Men also have glandular breast tissue, and in up to 40% of men, beginning at puberty, this tissue may grow abnormally creating the appearance of female breasts. This condition is called gynecomastia, and can be mild or severe, and affect one or both breasts. The condition can be caused by genetics of the patient, certain conditions related to hormonal changes and certain drugs. The patient with severe gynecomastia should be examined by your family doctor or an endocrinologist to try to determine the etiology of the condition. If the condition is caused by hormonal imbalances or drugs it may be reversed without surgery.
The operation to reduce gynecomastia is ambulatory and I do it with local anesthesia and conscious sedation. The type of surgery and the scars that remain will depend on the severity of the problem. When the problem is mild you can use liposuction to reduce breast. This is done by introducing a cannula through a small incision which sucks the fatty tissue and glandular creating the defect. If the problem is more serious, an incision is done at the bottom edge of the areola, and the tissue is removed. When the problem is severe, skin must be removed as well, leaving long scars on the chest. Temporary drainage is used at the end of the procedure, and a compression garment is used for four weeks.
The recovery is quite short. The patient may return to work within 2 or 3 days. The chest hurts a little for a few days but the discomfort is very tolerable. The compression garment is used 24 / 7 for a month. After 2 weeks you can exercise. The risk of complications is low, and these are usually minor. Infection, hematoma, asymmetry, loss of sensation in the nipple, and boundary value problems can occur, albeit infrequently. After 3 or 4 weeks you can return to preoperative activity level.
Although there is an immediate change in the appearance of their breasts, swelling in the area may hide the results for a while. After 3 months you can enjoy your new look, knowing that the changes are permanent.
Before & After
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