What is Gynecomastia?
Gynecomastia is the abnormal but non-cancerous enlargement of one or both breasts in males due to the growth of breast tissue which is often caused as a result of hormonal imbalance, medical conditions and lifestyle factors. Gynecomastia has been found to cause significant psychological distress in sufferers and treatment of it is one of our most popular treatments at Maison Lutétia.
The increase in gland tissue often comes about as a result of the imbalance in testosterone and estrogen, known commonly as the male and female hormone, as many as 1 in 4 male adults have suffered from gynecomastia at some point in their life and has been known to contribute to low self esteem and other psychological pressures.
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What to Consider about this Treatment?
Ideally, if swelling in the breasts occurs, the patient should wait for six months to a year for swelling to subside. Meanwhile, the patient should run all the tests prescribed by the doctor to rule out any of the mentioned conditions. A highly qualified and experienced board-certified surgeon always takes patients through all the steps. And when the condition persists, the patient is deemed fit for the procedure.
What causes Gynecomastia?
First, there are many reasons for Gynecomastia, and there is no set time frame for them to appear and reduce. At the same time, there are no apparent reasons why the condition may suddenly trigger the condition.
Some factors can contribute a great deal to this situation in some individuals; some essential reasons are:
Change of hormones during puberty or in later stages
Change of hormones during later adolescence
Absence of proper nutrition
Liver & Kidney disease among others..
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Candidate Admissability for the Procedure
After the tests and examination, when all other options are ruled out, the ideal thing to do is wait out and let it subside. When the swelling does not subside, the doctors will assess you for the condition, and take in all the history.
Our highly specialised board-certified plastic surgeons are very experienced in this field, producing incredibly lifechanging results with minimal scars.
Ideally, when height and weight, with all the medical history, and when the patient is deemed fit for the procedure, the surgery is scheduled.
What happens at the consultation?
In this step, your surgeon will call you in for evaluation and examination. In the examination, your Gynecomastia Surgeon will decide the area of the incision, and photograph for the record with the signed consent form. All other medical history, including BMI, will be acquired for the medical file of the patient. These factors are a great help in evaluating the procedure decision for surgeons.
The Gynecomastia Procedure Explained
Since all patients present with different conditions, every time a procedure is unique. There are two steps in the procedure, liposuction and surgical excision. Sometimes due to the nature of the condition, any one of the conditions or maybe hybrid of the two is used to treat and get the best possible outcomes.
Ideally, liposuction is the procedure involving the removal of fat, mostly in the areas such as hips, thighs, abdomen, chest, and buttocks.
After giving local or general anaesthesia, whichever is needed as per the procedure and its outlay. Then, an injection of epinephrine is injected to shrink the blood vessels and reduce the bleeding and bruising of the surgical site.
For maximum results, high-frequency vibrators are used. Since, the fat cell, when broken down gives smoother, more natural extraction.
After some vibration, when the fats cells are easy to extract, the suction tubes are inserted to drain the excess fat out. The suction tube is moved back and forth to make sure all fats are removed.
Notably, you will see visible changes right after the surgery, and these changes are permanent if followed all the post-operation plans suggested by the surgeon.
In this procedure, the excess skin is removed, which is in excess or not needed. In this approach, two possible methods are determined according to condition.
Shave excision presents with fewer scars, since not much fat and tissue need to be removed, while full-thickness skin excision requires sutures since it requires a more aggressive approach.
Incisions and Scarring
Mostly, our surgeons keep the incision and scarring minimal, for the consideration of postoperative care, since scars in men and boys are often very unacceptable.
Surgeons will brief you about the complete aftercare to reduce the scars to the maximum and in fastest possible time.
Expectations after the procedure
Recovery for the procedure may or may not involve the insertion of a drain tube, this depends entirely on your condition, the drain tube is designed to drain out excess fluid to prevent any complications during the healing process.
After the healing is ensured, the surgeons will remove the drain pipes, and let the cavity and incisions heal. Sometimes, the stitches that are used dissolve with time, but rarely non-dissolvable stitches are used.
Few days after surgery, your surgeon will guide you to come and get those stitches checked, and see if they are ready to be removed.
You may experience some soreness and swelling, which naturally will subside after a few weeks. Equally, the surgeon will brief you with all the aftercare that is essential for optimum results after the procedure.
Moreover, you would be asked not to pick and weights, bending and some restraints in certain physical activities.
How long do results last?
The procedure is permanent; but, age, hormones, lifestyle and gravity may alter the outlook. Also, with constant care, and attending all the appointment that is planned after the surgery should be religiously attended. For optimum results, all guidelines framed by the Gynecomastia specialist surgeon are to be rigorously followed.
A Bespoke, Tailored approach to the procedure
Ideally, the doctors will design the procedure, just as it is required for your case. With careful evaluation, the surgical approach will be decided. Moreover, your lifestyle, your routine and your preferences also contribute to the decisions. Surgeons will explain what are their expectations from you in the process for continued effect, for healing and continued satisfaction.