Male breast reduction

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Male Breast Reduction Surgery

Gynecomastia or ‘man boobs’ can be embarrassing. It can cause your self-esteem and body image to be seriously affected. Gynecomastia can be treated with male breast reduction liposuction.

Gynecomastia, the medical term for “enlarged male breasts” is a common condition among men. It can develop at various times in life and for a variety of reasons. In infant boys, it’s usually the result of being exposed to excess hormones from the mother during pregnancy or breast feeding. However, this usually disappears as the infant grows. Teenage boys can develop enlargement of one or both breasts as a result of hormonal changes during puberty. However, this also often disappears after puberty.

Gynecomastia becomes a problem in men when enlarged breasts develop and never go away. Most of the time, this is the result of weight gain and the accumulation of fat in the chest region. However, the enlarged breasts can consist of glandular tissue at times. Sometimes man boobs are the result of changes in hormones with age, but it is rare. Enlarged breasts in men can also be caused by medical conditions, such as tumours, kidney disease, or liver disease. However, the most common reason for the development of man boobs is excessive weight gain. And for this, male breast reduction liposuction is an option.Male Chest Reduction

Gynaecomastia can also be caused by medications.

  • Antidepressants
  • Ulcer medications
  • Digoxin
  • Chemotherapy treatments
  • Steroids
  • Epilepsy medications

If you have overdeveloped breasts and feel self-conscious about the appearance of your chest, liposuction treatment can correct the problem. Liposuction is a highly effective treatment for the removal of the localised excess fatty tissues in the breast region. This creates a leaner, flatter appearance.

Patient selection for male breast reduction surgery

Who is a good Candidate for a Male Breast Reduction?

A good candidate for male chest reduction will have a positive outlook and realistic expectations of the outcome of the procedure. He will be undergoing male breast reduction for personal reasons, and not to satisfy anyone else.

There is no optimum age for a male breast reduction patient, but he should have skin with enough elasticity so that it will contour well to the chest’s new shape. Older patients have sometimes lost elasticity in their skin, so their results won’t be as satisfactory as in a younger patient.

Patients who drink excessive amounts of alcohol, smoke marijuana, or use anabolic steroids are not good candidates for the male breast reduction surgery because consumption of those substances has been linked to the development of gynecomastia. If you are suffering from the condition, first stop using those substances to see if the problem resolves itself.

A good candidate for male chest reduction should be as close to his ideal weight as possible. Being overweight can contribute to gynecomastia, so try to lose the weight with diet and exercise before you pursue surgery. Also, non-smokers are better candidates than smokers because smoking interferes with the healing process. If you smoke, you will need to quit at least six weeks before surgery.

Surgical techniques for Male Breast Reduction Surgery

The traditional treatment for male breast reduction employs incisions around the areola followed by removal of the glandular tissue of the breast. The procedure focuses on removal of glandular tissue rather than fat.

Physical exercise should be avoided for four weeks to allow the operation sites to heal properly.

The more common technique involves using liposuction using minimal access techniques, unlike the traditional techniques that require an incision around the nipple.

This technique greatly improves on gynecomastia excision with surgery, by offering:

  1. Tiny incisions
  2. Quicker recovery
  3. Less bleeding
  4. More pleasing aesthetic appearance

The liposuction procedure involves incisions in the axilla (armpit). Most men have breast enlargement due to fat and this is therefore the ideal technique for removal of fat. The liposuction technique can also be used to remove glandular tissue of the breast, using specially designed  toledo cannulas specially developed for gynaecomastia surgery.

Surgeons at Centre for Surgery are fully trained in all techniques for gynecomastia surgery.

male breast reduction
What You Can Expect With Male Breast Reduction Surgery

The consultation begins by having an opportunity to discuss your ideas, concerns and expectations about the chin implants procedure with your surgeon. Patients will be encouraged to ask questions about the procedure to get a better understanding of what the procedure involves.

Your male breast reduction surgeon will:

  1. Take a focused history and examine you
  2. Explain the male breast reduction procedure
  3. Take your needs and preferences into account when deciding on the most appropriate treatment option for you

A male breast reduction surgeon can be either from a plastic surgery or general surgery background (a declared specialist interest in breast surgery). Both specialities are fully trained to perform male breast reduction.

How Do I Prepare for a Male Breast Reduction?
Your surgeon will have you stop taking any blood-thinning medications or herbal supplements one to two weeks before the treatment. You will also need to stop smoking six weeks before surgery, and stop drinking alcohol one week before surgery. The surgeon will order some pre-operative blood work, as well.

Review any paperwork and post-operative instructions beforehand, and make sure you have any necessary cold compresses or prescriptions on hand at home. You will need to arrange to have someone drive you home after the procedure.

Male breast reduction - procedure and recovery
The Male Breast Reduction Surgery

male breast reductionA number of small incisions will be made in the skin. Tumescent anaesthetic solution will be injected into the breasts.

Once the breasts are fully numb, the fat is removed using a special cannula, which is attached by tubing to a strong suction machine.

  • You will be asked to change position from time to time to give the surgeon better access to fat deposits. You will also be asked to stand several times during the procedure so the appearances can be assessed.
  • When the procedure is completed, absorbent pads and the compression garment will be applied and you will be discharged after a short stay in our recovery unit.
Procedure recovery

You can go home once the effects of your anaesthetic or sedation have worn off. Most patients leave after about one hour to spend the rest of their recovery at home.

  • You will be given written post-operative instructions and a follow-up appointment will be arranged for you in six weeks.
  • You will also be given painkillers and antibiotics after your male breast reduction.
  • You will need to arrange transport as you will not be able to drive for 24 hours. A responsible adult must be with you for at least 24 hours after the procedure.

You can expect your recovery to be rapid but there will be some swelling and bruising of the treated area. You can help reduce this by wearing a firm support garment for at least three days or until the fluid drainage stops.

The worst of the swelling will subside in the first few weeks, however it may be as much as two months before the full effect of the male breast reduction surgery is apparent.

  • It is common to experience some numbness or tingling of the skin soon after your procedure but this should settle rapidly.
  • It is important not to engage in vigorous activities for the first five days after surgery.
  • You may return to work and resume most of your normal activities after three weeks and begin to exercise after six weeks.

You will see your surgeon the day after your surgery and at specified intervals during the weeks following your surgery. This is done so that the surgeon can personally monitor your recovery process, and to ensure that you have the best results possible.

Evaluating risks and complications

Male breast reduction is an extremely safe procedure and most patients are extremely satisfied. However, as with all surgical procedures complications sometimes occur.

  • Infection is rare and you will be given prophylactic antibiotics during and after the procedure and for five days afterwards.
  • There will be small (2-3mm) scars which will initially be red. Over a number of weeks, however, these should fade to fine white lines.
  • Following liposuction, the skin retracts, however in some people – particularly those who are older – it may not retract fully. If this happens, the excess skin may need to be removed at a later date.
  • There is the possibility of skin irregularities, however this is minimised by the use of specially designed cannulas.
Male Breast Reduction FAQS

Is male breast reduction right for me?

If you have large breasts that are not caused by side effects from medication and you are in good health then you may be a good candidate for male breast reduction.

Your weight should be stable.

What should I do before the surgery?

Smoking should be stopped

Medications which cause bleeding should be stopped prior to the male breast reduction procedure

How long does male breast reduction take?

Male breast reduction takes about one and a half hours.

What does the procedure involve?

Tiny incisions will be made in the axilla. Specially designed cannulas will be sued to remove the fat. Dressings and compression garments will be applied afterwards.

How long is the recovery after male breast reduction?

There will be swelling and bruisng after the procedure. Patients can return to work after two days. Mild exercise can be started after two weeks and full activities after six weeks.

What are the risks with male breast reduction?

There is a small risk of bleeding, infection and blood clots after the procedure. These are very rare and are minimised by following a meticulous surgical technique.

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