Many gynecomastia patients are men who never lost the extra bit of puffiness they had on their chest during puberty. They may be fit or work out, but no matter what they do, they cannot see the outline of their pecs. Others may have taken steroids for weight lifting, and these steroids can cause a rapid growth of the breast tissue. In the case of weight lifting, usually there is a very firm marble or walnut that they can feel. Many others suffer from gynecomastia as a side-effect of prescription medications or recreational drugs.
There are three choices for anesthesia: local, IV sedation, and general. Most of the time patients prefer having this done under general anesthesia. With new developments in anesthesia, patients wake up quickly and are almost never nauseated. Men's chests are frequently very sensitive to pain, so it appears that a more thorough and complete improvement can be done when men are asleep. But if there is just a little "nubbin" of breast tissue beneath the nipple, then that can usually be removed very comfortably under local anesthesia.
The pain after treatment of gynecomastia is usually fairly mild. It feels like you had worked out too hard or had been punched in the chest. Patients describe it as more sore than painful per se. And we give you strong pain medicine; if it hurts, the pill will work to take it away.
Right after surgery, you will have a special foam pad over your chest and a vest over that. That original dressing is left in place for two days. On the second day after surgery, you will remove the vest, throw away the foam, wash the vest, and put the vest back on. The longer you wear the compression, the faster the swelling and bruising will go away. In general, I like men to wear some compression day and night for the first month. But you neednt always wear the surgical vest we give you; most men will buy a tight nylon/spandex undershirt that fits slimly under their clothing.
Some men barely bruise; most will have some diffuse bruising and discoloration over their chest. This usually resolves between 10 and 14 days after surgery.
If you have an excision, you will have a scar around the lower half of your areola. The sutures are all dissolvable and hidden beneath the skin. If there is any hair at all, this is usually well concealed.
For liposuction, we usually use a 1/4" incision at the edge of the areoloa, plus either one in the outer part of the crease under the chest or near the shoulder, just in front of the armpit. These can look pink for the first year, but usually fade after that.
Male chest reduction is an operation that is very frequently performed. The incidence and severity of complications is very low but it is never zero. All surgery carries a risk of infection and bleeding. While treatment of gynecomastia is usually permanent, there have been cases in which the gynecomastia returns. Scarring usually fades, but sometimes the scars remain visible. There is always a chance of asymmetry between the two breasts. There is a possibility of contour irregularity, meaning that there is some waviness or irregularity to the skin over the area treated. For instance, if there is a large, firm gynecomastia mass beneath the nipple, there are times when there is a little depression where it was removed. If there is extensive liposuction, especially going out to the sides of the chest, there can be irregularities in the contour of the skin.
Author Resource:-
Dave Stringham, the President of LookingYourBest.com offers information on gynecomastia and male breast reduction surgery along with information about other plastic surgery procedures.
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