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Gynecomastia is a medical term derived from the Greek meaning "woman-like breasts." Although infrequently discussed, this is a very common finding in men. It may begin in puberty but usually subsides with maturity. It may affect one or both breasts in any given individual. Although persistence into adulthood may be related to certain medical problems, most cases are without known cause.
Male breast reduction takes one to two hours to perform, depending on what type of reduction you are having performed. It will be carried out under general anaesthesia. Local anaesthesia might be sufficient if there is only a small deposit of fat to be removed.
The simplest type of gynecomastia surgery involves the use of liposuction. This is for younger males with good skin elasticity. The surgeon makes several tiny incisions and passes a thin, hollow metal cannula back and forth through the enlarged breast tissue. This cannula is attached to a suction device that removes the excess tissue. At the completion of the gynecomastia procedure, the surgeon closes the incisions very carefully so that after healing the scars are virtually imperceptible.
If you have less elastic skin or more extensive gynecomastia, the doctor may have to make an incision around the nipples to remove the excess tissue directly and to remove excess skin. At the completion of the gynecomastia procedure your scar will lie in the natural border of the areola (the pigmented skin surrounding the nipple) and the surrounding skin.
If a large amount of tissue is removed, the surgeon may place a slender rubber drainage tube underneath each incision to drain any fluid that may accumulate. You will also wear an elastic garment called a compression garment that decreases bruising and encourages the wounds to heal more rapidly after the gynecomastia surgery.
After the gynecomastia surgery, you will have to stay for two to three days at the clinic.
About 7 days after the operation a removal of stitches will take place.
You should be able to go back to work after a week. Activity that is more strenuous should be avoided for about three weeks as your body continues to heal. You shouldn't use a tanning bed or a sauna for about eight weeks.
The result of the operation will be visible after three months at the earliest. That's when any persistent mild swelling usually disappears and the final contour will be visible.
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