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Male Breast Reduction continued... It is not uncommon in older adults and may be normal. In both age groups, it may be associated with obesity, liver disease, endocrinologic (hormonal) disorders, or medicinal causes and side effects. Although a trial of weight loss and exercise is recommended, gynecomastia frequently exhibits a minimal response to these interventions. Gynecomastia correction is usually done in an outpatient or hospital setting. Depending on the condition of the breasts surgery may be limited to the use of liposuction** utilizing small incisions or may require ultrasound assisted lipoplasty and/or skin incisions to remove excess glandular tissue and skin. External scarring becomes less noticeable with the passage of time. Sometimes sensitivity in the breast and nipple is reduced and feeling may not return for several months. In rare cases, it is permanently diminished. Asymmetry and under-correction are common. Surgical revision may be necessary. The surgery will take one to three hours depending upon its extent. Generally, incisions are made within or near the areola as well as the perimeter of the breast. Skin incisions following the natural contour of the breast are occasionally used to remove excess breast tissue; fat and skin are removed from the sides and central portion of the breast. If necessary, the nipple, areola, and underlying tissue are moved to a new, higher location. A compressive dressing is applied to minimize swelling and discoloration; a drain may be necessary. Following surgery, you will experience pain for several days, but it can be controlled with medication. Within a week, the surgical dressing will be replaced with a compressive garment, which may be worn for an additional 2 weeks. Swelling and skin discoloration will partially subside in a week or two and stitches will be removed at about that time. You can return to non-physical work in approximately one week and gradually resume fitness and other physical activities after three to four weeks. |
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