GYNECOMASTIA
Gynecomastia is enlargement of the
breasts in male patients. This enlargement is most commonly
noticed during childhood and puberty. However, in many
cases, it will disappear by the late teens so I advise my
patients to wait until they have fully matured before
considering surgical treatment.
WHO IS A CANDIDATE FOR GYNECOMASTIA?
Any male who has enlarged breasts and is over the age of
twenty-one.
WHAT
DOES THE PROCEDURE INVOLVE?
The treatment of gynecomastia is based on the individual
characteristics of each patient. In some cases, gynecomastia
can be treated with liposuction alone. However, in other
cases where there is more breast tissue, an incision will be
made around the lower half of the areola and the excess
breast tissue is surgically removed, this is followed by
liposuction for contouring. The scar depends on which
procedure is used. With liposuction alone, a 3mm incision is
made and will leave a slight scar. With breast tissue
removal, there is an incision around the areola in a half
moon shape.
WHAT IS THE RECOVERY TIME?
The sutures are removed in one week and the swelling
gradually diminishes over the next four to six weeks. A
drain may be placed to remove extra accumulated fluid, this
is removed in 24-48 hours. As with any type of liposuction,
a compression garment is worn for six weeks.
IS IT PAINFUL?
The first few days postoperatively can be mildly
uncomfortable. Pain medication is prescribed for the first
four to five days to control any discomfort.
CAN I HAVE THE PROCEDURE PERFORMED IN THE OFFICE?
The procedure can be performed in a surgical outpatient
facility or an in-office operatory.
WHAT WILL I LOOK LIKE DURING MY RECOVERY?
Bruising is apparent, but will resolve in 10 to 14 days.
Moderate swelling is present early on.
ARE THERE ANY THINGS I SHOULD AVOID IN MY DIET TO HELP
PREPARE MYSELF FOR SURGERY?
Avoid aspirin products and vitamin E for two weeks prior
to surgery. Also, ask your physician for written pre- and
post-opertive instructions.

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