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Gynecomastia, or male breast reduction,
is a condition that exists, in varying degrees, in almost
half of all men. While the surgery may be performed on men
of any age, it is discouraged for those who suffer from obesity,
as well as for men who drink alcohol excessively and/or smoke
marijuana. Gynecomastia extracts excess fat and tissue from
the breast to produce a flatter, more masculine shaped chest.
A surgeon may perform the procedure
using either a scalpel, liposuction, or a combination of the
two. In the first technique, an incision is made, typically
in the underarm. The surgeon then extracts surplus tissue
and fat from the chest region and stitches the incision. If,
however, the gynecomastia is to remove mostly fatty tissue,
then the surgeon may opt for liposuction. This technique involves
a slim hollow tube (a cannula) that sweeps through the layers
of the chest, breaking up the fat and suctioning it away.
Once the fat and tissue is removed, the surgeon stitches up
the incision and trims away any excess skin. These procedures
last one to two hours and are typically performed on an outpatient
basis.
Following surgery, the incisions are
dressed and the chest is wrapped in an elastic bandage. A
small tube is sometimes used to drain away excess fluids.
The surgeon generally removes the stitches in seven to fourteen
days, while the bandage stays on for up to a month. Patients
can generally return to work in two weeks time.
As with any cosmetic surgical procedure,
complications are rare, but include infection, bleeding, a
reaction to the anesthesia, and an unusual amount of fluid
loss or gain. Patients may experience some bruising and swelling,
although this gradually subsides in three to four weeks. In
certain cases, numbness in the chest may occur following surgery.
Patients may also experience minor but permanent scarring,
changes in skin color, and a slight assymetry in the appearance
of the breasts. If you smoke, your surgeon will ask that you
quit two weeks prior to and following surgery. To maximize
the success of surgery and minimize the risk of complication,
always follow your doctor's instructions for surgical preparation
and postoperative care.
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