.
What is the typical recovery?
Correction of gynecomastia is typically an outpatient procedure
(patient returns home after he is recovered from anesthesia).
However, to accommodate some patients’ needs an overnight stay
and nursing support can be arranged. After the procedure, the
patient is placed in an elastic, compressive, spandex-like
garment. The garment can be removed after 3 days, when the
routine activities can be resumed. The garment should be worn
for two weeks after the procedure. The garment is
non-conspicuous and easily hidden under regular clothes. There
is usually minimal discomfort in the first couple days after the
procedure, well controlled with oral medications. Sports and
exercises can be resumed within few weeks.
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