PROCEDURES

BREAST

GYNAECOMASTIA SURGERY

Gynaecomastia is defined as enlarged breasts in men. Gynaecomastia surgery reduces enlarged breasts in men, aiming to flatten the chest and enhance its contours.

INDICATIONS

Gynaecomastia is the condition of enlarged breasts in men and can occur at any age. The condition may be genetic, due to hormone changes, heredity, obesity or as a side-effect of certain medications.

It causes emotional distress and impairs the self-confidence of many men, with some avoiding physical activities and intimacy with the aim to hide their gynaecomastia.

Patients who are candidates are -

  1. Healthy individuals who do not have medical conditions impairing wound healing

  2. Non-smokers

  3. Men who are of relatively normal weight

  4. Breast development has been stable

Adolescents may benefit from gynaecomastia surgery, although future follow-up procedures may be needed if breast development continues.

PROCEDURE

Male breast reduction or gynaecomastia surgery is carried out under general anaesthetic. If the breast is primarily fatty, with little excess skin, Dr Sofianos opts for liposuction. In any other case, it involves making an incision around the nipple that allows the removal of the breast tissue. The nipples may be repositioned if they are not in the correct position due to excess sagging. Dr Sofianos aims to place incisions so they are as inconspicuous as possible. The procedure will typically take around 2 hours.

Dressings are applied to the incisions and an elastic support garment is used to minimise swelling, while also supporting the new chest contour as it heals postoperatively.

RECOVERY

Most patients stay overnight in hospital depending on the extent of the procedure. The chest may appear swollen and bruised. Pain will be controlled by medications prescribed by Dr Sofianos. Patients are require to wear a support garment day and night for six weeks. Most individuals will return to work or school, a week after their surgery. Heavy lifting and strenuous activity should be avoided for 6 weeks postoperatively.

Over time, swelling will resolve and incision lines will begin to fade.

 

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