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What is Gynecomastia Repair (Male Breast Reduction)?
A benign enlargement of the male breast, a condition known as gynecomastia, may be due to excessive fatty tissue, excessive glandular tissue, or both. Gynecomastia excision, or male breast reduction, is a procedure designed to remove unwanted fat and glandular tissue, with minimal incisions, from the male breast.
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Who is a candidate for Gynecomastia Repair (Male Breast Reduction)?
Gynecomastia repair is for men who have larger than normal breasts. This condition is very common and affects men starting at adolescence. The degree of breast enlargement varies and the decision to have this corrected by surgery depends on the individual. Most men who have enlarged breasts can not reduce the size by dieting and exercising. In some men, the loss of skin elasticity may result in sagging of the breast. The nipple falls below its natural position on the chest which may require repositioning of the nipple, removal of the excessive skin, in addition to fat and gland removal.
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Who is not a good candidate for Gynecomastia Repair (Male Breast Reduction)?
This procedure is not designed to treat widespread obesity. For patients who have excessive skin in the breast or who have lost the elasticity of their skin, a traditional skin resection may be necessary. If their body contouring irregularities are due to structures other than fat, such as bone or weaknesses in the muscles, these problems cannot be corrected by this operation. On occasion, it may be necessary to address these problems at a later date with other surgical procedures.
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What does Gynecomastia Repair (Male Breast Reduction) accomplish?
With liposuction and glandular excision, fat and breast tissue can be taken away permanently. When the fat cells are removed from the breasts, the fat never comes back. There will still be some fat cells remaining in that area but, essentially, if the procedure is done correctly it will have long-lasting effects. Similarly, the removal of glandular tissue is permanent. In most cases, the skin of the breasts contracts and it is not necessary to remove excess skin. However, on occasion, the redundant skin may need to be excised. This is sometimes done at the same time of the initial surgery, while at other times it is done in a delayed fashion. Waiting several months may limit the length of the scar that the patient has in the breasts.
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How is Gynecomastia Repair (Male Breast Reduction) performed?
The breasts are first infiltrated with a solution containing medications that cut back on bleeding and postoperative pain. This tumescent solution makes it possible to remove large amounts of fat with little blood loss and need for hospitalization. The breasts are then liposuctioned. This is done through small puncture holes that are usually hidden in natural folds of the body or around the nipple. The glandular tissue is removed through a small incision in the nipple area. The incisions heal very well and are hardly visible after a while. If there is need for skin excision it can be done with incisions around the nipple and under the breast. Dr. Marefat usually does not remove the extra skin immediately. He prefers to wait and remove it in a secondary procedure several months later. This will give your skin a chance to contract down which can significantly reduce the length of your scar.
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