Furthermore, the condition may arise at adolescence as a result of metabolic disorders and use of certain estrogen boosting drugs. At old age, breast enlargement results due to decrease of testosterone hormone. Breast enlargement may occur bilaterally where both breasts enlarge and sometime it may be unilateral where only one breast enlarges. For both, gynecomastia surgical operation is necessary.
Gynecomastia surgery involves male breast reduction. This usually takes place when male breasts are large enough with stretched areola. Before surgery, an individual with this condition need to undergo specialized surgical assessment. The assessment is done through ultrasound procedure to determine the amount of fat, glandular tissues and shape of areola in the enlarged breast. Gynecomastia surgery is usually performed using general anesthesia and this may take approximate 60 to 90 minutes to be completed with one day stay in the hospital. On administering anesthesia, the patient sleep comfortably unaware of what is happening to him.
Once anesthesia is administered, the patient breasts are numbed using the tumescent fluid. Different medicines necessary to reduce bleeding during surgery are administered and saline water necessary to make the breast tissues soft and easier to remove are injected to the patient. The injection is done intravenously through the skin nick on the side of the chest and below the armpits. After this, surgery begins through incision at the side of the breast. This is done by experienced surgeon who removes fat and breast tissues. Most importantly, chest wall are not affected during surgery as chest muscles are carefully avoided to prevent injury.
Through removal of underlying breast tissues, the skin is tightened and any solid tissues directly above the areola are removed through additional incision. For fats extending to the side of the chest, removal is done through the same incision area. After the end of surgery, the skin above the chest spontaneously tightens depending on its elasticity and the diameter of the areola decreases in size. During termination of the procedure, the incision wound is closed using dissolving sutures and this is done underneath the skin thus no external sutures will be available for removal. The wound is then dressed to prevent bacterial contamination.
Since gynecomastia surgery is a low impact procedure, the patients are allowed to return home after surgery and may resume their daily activities once the swelling is over and pain subsidizes. For the first few days after surgery, the operated breast may swell and this is associated with pain and discomfort. After the sutures have dissolved within a period of a week it is important to treat the incision with ointments. This help to prevent bacterial contamination and to flatten the scar.
Before undertaking the surgery, the patient need to be informed of any risks associated with this surgery. Some of the risks include bleeding, infection especially when the wound is not properly dressed and sometime the patient may experience some temporally change in nipple sensation. If a patient experience intense chest muscle pain after surgery, painkillers are provided and antibiotics given to prevent wound infection.
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Nice info, Gynaecomastia is enlarged male breast. Although this happens commonly during adolescent growth spurt it usually involutes back to normal size.
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ReplyDeleteAsymmetrical Gynecomastia is defined as an enlargement of the male breast. It is often benign, and can be the source of significant embarrassment and psychological distress.
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