What Is Male Breast Reduction?
Male breast reduction, also known as gynecomastia surgery, is a cosmetic procedure that aims to reduce the size and shape of male breasts. It is a common procedure among men who suffer from gynecomastia, a condition characterized by the enlargement of breast tissue in men. Male breast reduction surgery involves removing excess fat, glandular tissue, and skin from the breasts. The main objective of this procedure is to create a more masculine chest contour, which can help improve a patient's self-confidence and self-esteem. The procedure can be done by liposuction, excision surgery, or a combination of both. Although the procedure is generally safe, patients should be aware of the potential risks and complications.
What Are the Causes of Gynecomastia?
Gynecomastia is a common condition that affects many men. While the exact cause of gynecomastia is not known, it is believed to be caused by hormonal imbalances, particularly an increase in estrogen levels. Other factors contributing to the development of gynecomastia include obesity, certain medications, and underlying medical conditions.
What Is the Technique of Male Breast Reduction?
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The markings are made in the upright sitting position, and the procedure is done under general anesthesia or local anesthesia with sedation. One dose of antibiotics before surgery is advised to avoid complications.
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Liposuction is done by either super wet or tumescent technique, in which local anesthesia is injected into the breast tissue to remove the fat tissue. If a small amount of fluid is injected, it is called the super-wet technique, and if a larger amount of fluid is injected compared to super wet technique, it is called the tumescent technique. The cannula was manipulated in lengthy fan-like strokes, beginning deep and working superficially. The inframammary fold was intentionally disrupted when this was performed. Reducing tissue resistance, aspiration volume, aspirate appearance, and treatment duration define the endpoint.
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Along the inferior border of the nipple-areola complex, a semi-circular incision is made, then dissect the tissue is dissected inferiorly to the breast’s border using scissors and extends to the breast’s upper limit along the deep plane, then proceeds superiorly to the incision by leaving a breast tissue of 1cm under the areola. Finally, excise the breast tissue through the incision.
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Skin reduction can be done by marking the skin around the nipple in a concentric pattern and then de-epithelialized. If the nipple position is to be changed, eccentric pattern can be used instead of using a concentric pattern. The resection is done by removing the breast tissue and the skin in the vertical limb and then approximating the two Lejour pillars left during the resection. Then the dressing can be given with gauze.
What Are the Benefits of Male Breast Reduction?
Despite the potential risks and complications associated with male breast reduction surgery, the procedure has many benefits, including:
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Improves Self-Confidence: Male breast reduction surgery can help improve a patient's self-confidence and self-esteem by creating a more masculine chest contour.
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Increases Comfort: Men who suffer from gynecomastia may experience physical discomfort or pain due to the size and shape of the breasts. Male breast reduction surgery can help alleviate these symptoms caused by excess breast tissue. So, reducing the breast size helps provide comfort for clothing.
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Provides a Better Quality of Life: By improving a patient's self-confidence and reducing physical discomfort, male breast reduction surgery can help improve a patient's overall quality of life.
What Are the Risks and Complications Associated With Male Breast Reduction?
The risks and complications associated with male breast reduction
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Anesthesia Risks: One of the potential risks of any surgical procedure is the risk of anesthesia. While rare, anesthesia-related complications can occur, including allergic reactions, breathing, and heart problems.
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Bleeding and Hematoma: Bleeding and hematoma are common risks associated with any surgical procedure. While rare, they can occur and may require additional surgery to correct.
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Infection: Infection is a potential risk associated with any surgical procedure. Patients are typically given antibiotics before surgery to help prevent infection, but it can still occur.
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Changes in Nipple or Breast Sensation: Some patients may experience temporary or permanent changes in nipple or breast sensation following the surgery. This is generally uncommon, but it can occur.
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Breast Asymmetry: While male breast reduction surgery can improve the symmetry of the breasts, to a certain extent, asymmetry is accepted in normal individuals. Patients need to have realistic expectations about the outcome of the surgery.
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Poor Wound Healing: Poor wound healing is a potential risk associated with any surgical procedure. Patients who smoke or have underlying medical conditions may be at increased risk for poor wound healing.
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Deep Vein Thrombosis: Male breast reduction may sometimes increase the risk of forming blood clots in deeper veins, which can lead to deep vein thrombosis.
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Scarring: While all surgical procedures result in some degree of scarring, the extent of scarring from male breast reduction surgery might differ from patient to patient based on the procedure and the patient’s healing capability.
How Does Recovery Occur After Male Breast Reduction?
Recovery from male breast reduction surgery typically takes several weeks. Patients may experience bruising, swelling, and discomfort in the days following the surgery. Patients need to follow the postoperative instructions carefully as directed by the plastic surgeon for a successful outcome and speedy recovery.
Conclusion
Male breast reduction surgery is an effective cosmetic procedure that can help improve the appearance and comfort of men who suffer from gynecomastia. While there are potential risks and complications associated with the procedure, the benefits of the surgery can be life-changing for many patients. Suppose you are considering male breast reduction surgery. In that case, it is important to consult a licensed plastic surgeon to discuss the risks and benefits of the procedure and determine whether it is right for you.
