What is Gynecomastia?
Gynecomastia is the technical term for male breast enlargement. A common condition in males, it often occurs around puberty, lasting throughout life for a few. Other males are affected only in their latter years.
In many cases, the cause of gynecomastia is due to disease, excessive weight, medication affecting the natural hormonal balance of the sufferer, or other hormonal condition that increases levels of estrogen (the female sex hormone). It can also be caused by unknown reasons.
Men suffering from male breast enlargement experience an increase in the amount of glandular tissue and/or fat in the breasts. As a result, the size of their breasts, whether it be just one or both, enlarge to an abnormal size. Because breasts are perceived as a feminine trait, men with gynecomastia may feel that their masculinity is compromised. This causes extreme embarrassment for many sufferers and is profoundly damaging to their self esteem.
Unfortunately, treatment for gynecomastia is limited. Determining the cause is essential to choose the right course of treatment, and diagnosis by a physician is highly recommended. A blood test or review of the patient's medical history may be performed. In the event a medical condition or medication is cited, a specialist should decide on a suitable course of action. Slimming down and toning the area is a great solution if gynecomastia is caused by weight gain. When subcutaneous fat is the cause of male breast enlargement, the condition is referred to as pseudo-gynecomastia. Pseudo-gynecomastia can be effectively treated by cosmetic/plastic surgery.
Liposuction to Treat Gynecomastia
Liposuction has been widely used as a technique to achieve a desirable body contour that meets the expectations of its beneficiaries.
Liposuction to treat male breast enlargement is not a method of weight loss. It is designed only to improve the aesthetic appearance of the chest. As a result, men who are considering liposuction should be in a relatively healthy state, both physically and mentally. Obese men may be discouraged from undergoing the cosmetic surgical procedure. In addition, good skin elasticity can improve the results of Toronto liposuction.
Consultation: During consultation, the surgeon will perform a thorough examination to determine the type of tissue being dealt with. Patients are advised to have realistic expectations. Liposuction of the male breast will result in up to 50% improvement and will not necessarily alter the shape of the breast. If this is the goal, then alternative cosmetic procedure options will be discussed. It is worth noting that increased age and obesity may lead breast fat to be continuously present along the axillary chest wall (leading towards the underarm). It may not make cosmetic sense to treat only the breast while ignoring this region as it could lead the chest to look unnatural and disproportionate. Your surgeon will discuss your options to create the most natural result.
Liposuction: At Toronto Cosmetic Clinic tumescent, SmartLipo™ is performed. Fat is gradually removed to ensure that ensure that the maximum, safest amount of fat is removed, that symmetry between both breasts are maintained and that damage to skin and/or subjacent muscles is avoided by liposuction cannula.
Post-operative Care: Once liposuction is completed, the patient will be fitted with a compression garment and sent home to rest. With local anesthesia the patient may leave to go home immediately after surgery, provided they do not drive themselves home.
Structure of The Healthy Male Breast
The healthy male breast contains both fibrous glandular and adipose (fat) tissue. The male breast obviously does not contain the milk-producing duct that a female breast does, but does contain an eccentric circle under the areola.
Compression and Healing
Trimodal Compression: As with liposuction of the female breast, a three part compression routine is recommended as both males and females are susceptible to hematomas. Due to the vascularity of the fat and glandular tissue of the male breasts, they are more susceptible to excessive Ecchymoses (a hematoma larger than 1cm).
- The first 12-18 hours: Maximum compression. Compression garment is to be worn as tight as possible without compromising breathing and movement. This is to prevent post-surgical hematoma (localized collection of blood outside the vessels) and bruising.
- Between 18 and 48 hours after procedure: Intermediate compression is recommended to optimize drainage of fluid out of adits (tiny incisions where cannula enter) and minimize post-liposuction edema (accumulation of fluid under skin). The phase should stop once drainage has ceased.
- 48-hours to 7 days after procedure: compression garment is worn throughout day and night, removing only to bathe. This will aid recovery and help maintain breast shape after liposuction.
It is true that most body contouring procedures are performed on far more women than men. However, when it comes to liposuction, the gap between female and male patients is growing. If you are interested in slimming your chest, call 416-221-5554 to get started.