Gynecomastia Surgery for Removal of Enlarged Breasts and Relieving Embarrassment

Gynecomastia Surgery

Men with enlarged breasts are constantly pestered by embarrassment and insecurity. Sometimes gynecomastia occurs as a result of general obesity, and losing weight helps to diminish the volume in the breast area too. But in cases when enlarged breasts in men are due to medical conditions, gynecomastia surgery may be the only appropriate solution.

There are medications whose intake leads to enlargement of male breasts, such as anti androgens which are used to treat prostate enlargement and prostate cancer, other cancer medications, AIDS medications, ulcer medications, anabolic steroids and androgens, etc. In such cases doctors do not consider men with enlarged breasts good candidates for breast reduction surgery.

In order to be good candidates for gynecomastia surgery, men should be in good health and have a relatively normal weight. Furthermore, the breasts development should have stabilized. Men who are obese and have not tried to lose weight are usually discouraged from undergoing surgery for the reduction of their enlarged breasts.

Teenage boys who have had gynecomastia for more than two years or are experiencing severe problems owing to their condition are also recommended gynecomastia surgery.

To establish if they are good candidates for surgery, men with gynecomastia should consult renowned plastic surgeons who perform physical examinations to measure the amount of excess fats and glandular tissues in the area of the chest. Plastic surgeons also carry out diagnostic tests to establish the cause of the enlargement of patients’ breasts, and such tests routinely include testing endocrine functions: the endocrine glands release hormones that are linked to breast enlargement. Finally, plastic surgeons take photos of patients and then discuss their expectations regarding the result of the surgery.

Surgeons prepare patients for gynecomastia surgery by means of a list of instructions on laboratory tests and other details, such as medications that should be stopped prior to surgery as they can enhance the risk of bleeding. Medications such as aspirin, blood thinners, etc. can contribute to bleeding risks. Besides laboratory tests, any previous history of heart disease is checked. Furthermore, most surgeons recommend prospective patients to refrain from smoking in the course of one month before the surgery and one month afterwards.

Gynecomastia surgery is typically carried out as an outpatient procedure, and it can be performed under general anesthesia, or under local anesthesia with sedation. Sometimes patients are recommended to stay overnight in hospital in order to be supervised.

Breast reduction can comprise liposuction only, if enlarged breasts contain mostly excess fatty tissues. In the event that there is mostly an excess amount of glandular tissue, such tissue has to be cut out by means of a scalpel, and such cutting can be the only procedure, or it can be combined with liposuction, depending on the specific case. The incision is made on the edge of the areola (or the nipple), or in the area under the arm. If large amounts if tissue and skin have to be removed in patients with too heavy breast enlargement, larger incisions have to be made.

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