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BREAST SURGERY /

Gynecomastia

Treatment for gynecomastia – What is it?

Gynecomastia is a term used to describe over development of breast tissue in men. Repair of Gynecomastia involves a breast tissue reduction that is performed by removing excess breast tissue and fat as well as excess skin, if necessary.

Who is a good candidate for gynecomastia repair?

  • If you feel that you have over-developed breast tissue and it is uncomfortable/affects your self-confidence.
  • If your chest limits your clothing choices.
  • If you are embarrassed about taking your shirt off because of your chest.

Gynecomastia Repair Consultation

During the consult we will get to know one another and we will discuss:

  • The reasons you are interested in undergoing gynecomastia repair, what expectations you have, what results you are looking to achieve and what can be done realistically to improve the appearance of your chest. (By coordinating expectations, we can increase your satisfaction and alleviate any anxiety you may have regarding the procedure.)
  • Your health status and medical history, including any drug sensitivities you might have or what medication, if any, you take regularly and whether or not you smoke cigarettes.
  • Any family history of breast cancer.
  • A complete explanation regarding the procedure, where the scars will be and the recovery process.
  • During the consult, you will undergo a chest examination including breast size measurement. You will receive a comprehensive explanation regarding the procedure, where the scars will be located and the recovery process.
  • It is natural to feel anxious or excited prior to our consultation. Understanding the process will help reduce anxiety. You are welcome to ask any questions you may have and discuss any worries during the consultation.

How do I prepare for the procedure?

  • We ask that you have blood tests prior to the procedure.
  • In certain cases, you may need to consult with an endocrinologist (a physician that specializes in hormonal imbalance) as well.
  • Some patients may be required to undergo a breast ultrasound.
  • In the event that you are taking medication on a regular basis, we will determine if it should be adjusted for the procedure.
  • Avoid taking blood-thinning medications such as aspirin for the two weeks leading up to the procedure and avoid taking anti-inflammatory medications such as Nurofen, vitamin E and Omega 3 for two weeks prior to the procedure as they can increase the risk of bleeding.
  • Cigarette smoking must be stopped at least one month prior to the procedure and for at least one month following the procedure.
    Please arrange for a companion (friend/family member) to pick you up from the hospital after the procedure and to stay with you for at least one night.

Steps in Gynecomastia Repair:

Step 1: Anesthesia

The procedure is performed under general anesthesia.

Step 2: The incision

There are two types of incisions that may be used.

  1. In the event that the excess tissue is mostly fat, liposuction can be sufficient to repair the condition via a small incision on each side of the chest.
  2. In most cases, the patient will undergo liposuction and excision of excess breast tissue using an incision made around the areola.
  3. In a small portion of cases, skin removal will be necessary in addition to either option 1 or 2.

The location of the scars will be determined according to the extent of breast reduction performed and will be explained during the consultation.

Step 3: Suturing of incisions

  • The incisions will be closed in layers using dissolvable stitches.
  • There is no need to have the stitches removed.
  • The incisions will be covered with a dressing.
  • The scars will fade after 6-12 months.

Step 4: Results

The results are immediate however the final results will be apparent only after a number of months once all of the swelling in the area has gone down.

What should I expect from the recovery process?

  • A dressing or sticker will be placed over the incisions at the end of the procedure.
  • In the event that tissue is removed in addition to liposuction, drains (small tubes connected to containers) will be placed in the area during the procedure in order to drain fluids that can build up in the breast following the operation. Typically these drains will remain in place for 2-3 days.
  • Following the procedure, you will be transferred to recovery. You will be able to return home after a few hours of observation in the event that you are feeling well and you have medical clearance to go home.
  • If you wish, we can arrange for you to remain in the hospital for a day following your procedure.
  • Prior to being discharged, you will receive postoperative instructions from the doctor.