GYNECOMASTIA
INTRODUCTION: Gynecomastia is a benign condition, which is characterized by enlargement of the male breast. It usually begins in adolescence as a result of normal hormonal changes. If it does not resolve within several years many men choose surgical correction and obtain excellent results. A small incision is made beneath the breast around the areola (the dark skin surrounding the nipples). Excess fat and glandular tissue are removed, both directly and/or with liposuction and ultrasonic assisted liposuction. The result is a flatter, firmer and normally contoured chest. It can be done alone or in combination with other plastic surgery procedures such as eyelid lift or liposuction of the love handles, tummy or neck.
This procedure takes about two hours and is done under IV sedation or general anesthesia.
Swelling and bruising are to be expected. Medication will control the minimal pain and discomfort that patients usually experience. You may drive one or two days after surgery. A compression wrap around the chest is worn for 8 weeks. Plan on being off work for several days and two weeks before exercising.
The operation is directed toward an improvement and does not in any way guarantee complete obliteration of all breast tissue. You must accept the judgment of your plastic surgeon and realize that he will remove as much as is safe and suitable.
The type of skin, degree of elasticity and age of the patient all influence the overall result that is obtained.
A common question is, "How long will the results of this procedure last?" This is impossible to state. Factors affecting the length of the result include age at the time of operation, physical conditioning afterwards, type of skin, and alterations in weight. In general, it is not necessary to repeat this procedure to maintain the optimal result. It would be rare for gynecomastia to return after surgery, unless massive weight gain is encountered.
Should the patient wish to repeat the operation, regardless of the length of time since the initial operation, the degree of laxity or fatty excess remaining, and each patient will be responsible for the cost of a subsequent procedure.
BEFORE AND AFTER PHOTOS
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22 year old. Pre/post liposuction for gynecomastia. |
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Juris Bunkis, MD, FACS
email:bunkis@ocps.com
Orange County Plastic Surgery
30212 Tomas, Suite 275
Rancho Santa Margarita, CA 92688
Phone: (866) 457-1293
Fax: (949) 888-9724
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