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Gynecomastia-Surgery

Gynecomastia Surgery: What to Expect Before, During, and After the Procedure

Gynecomastia surgery, also known as breast reduction surgery, is performed on males who identify as cisgender or as men by birth. Gynecomastia is a disorder characterized by “excess” breast tissue that makes the chest appear fuller or is actually present. A plastic surgeon can remove enlarged breast in men which includes breast tissue, fat, and skin from the area to produce a flatter chest with improved pectoral outlines. One or both sides of the chest can be treated, typically in the same operation.

Types of gynecomastia surgeries:

There are various types of gynecomastia surgeries. Your surgeon would suggest one type of surgery for you based on factors such as your body type, result expectations etc. Some popular types are:

1.Liposuction

The fat in the chest tissue is suctioned out of the chest cavity during liposuction. The gland tissue in this instance is undamaged. Only those with thin glandular tissue and good skin elasticity should choose liposuction alone. The biggest advantage of this choice is the small scar it will leave behind.

2.Excision

Larger incisions must be made in the afflicted area during an excision. The general shape, length, and placement of the incisions are determined by the size of your chest and the desired outcome. To truly remove the firm glandular breast tissue, excision is required. Gynecomastia surgery bruising can stay for long sometimes; hence it is important to think twice before undergoing the procedure.

3.Combination of both:

To remove as much of the undesirable tissue and fat as feasible, surgeons generally combine liposuction with excision. Sometimes extra breast tissue might sag from its weight and bulk, forcing the nipple downward. This may cause the skin around the nipple (areola) to expand, giving the area the appearance of being larger. The nipple may also need to be resized and positioned during this gynecomastia surgery. This operation is more intrusive and will take longer to recover from.

Benefits of gynecomastia surgery:

Only surgery, specifically liposuction and mastectomy, can eliminate the excess glandular tissue and fat in the chest in gynecomastia patients. Gynecomastia surgery for male breast reduction has a variety of outstanding advantages, such as:

1.Give your chest some shape:

Due to the buildup of glandular mass and fat deposition beneath the areolar region in men with gynecomastia, this condition gives the impression that their body shapes are inconsistent. Gynecomastia is surgically treated by removing extra breast tissue, which gives an impression of a more masculine, toned, and athletic body. If you dress more form-fittingly and your chest seems more manly, you may feel more at ease in social settings.

2.Relief from emotional strain in teens:

Men of all ages are affected by gynecomastia. Male infants may have the syndrome at birth, whereas it may develop later in life in other cases. Typically, young men with this illness experience more severe symptoms, especially those who are still in adolescence. As kids progress through the adolescent years, their emotions undergo significant swings. They frequently encounter peer pressure that makes them feel self-conscious about their appearance. Therefore, if these adolescents obtain therapy or surgery right away as they are diagnosed, they will be better able to handle the psychological and physical implications of gynecomastia.

3.Increased coordination in physical activities:

For men who have gynecomastia, maintaining an exercise regimen can be particularly challenging due to the irritation or difficulty that comes with having additional fat on the chest. Maintaining your chest motionless when performing running and jumping activities is much harder than it seems. There is no range of sportswear for men that would prevent their chests from unintentional movement. Many men find it too uncomfortable to participate in sports that require them to show their chest, such swimming or exercising out in a gym. Gynecomastia surgery might help you regain your confidence and resume your favorite activities after recovery from gynecomastia surgery.

Gynecomastia surgery full recovery time can last from 2 weeks to up to 3-4 months.

4.Could help prevent breast cancer:

Men who have gynecomastia have a slightly greater risk of acquiring breast cancer. Although the danger of males developing breast cancer is already low, gynecomastia surgery can help you completely rule out even that slim chance.

Stages of gynecomastia:

The course of treatment for different types, grades, and stages of gynecomastia, or male breast enlargement, depends on the amount of skin excess and ptosis. Gynecomastia, or the development of male breasts, is divided into grades based on the degree of breast expansion and the quantity of skin excess.

  1. Grade I: A little growth without excessive skin
  2. Grade IIa: Moderate growth without excessive skin
  3. Grade IIb: Mild skin excess and moderate enlargement
  4. Grade III: significant expansion and extra skin that resembles breast ptosis in women

Treatment for options for gynecomastia:

Depending on the underlying cause, such as early puberty, specific illnesses and ailments including hyperthyroidism, cirrhosis, or liver disease, overweight or obesity, maternal transfer, and specific drugs, there are two types of therapy options for gynecomastia.

1.Medicine based treatment:

The doctor may recommend medicine or hormonal therapy to treat gynecomastia, or the development of male breasts, which includes:

  • Your doctor should cease the medicine or replace it with an alternative if the gynecomastia is brought on by it.
  • If hormonal imbalance is the root cause of the gynecomastia, a hormone therapy that increases hormone production will be started.
  • Treatment with synthetic testosterone.
  • Estrogen receptor modulators like clomiphene and tamoxifen.

2.Surgical based treatment:

Based on the existence of fat and glandular breast tissue, two types of gynecomastia surgery or male reduction of the breast are performed:

  • Liposuction (removal of male breast fat tissue)
  • Mastectomy (removal of male glandular breast tissue)

Occasionally, both surgical treatments will be carried out, based on the severity (gynecomastia stages) of the problem.

Final words:

Gynecomastia surgery can undoubtedly change a person’s life for the people it is intended for. The procedure makes it possible to enjoy various activities with greater flexibility and comfort, which can lead to enhanced confidence, a better sense of oneself, and even more satisfying interactions with friends, family, and coworkers. However, the road to recovery is a long one. You must be ready to take as much time off from work or exercise as necessary. For patients to have realistic expectations, it is also necessary for them to be aware of any potential risks and problems. Depending on the patient’s overall health and genetic make-up, individual results can differ.

Experience 20+ Years
Education and Training Fellowship in Aesthetic Surgery (Brazil & Newyork)
MS (General Surgery)
MCh (Plastic Surgery)

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