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Gynecomastia
Causes of Gynecomastia
The Scenario of Your Liposuction Operation
Before and After Photos
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Gynecomastia
Although in seeking consultation for your particular condition… you may feel that you are singular in this problem. I can only reassure you… as strongly as I possibly can… that this is one of the most common problems we face and one of the most popular procedures that we perform. I do think that would be a great starting point… knowing that this problem is very common.

Essentially, I'd like to categorize Gynecomastia… which is the enlargement of the male chest… in to three basic types. First… there is Type I or so called True Gynecomastia, which is a prominence of the male chest due to enlargement of the male breast gland. Here the patient will notice a prominence, a protrusion and the pointiness of the nipple areolar area of the chest with a hardness or firmness underneath the nipple area. Surgical treatment here is directed to a removal of the part, or merely, all of the gland and this is performed in our office surgical center under local anesthesia with excellent results.

The second is what I refer to as Type II Gynecomastia, which is the prominence of the chest due to the accumulation of fat above the pectoralis major muscle, producing an overall roundness and bulginess of the chest. There can be some pointiness of the nipple area as well with this type of Gynecomastia. Surgical treatment here is directed towards the removal of the fat tissue be liposuction. Here… under local anesthesia… we use a very small cannular and aspirate the fat causing the prominence of the male chest.

he final type is referred to as Type III Gynecomastia, which is an admixture of Type I and II. In other words, there is a prominence of the chest partly due to enlargement of the breast gland and secondly, to accumulation of the fat cells. In my experience, Type II and Type III are the most common abnormalities we find today in Gynecomastia. Of course the treatment of Type III would be a combination of the treatments afforded in Type I and Type II.

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The Scenario of Your Chest Operation
In describing the events that will occur on the day of your surgery… I will try to portray a rather typical procedure and knowing that most of our cases are rather typical… I will describe to you the pre-operative testing and what will occur once you arrive ib the surgical center, as well as, your post operative course.

Firstly, we would require a basic blood test as the most minimum type of clearance. If there are other medical issues that warrant further investigation, please know that we employ a very conservative approach and investigate all that should be investigated.

Upon your arrival in the surgical center, we will ask you to fill out a few forms and you will be photographed once again. Subsequent to this, you will receive some mild oral sedation by mouth, which will tend to relax you in a very nice way.

Whether we do an open excision of the gland or perform liposuction or do both, the operation will be entirely painless. Should we do an open excision of the gland, we will make a semi-circular… “half moon” incision… on the undersurface of the nipple areolar area and then proceed onto to resect the gland, the wound will be closed by sutures.

If we perform liposuction, we will take a small cannula and through a small incision aspirate the fat from both sides of the chest and sometimes we will aspirate the lateral aspect of the chest as well.

The entire procedure should take approximately one hour and I assure you that it well not be unpleasant. During the course of the procedure, you will be able to converse with me and my staff ad I will keep you abreast of the progress we are making.

At the conclusion of the procedure, a small bandage will be applied and then you will go into the recovery room for approximately 45 minutes and then home.

Your post-operative course will be consisting of soreness more than actual pain and we will give you a prescription for pain medication, should you require it. We will leave your activities post-operatively up to you and ask you to gage your level of return to normalcy. However… please note… if I perform this procedure on a Friday, I fully expect you to go back to work on a Monday and certainly begin working out seven days later. That is, most certainly, the norm and prolonged recovery periods in this procedure are certainly not noted.

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