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About Male Gynaecomastia

gynecomastia picThis is a procedure to reduce enlarged breasts in men by direct surgical excision of excess glandular tissue.

In most cases gynaecomastia is unrelated to any underlying medical problems but this should be investigated prior to surgery.

Where there is a large amount of breast tissue to be excised simultaneous reductions in the skin and areolar size are required.

Generally the incision is located at the interface of the chest skin and the encircling pigmented areolar.

Length:

Approximately one and a half to three hours (generally related to the size of the reduction required)

Anesthesia:

Either deep intravenous sedation with local anesthetic or general anesthesia.

Possible Side Effects:

  • Temporary bruising and swelling.
  • Local pain or a burning sensation is typical
  • Numbness of the skin and nipple

Risks:

  • Hematoma is the most common complication of this procedure
  • Infection
  • Seroma / fluid build accumulation weeks after surgery which may necessitate syringe aspiration.
  • Loss of nipple sensation
  • Injury to the skin or pigmentation changes
  • Breast asymmetry, contour irregularities, rippling or looseness of the skin.
  • In rare instances the need for a second procedure to remove additional tissue is required.

Recovery:

  • The patient may go back to work after seven days.
  • More strenuous activity may be resumed after three to four weeks.
  • Bruising generally resolves after 3-4 weeks
  • Most of the swelling will disappear after three to four months.

Results:

Permanent, although weight gain may cause the breasts to enlarge.

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