Gynecomastia is the condition where man experience breast enlargement. Breast Reduction is the procedure to remove excess fat and glandular tissue to restore a firmer, flatter and more masculine breast contour. Clients who are seeking to have this procedure may have one or more of the following feelings or conditions that may indicate a need for male breast reduction:
- Clients with hormonal imbalance that results to enlargement of the breast.
- Clients who are overweight.
- Clients with enlarged breast which developed in puberty.
- Clients who used to take certain drugs like steroids or other substances that alter the normal testosterone/estrogen levels such as finasteride.
Fasting is required in any surgical procedure performed under general anesthesia. The client is advised not to eat or drink anything atleast 8 hours prior to surgery. If there is no fasting instruction given, the client must not take any food or drink from midnight before her scheduled surgery. Clients who do not comply this requirement may result to surgery being delayed or cancelled.
Please remember the following:
- NSAIDS drugs and Aspirin must be avoided for atleast 2 weeks prior to surgery. If you are taking Aspirin or any type of blood thinning medications for a medical condition, please notify your Plastic Surgery Thailand surgeon to give you a proper advice.
- Generally it is best to continue any blood pressure or blood sugar medications. These can be taken with a sip of water in the morning of surgery.
- Smoking should be stopped atleast 3-4 weeks prior to surgery. If you have been smoking for long time, and you have difficulty quitting, cut back as much as possible.
- Drinking alcohol must be ceased a day or two before surgery.
- Body piercing especially nipple piercing for clients having breast surgery should be removed a week before surgery.
- If you develop an illness right before surgery, please notify your Plastic Surgery Thailand surgeon.
Our team will thorough evaluate your medical history to check for conditions that may delay the surgery or the healing process.
The procedure usually takes 2-4 hours and you are required to stay in hospital overnight.
Stage 1 – Induction of Anesthesia: General anesthesia or intravenous sedation will be administered. If you are allergic to a certain type of anaesthesia, please notify your Anaesthesiologist right away.
Stage 2 – Treatment: The surgical technique used will very much depend on the volume of breast tissue to be removed and whether or not skin reduction is required. In some cases, both liposuction and surgical incision is necessary. Some surgical methods used to treat gynecomastia includes:
- The Webster Incision: This is one of the most common methods 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.
- The Minimally Invasive Method: In this method, a very small incision is made at the edge of the nipple. The incision is about 5 mm for the excess glandular tissue to be removed following liposuction. The major benefit of this technique is the smaller incision.
- Liposuction Method: Ultrasound 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 adequately treated with liposuction by itself. The scars are smallest if the enlargement is fat alone and larger if your chest is similar to female-looking breasts.
Stage 4 – Closing the incisions: Incisions are closed and drains may be placed before the wounds are bandaged.
Waterproof plasters are placed over the incision sites. Clients are advised to keep them dry and clean at all times. If the plaster get wet or soak with body fluids or blood, please contact your Coordinator and ask for advice. You may be instructed on how to change your dressings on your own or you may need to come back to the hospital.
You will be provided with set of medications which includes antibiotics, pain killers, anti-inflammatory etc. Please follow the instruction on when to take your medications. Do not drink alchohol while you are on antibiotics.
Compression garment over the chest area is recommended for at least one to two weeks. Elastic compression garments reduce swelling and result in a shorter recovery period. This garment supports the tissues in their new position, helping the skin adjust to its new contours and reducing the possibility of skin looseness.
What to expect following male breast reduction surgery:
- Swelling can be expected in any breast surgery and this usually subsides in 3-4 months. Cutting back salt, proper hydration and light exercises such as walking can help to reduce swelling. If you experience sudden swelling in the days after your surgery, call your Coordinator.
- Bruises after breast lift is to be expected and this will improve over time. If you still have some discolorations after several months, notify your Plastic Surgery Thailand surgeon.
- The most common risk particular to this surgery is damage to the nerve and blood supply of the nipple. In some cases this could lead to a loss of feeling in the nipples.
- All breast reduction techniques will leave a permanent scar behind. However the scar can be improved with the use of scar gels or scar creams.
Other post op instructions include:
- Walking right after surgery is recommended. This will help relieve swelling and prevent DVT (Deep Vein Thrombosis). DVT is a form of a blood clot (thrombus) within a deep vein which is most commonly develop in the legs.
- Strenuous activities, heavy lifting and cardio exercises should be avoided for atleast 6-8 weeks. Recommendation when to resume specific exercises and activities must be asked directly to your Plastic Surgery Thailand surgeon.
You should contact your Coordinator if you experience severe pain not relieve by medications, any unexpected symptoms, such as redness of your breast skin, a burning sensation or unusual swelling and high fever.