Male Breast Reduction - Gynecomastia

Gynecomastia (male breast enlargement) is a very common condition in men. Men with gynecomastia (women like breasts) may experience a variety of problems. The are extremely self-conscious and embarrassed. They may avoid bare chest activities like swimming and try to hide the chest area.

Male breast reduction is a procedure that removes fat and glandular tissue, and rarely skin from the breasts. Making them smaller. The goal is to give a better-shaped male breasts.

If you’re considering gynecomastia surgery, this will give you a basic understanding of the procedure- when it can help, how it’s performed, and what results you can expect. It can’t answer all of your questions, since a lot depends on your individual circumstances. Please be sure to ask Dr. Rieger if there is anything about the procedure you don’t understand.

The best candidates for a Face Lift

Most cases of gynecomastia resolve over time without treatment. However, if gynecomastia is caused by a medical condition then that problem needs to be treated. Gynecomastia is common in boys and resolves. However if it continues then surgery may be needed to help with the embrassement or other symptoms.

Male breast reduction is not a simple operation, but it’s normally safe when performed by a qualified plastic surgeon. Nevertheless, as with any surgery, there is always a possibility of complications, including bleeding, infection, or reaction to the anesthesia. Some patients develop contour irregularities. You can reduce your risks by closely following Dr. Rieger’s advice both before and after surgery.

The procedure does leave noticeable, but small permanent scars. (Poor healing and wider scars are more common in smokers.) The procedure can also leave you with slightly mismatched breasts or unevenly positioned nipples.

Some patients may experience a permanent loss of feeling in their nipples. Rarely, the nipple and areola may lose their blood supply and the tissue will die. (The nipple and areola can usually be rebuilt, however, using skin grafts from elsewhere on the body.)

All surgery carries some uncertainty and risk

When a facelift is performed by a qualified plastic surgeon, complications are infrequent and usually minor. Still, individuals vary greatly in their anatomy, their physical reactions, and their healing abilities, and the outcome is never completely predictable.

Complications that can occur include hematoma (a collection of blood under the skin that must be removed by the surgeon), injury to the nerves that control facial muscles (usually temporary), infection, and reactions to the anesthesia. Poor healing of the skin is most likely to affect smokers.

You can reduce your risks by closely following your surgeon’s advice both before and after surgery.

How we prepare for surgery at
PLASTIC SURGERY WICHITA KANSAS

Planning your surgery

In your initial consultation, it’s important to discuss your expectations frankly with your surgeon, and to listen to his or her opinion. Every patient-and every physician, as well-has a different view of what is a desirable size and shape for breasts.

The male breast may have firm breast tissue.

The surgeon will examine and measure your chest, and will probably photograph them for reference during surgery and afterwards.

Your surgeon should describe the procedure in detail, explaining its risks and limitations and making sure you understand the scarring that will result. The surgeon should also explain the anesthesia he or she will use, the facility where the surgery will be performed, and the costs.

Preparing for your surgery

You’ll also get specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. Some surgeons suggest that their patients diet before the operation.

If you smoke, plan to quit at least two weeks before your surgery and not to resume for at least two weeks after your surgery.

Breast reduction doesn’t usually require a blood transfusion. However, if a large amount of breast tissue will be removed, your physician may advise you to have a unit of blood drawn ahead of time. That way, if a transfusion should be needed, your own blood can be used.

While you’re making preparations, be sure to arrange for someone to drive you home after your surgery and to help you out for a few days if needed.

The surgery

Where your surgery will be performed

Dr. Rieger prefers to perform the operation in a state-of-the art accredited surgery center.
The surgery itself usually takes two hours, but may take longer in some cases.

Type of anesthesia

Gynecomastia is usually performed under general anesthesia. You’ll be asleep through the entire operation.

After your surgery

After surgery, you’ll be in a compression garment for a month or two. Failure to wear the garment can cause fluid or blood to collect under your breast and require further surgery to replace the drains or control bleeding.

You may feel some pain for the first couple of days-especially when you move around or cough-and some discomfort for a week or more. Your surgeon will prescribe medication to lessen the pain.

The very few skin sutures will be removed in two weeks.

If your skin is very dry following surgery, you can apply a moisturizer several times a day, but be sure to keep the suture area dry.

You may also experience random, shooting pains for a few months. You can expect some loss of feeling in your nipples and breast skin, caused by the swelling after surgery. This usually fades over the next six weeks or so. In some patients, however, it may last a year or more, and occasionally it may be permanent.

Getting back to normal

Although you may be up and about in a day or two, your chest may still ache occasionally for a couple of weeks. You should avoid lifting or pushing anything heavy for 6 weeks.

Your surgeon will give you detailed instructions for resuming your normal activities. Most men can return to work (if it’s not too strenuous) and social activities in about two weeks. But you’ll have much less stamina for several weeks, and should limit your exercises to stretching, bending until your energy level returns.

You may be instructed to avoid sex for a 3 weeks, since sexual arousal can cause bleeding.

A small amount of fluid draining from your incisions, is normal. If you have any unusual symptoms, such as bleeding or severe pain, don’t hesitate to call your doctor.

Your New Look

Although much of the swelling and bruising will disappear in the first few weeks, it may be six months to a year before your breasts and chest settle into their new shape. Even then, their shape may fluctuate.

With, better proportioned chest, you’ll feel more comfortable.

Call 316-652-9333 for a consult about Male breast reduction gynecomastia surgery with orthopedic arthroscopic shaver blade system in Wichita, Kansas.

PLASTIC SURGERY WICHITA KANSAS

James A. Rieger MD (316)-652-9333