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Gynecomastia Surgery

Gynecomastia Surgery: Overview, Preparation, Procedure, Recovery, Risks, and Aftercare

The goal of gynecomastia surgery, also called male breast reduction surgery, is to reduce the size of enlarged breasts in men. Gynecomastia surgery is commonly performed to address hormonal imbalances, genetics, obesity, and certain medications that can cause it. Gynecomastia surgery creates a flatter, more masculine chest contour.

Preparation

Gynecomastia surgery preparation involves the following steps:

  • The surgeon evaluates the extent of the gynecomastia and recommends the most appropriate surgical approach based on the goals, medical history, and expectations of the patient.

  • In order to assess overall health and identify any underlying medical conditions that may affect the surgery or recovery process, a comprehensive medical evaluation may be performed.

  • It is recommended that people stop smoking and avoid certain medications, such as blood thinners, herbal supplements, and non-steroidal anti-inflammatory drugs (NSAIDs), which can increase the risk of complications during surgery.

Procedure

Gynecomastia surgery typically involves the following steps:

  • Gynecomastia surgery is performed under general anesthesia or local anesthesia with sedation, depending on the extent of the procedure.

  • If gynecomastia is caused by excess fat, liposuction can be used to remove the excess fat through small incisions. A thin, hollow tube called a cannula is inserted through the incisions to remove the fat.

  • When gynecomastia is caused primarily by glandular tissue or excess skin, tissue excision may be necessary. The surgeon makes incisions around the areola or in the natural creases of the chest to remove the glandular tissue and skin.

  • The incisions are closed with sutures after excess tissue is removed and the chest contour is reshaped. Drains may also be placed to remove excess fluid and minimize complications.

Recovery

Following gynecomastia surgery, you will need to follow the following steps:

  • The recovery area is monitored closely immediately after surgery. Patients may experience mild discomfort, swelling, and bruising, which can be managed with pain medications and compression garments.

  • For several weeks following surgery, patients are advised to avoid strenuous activities, heavy lifting, and upper body exercises.

  • Patients are usually scheduled for follow-up appointments with their surgeon to monitor healing progress, remove sutures or drains, and address any concerns.

Risks

There are certain risks and potential complications associated with gynecomastia surgery, including:

  • Infection

  • Bleeding

  • Changes in nipple sensation

  • Asymmetry

  • Scarring

  • Fluid accumulation (seroma or hematoma)

Aftercare

Gynecomastia surgery patients may benefit from the following aftercare measures:

  • In order to minimize swelling and promote healing, patients are often advised to wear compression garments for several weeks after surgery.

  • A healthy lifestyle, including regular exercise and a balanced diet, can help maintain gynecomastia surgery results and prevent future weight gain.

  • A regular follow-up appointment with the surgeon is necessary to monitor healing progress, address any concerns, and ensure optimal results.

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