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Gynecomastia (male breast enlargement), is a very common condition in men. It affects an estimated 40 to 60 percent of men.
It can result in terrible embarrassment, teasing, and social trauma. Many will try to hide it with thick shirts, avoiding bare chested activities, and withdrawing from public exposure.
It may affect only one breast or both. Though certain drugs and medical problems have been linked with male breast overdevelopment, there is no known cause in the vast majority of cases.

For men who feel self-conscious about their appearance, breast-reduction surgery can help. The procedure removes fat and or glandular tissue from the breasts, and in extreme cases removes excess skin, resulting in a chest that is flatter, firmer, and better contoured.


HOW WILL THE PROCEDURE BE PERFORMED?
First, your surgeon will examine your breasts and check for causes of the gynecomastia.
Once your surgeon knows how much fat and glandular tissue is contained within the breasts, he can choose a surgical approach to best suit your needs.

If excess glandular tissue is the primary cause of the breast enlargement, it will be excised, or cut out, with a scalpel. The excision may be performed alone or in conjunction with liposuction. In a typical procedure, an incision is made in an inconspicuous location--either on the edge of the areola or in the under arm area. Working through the incision, the surgeon cuts away the excess glandular tissue, fat and skin from around the areola and from the sides and bottom of the breast. Major reductions that involve the removal of a significant amount of tissue and skin may require larger incisions that result in more conspicuous scars. If liposuction is used to remove excess fat, the cannula is usually inserted through the existing incisions.

If your gynecomastia consists primarily of excessive fatty tissue, your surgeon will likely use liposuction to remove the excess fat. A small incision, less than a half-inch in length, is made around the edge of the areola--the dark skin that surrounds the nipple. Or, the incision may be placed in the underarm area. A slim hollow tube called a cannula which is attached to a vacuum pump, is then inserted into the incision. Using strong, deliberate strokes, the surgeon moves the cannula through the layers beneath the skin, breaking up the fat and suctioning it out. Patients may feel a vibration or some friction during the procedure, but generally no pain.

ANESTHESIA
General or local with added sedation (you'll be awake, but very relaxed and insensitive to pain).

SURGERY LENGTH
Between 1H30 and 2 hours.

RECOVERY
Whether you've had excision with a scalpel or liposuction, you will feel some discomfort for a few days after surgery. However, discomfort can be controlled with medications prescribed by your surgeon.

You'll be swollen and bruised for awhile--in fact, you may wonder if there's been any improvement at all. To help reduce swelling, you'll be instructed to wear an elastic pressure garment continuously for two weeks, and for a few weeks longer at night. Although the worst of your swelling will dissipate in the first few weeks, it may be three months or more before the final results of your surgery are apparent.

In the meantime, it is important to begin getting back to normal. You'll be encouraged to begin walking around on the day of surgery, and can return to work when you feel well enough--which could be as early as a day or two after surgery.

REMOVAL OF THE STITCHES
The stitches will be removed about one week or 10 days.

RESULTS
The results of the procedure are significant and permanent. If your expectations are realistic, chances are good that you'll be very satisfied with your new look.



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