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Breast correction men

Breast correction men

As a man you can have female breast development. This is also called gynecomastia. In addition to feelings of shame, gynecomastia can also cause pain. There are several causes for breast formation in men including obesity and side effects of medication. Changes in hormone production or metabolism can also cause breast development. Breasts can also occur in boys during puberty but after 2 years this usually disappears by itself. If this is not the case, then a surgical correction is necessary. The goal is to create a male breast with as few scars as possible. The operation is usually performed under full anesthesia and you can go home the same day.

During the first consultation, the surgeon will check how much breast formation you have. Together we discuss how we can help you best. An ultrasound, mammogram and blood tests may be taken to determine the cause of breast formation. Which treatment method is most suitable for you depends on the size of the breasts, the position of the nipples and the quality of the skin. All techniques and the expected results will be discussed with you in detail.

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Gynecomastia is the formation of breasts in men, whereby one or both breasts are bigger than normal. Female breast development in men can be painful but can also be a source of embarrassment during sports, swimming and visits to the sauna and the beach. In general, with gynecomastia there is excess breast tissue. In some instances, female breast development is mainly fatty tissue (pseudo-gynecomastia). There are various causes of breast development in men among which are adiposis, side effects of many medicines, taking hormones, puberty, metabolic changes or breast cancer in men. Often it is difficult to point out the cause of the gynecomastia. Sometimes breast development is a sign of a serious disease such as thyroid disease, liver disease or a tumor of the adrenals or testis. If there is any suspicion of one of these diseases this needs to be investigated, diagnosed and treated accordingly. Gynecomastia occurs most often in boys going through puberty. This type of breast development normally disappears on its own within 2 years. If it has not disappeared by then it probably never will and a surgical correction is necessary. Once the cause of a gynecomastia has been isolated and treated the correction often still needs to take place.

During the first consultation the severity of the gynecomastia is assessed. Possibly an echo, mammogram and blood tests will be done to ascertain the cause. The surgical technique which is most appropriate in your case depends on the size and the shape of the breasts, the position of the nipple-areola complex and the quality of the skin. The spectrum of a gynecomastia can vary from a visible nodule under the areola to a large, stretched, and ptotic female breast. The correction of a gynecomastia varies, depending on the severity. The goal of the correction is to create a normal and masculine looking chest as possible with as little visible/obvious scars as possible. The technique most appropriate for the correction of your gynecomastia will be discussed in detail.

The procedure is normally performed under general anesthetic. Small nodules under the areola can sometimes be excised under local anesthetic. In larger gynecomastia, where the breast is not hanging or minimal hanging is present with good quality skin, liposuction can be used to remove the fat. Any visible hard breast tissue that remains can be excised through a small incision. In an even larger breast with a low hanging nipple and poor elasticity of the skin, the volume of the breast needs to reduced together with skin excision around the areola. Large ptotic breasts with very low nipples and poor skin quality may require an amputation with replacement of the areolae at the correct level as skin grafts. In most procedures liposuction will be used to contour the chest and correct dents after gland excision. Drains are often placed under the skin and connected to little vacuum bottles to remove fluid and blood that accumulates.

After the procedure you can go home with the drains that will be removed at the consulting rooms after 1 or 2 days. A special Velcro binder will need to be worn as often as possible for 6 weeks. The area will be sensitive and paracetamol is normally sufficient. In the first couple of weeks the chest can be swollen and bruised. It is advisable to go for lymphatic drainage and massages by a physiotherapist to reduce the swelling and stimulate skin contraction. The pain the day after the procedure is often described as muscle pain. You need to take it easy the first couple of days and strenuous activity and sports should be avoided for 6 weeks.

The correction of gynecomastia can result in a great improvement of the chest area. Immediately after the procedure the chest will be swollen and the true result will therefore not yet be apparent. The skin takes time to contract around the new breast shape. After 3 months you can clearly judge the success of the procedure. The final result is after one year when the healing process is complete. With good preparation and realistic expectations, the correction of gynecomastia should lead to satisfying esthetic results.

Every surgical procedure has risks and potential complications. Complications that can occur are bleeding, infections, numbness, asymmetry, irregularities and scars. The scars will be kept as minimal as possible. Only when the breasts are so large that an amputation is necessary, will there be large scars across the chest. The nipple-areola grafts almost always survive well.