Reduction Mammaplasty/ Gynecomastia
Male Breast Reduction
The surgeon uses various techniques in performing male breast reduction. The technique used will depend on the volume of breast tissue to be removed and whether or not skin reduction is required. Some surgical methods used to treat gynecomastia includes:
1. The Webster Incision: This technique is commonly used to treat gynecomastia. An incision is made underneath the areola (nipple itself) in the dark skin and is only in the lower half. In some cases, particularly after sizeable weight loss, sagging skin also needs to be removed and the nipples repositioned to match the new chest contour.
2. The Minimally Invasive Method: From the word itself, the major benefit of this technique is the smaller incision. The incision made at the edge of the nipple is about 5 mm.
3. Liposuction Method: Ultrasound Vaser or Traditional Liposuction may also be used to correct the breast enlargement if the cause of the breast enlargement is not glandular. In this method, the chances for nipple distortion to occur are low however few patients can be treated with liposuction by itself. The scars are smallest if the enlargement is fat alone and larger if your chest is comparable to a female-looking breasts.
The surgeons recommend one night hospital admission
Duration of Operation
The procedure may take two to six hours.
The procedure is normally done under general anesthesia in which the patient is asleep for the surgery.
Pre Operative Care
Surgeons advised that patients to do the following prior to the male breast reduction surgery to avoid post operation bleeding or any complications:
• Inform the surgeon of any allergies, all medical conditions, and any medication that the patient are taking (both prescription and non-prescription)
• Avoid aspirin and any medication containing aspirin or brufen for two weeks before surgery.
• Avoid smoking for two weeks as smoking can affect body’s reaction to the anaesthetic and slow down the healing process.
• Checkup for any major medical problems such as diabetes, high blood pressure, heart disease
During your consultation, you should discuss your expectations of the outcome of the surgery and listen to the surgeon’s opinion.
Post Operative Care
After Male Breast Reduction, the patient may experience some pain associated with the surgery. When the procedure is completed, a patient is advised of the following:
• Bandage and support garment. The patient breast will be wrapped in elastic bandages and gauze dressings. A couple of days after surgery the pressure bandages will be removed.
• Surgical Drainage. A small tube may be placed in each breast to drain blood and fluids for the first day or two.
• Swelling and bruising. The extent of the post operative swelling and bruising depends on whether you tend to bruise or swell easily. Every person is different. Application of cold compresses or ice packs will reduce swelling and relieve discomfort. It is necessary to not perform any strenuous activity after surgery to avoid putting unnecessary strain on the wound. Tension can stretch your incisions and increase scarring. The surgeon will discuss when a patient can return to their normal daily activities.
• Stitches and Wound Care. Most of the surgeons use non-dissolvable sutures which will be taken out after two weeks. If the breast skin is very dry following surgery, a moisturizer can be applied several times a day. Vitamin E cream is extremely effective and also helps the scarring to heal, however, the suture area must be kept dry at all times, particularly after bathing. They may be red for months, and then slowly become fainter, eventually fading to thin white lines. The surgeon will try to ensure that your incisions as subtle as possible, however, the patients are advised that the scars are extensive and permanent.
• Heavy lifting and strenuous exercise. For the first few months, it is important not to place tension on the wound by performing strenuous activities like lifting or stretching your arms above your head, as this may increase scarring by stretching the tissue. The patient will only be able to resume to regular activities after two weeks, although you should abstain from heavy lifting and strenuous exercise for several months.
• Recovery. Recuperation usually takes about two weeks. Most people are back to work within three weeks.
Risks and Complications
Risks are inherent to any surgical procedure. But do not worry, all precautions are taken by Plastic Surgery Phuket’s surgeons to avoid these risks.
Here are the most common risks of this surgery:
• Long and heavy Scarring
• Changes or loss of nipple sensation due to damage nerve and blood supply of the nipple