DR G DE AGUIAR

PLASTIC, RECONSTRUCTIVE & COSMETIC SURGEON

Procedures - MALE BREAST REDUCTION


Introduction:
Many men have gynaecomastia (“woman-like breasts” or “man-boobs”) -- enlarged, female-like breasts--caused by excess glandular tissue or fat (or both). Although this condition is rarely talked about, it's actually quite common. Gynaecomastia affects an estimated 40 to 60 percent of men. It may affect only one breast or both. Though certain drugs (prescription and recreational) and medical problems have been linked with male breast overdevelopment, there is no known cause in the vast majority of cases. For men who feel self-conscious about their appearance, breast-reduction surgery can help. The procedure removes fat and or glandular tissue from the breasts, and in extreme cases removes excess skin, resulting in a chest that is flatter, firmer, and better contoured.

The Best Candidates For Gynaecomastia Correction:
Surgery to correct gynaecomastia can be performed on healthy, emotionally stable men of any age. The best candidates for surgery have firm, elastic skin that will reshape to the body's new contours. Surgery may be discouraged for obese men, or for overweight men who have not first attempted to correct the problem with exercise or weight loss. Also, individuals who drink alcohol in excess or smoke marijuana are usually not considered good candidates for surgery. These drugs, along with anabolic steroids, may cause gynaecomastia. Therefore, patients are first directed to stop the use of these drugs to see if the breast fullness will diminish before surgery is considered an option.

The Procedure:
If excess glandular tissue is the primary cause of the breast enlargement, it will be surgically excised. The excision may be performed alone or in conjunction with liposuction. In a typical procedure, an incision is made in an inconspicuous location--either on the edge of the areola, in the under arm area or in a natural skin crease. Working through the incision, the excess glandular tissue, fat and skin is removed from around the areola and from the sides and bottom of the breast. Major reductions that involve the removal of a significant amount of tissue and skin may require larger incisions that result in more conspicuous scars. If liposuction is used to remove excess fat, the cannula is usually inserted through the existing incisions.

If your gynaecomastia consists primarily of excessive fatty tissue, you will likely require the use of liposuction to remove the excess fat. Small inconspicuous incisions (approximately 2 to 3 mm in length) are made,through which a slim hollow tube (called a “cannula”) which is attached to a vacuum pump, is then inserted. Using strong, deliberate strokes, the surgeon moves the cannula through the layers beneath the skin, breaking up the fat and suctioning it out. In extreme cases where large amounts of fat or glandular tissue have been removed, skin may not adjust well to the new smaller breast contour. In these cases, excess skin may have to be removed to allow the removing skin to firmly re-adjust to the new breast contour. Sometimes, a small drain is inserted through a separate incision to draw off excess fluids. Once closed, the incisions are usually covered with a dressing. The chest may be wrapped to keep the skin firmly in place and the patient will be required to wear a pressure support garment for approximately 6 weeks.

Planning Your Surgery:
The initial consultation with your surgeon is very important. Your surgeon will need a complete medical history, so check your own records ahead of time and be ready to provide this information. First, your surgeon will examine your breasts and check for causes of the gynaecomastia, such as impaired liver function, use of estrogen-containing medications, or anabolic steroids. If a medical problem is the suspected cause, you'll be referred to an appropriate specialist. Your plastic surgeon may also recommend a mammogram (“breast x-ray”) or ultrasound investigation. This will not only rule out the very small possibility of breast cancer, but will reveal the breast's composition. Once your surgeon knows how much fat and glandular tissue is contained within the breasts, he or she can choose a surgical approach to best suit your needs. Benefits:

  • Gynecomastia surgery can enhance your appearance and self-confidence, but it won't necessarily change your looks to match your ideal. Before you decide to have surgery, think carefully about your expectations and discuss them frankly with your plastic surgeon.
  • The results of the procedure are significant and permanent. If your expectations are realistic, chances are good that you'll be very satisfied with your new look.
  • Following surgery for gynaecomastia, the patient has a more masculine chest contour.
  • Gynaecomastia surgery often makes a dramatic change in appearance and most patients experience increased confidence particularly in the gym, on the beach etc.
  • Surgical incisions are generally inconspicuous unless more extensive surgery was required.
  • Significant complications from are infrequent.
  • It is often possible to return to work within a few days depending on the level of activity required in the patient’s job.
  • Resumption of most normal activities, including some form of mild exercise, is often possible after several weeks. Return to full activities is usual after approximately 6 weeks.


Risks and Considerations:
  • When male breast-reduction surgery is performed by a qualified plastic surgeon, complications are infrequent and usually minor. Nevertheless, as with any surgery, there are risks. These include infection, skin injury, excessive bleeding, adverse reaction to anesthesia, and excessive fluid loss or accumulation.
  • The procedure may also result in noticeable scars, permanent pigment changes in the breast area, or slightly mismatched breasts or nipples or contour irregularities. If asymmetry is significant, a second procedure may be performed to remove additional tissue.
  • The temporary effects of gynaecomastia surgery include loss of breast sensation or numbness or nipple hypersensitivity, which may last up to a year.

Procedures by Dr De Aguiar

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Body

Just as the facial muscles may sag or wrinkle with age, so can the skin on the torso, breasts, thighs and upper arms.

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Breast

Loss of skin elasticity, the force of gravity and other factors such as weight loss, pregnancy and breast-feeding ultimately affect the shape and firmness of a woman’s breasts.

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Face

As part of the natural aging process, our skin progressively loses its elasticity and our muscles tend to slacken.

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Reconstructive

From the top of the head to the tip of the toe, and from newborn babies to the very elderly, reconstructive surgery is used to treat a wide range of conditions.

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Non Surgical

Apart from the cosmetic uses of Botox, the drug has been used to treat more than 70 medical conditions.

Commitment

Choosing to have plastic surgery requires thorough research and educated decision-making. This website is designed to help guide you get to know a little bit more about my practice and understanding of the procedures and treatments available to you. I look forward to meeting you which will allow you to make a better informed decision around treatments or surgery best suited to you.

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ADDRESS: Room GF07, Netcare Waterfall City Hospital