Male Breast Reduction (Gynecomastia)
| Male Breast Reduction Costs
Approximate Cost: $2,500 – $6,000, occasionally covered by |
Breast reduction or reduction mammoplasty is a common surgical procedure which involves the reduction in the size of breasts by excising fat, skin, breast implants and glandular tissue; it may also involve a procedure to counteract drooping of the breasts. As with breast augmentation, this procedure is typically performed on women, but may also be performed on men afflicted by gynecomastia. In 2005, over 113,000 women had breast reductions, an increase of 11 percent from 2004.
Candidates
Breast reduction surgery is oriented toward women with large, pendulous breasts, especially gigantomastia, since the weight of their breasts may cause chronic pain of the head, neck, back, and shoulders, plus circulation and breathing problems. The weight may also cause discomfort as a result of brassiere straps abrading or irritating the skin.[1] For these reasons, the surgery is usually covered by insuranceor by welfare provisions. Even if physical discomfort is not a problem, some women feel awkward with the enormity of their breasts in proportion to the rest of their smaller bodies. Except in unusual cases, this procedure is performed on individuals with fully-developed breasts, and it is not typically recommended for women who desire to breastfeed.
Males with common condition of gynecomastia may feel embarrassed and upset with their condition, usually developed during adolescence. They may get the surgery for restored confidence. The surgical methods employed may vary depending on whether the breasts in the male patient are caused by adipose (fatty) or glandular tissue, and the degree to which any glandular tissue extends laterally along the sides of the torso.
Procedure
Doctors almost always perform breast reductions while the patient is under general anesthesia. During pre-operative visits, the doctor and patient may decide on new, usually higher, positions for the areolas and nipples.
For males, excess tissue may simply be removed through a tiny incision in each breast. This leaves minimal scarring.
Patients may take a few weeks for initial recovery, however it may take from six months to a year for the body to completely adjust to the new breast size. Some women may experience discomfort during their initial menstruation following the surgery due to the breasts swelling.
Techniques
A comparison of post-surgery incision lines from the two most popular techniques
The traditional popular technique in North America bases the blood supply to the nipple and areola complex (NAC) from a central and inferiorly based attachment to the chest wall (an “inferior pedicle” or “central mound” technique), with variations of orientations of such pedicles described. Better understanding of anatomy in terms of innervation to the NAC has made it more likely to leave both nipple sensitivity and capability to lactate for the patient as compared to other techniques of the past. It is now being studied and debated as to which of the techniques results in a better quality of life for the patient in the long run.Liposuction has been used as an adjunct to other breast reduction procedures for quite some time, but liposuction only techniques are not widely performed. All of the breast reduction techniques produce some degree of breast lift, but have a tendency to settle and stretch out the inferior skin envelope over time.
Inferior pedicle technique
The inferior pedicle technique, sometimes also known as a keyhole, inverted-T, or “Wise pattern” reduction, involves an anchor-shaped incision which circles the areola. The incision extends downward, following the natural curve of the breast. Excess glandular tissue, fat, and skin is removed. Next, the nipple and areola are moved into their new higher position. A drawback of this technique is sometimes “square” looking breasts, but this is a common option for women with the largest, droopiest breasts. This is the most commonly performed technique in North America and produces predictable outcomes with larger reductions. Inferior pedicle techniques can also be performed through shorter scar incisions in some patients.
Vertical scar technique
The vertical scar techniques are gaining popularity in the United States due to their shorter scarring and projecting shape post-surgery. These types of procedures can involve the use of superior, inferior, medial or laterally based pedicles to the NAC. As compared to traditional incisions, they may have a limited or absent horizontal component. These procedures are best suited to smaller reductions with less excess skin to limit the scar length. Advantages include increased projection by the gathering of tissue medially, shorter scar length, and quicker surgery times. This technique keeps its results the best in the long ter. The breast is reduced through removal of the lateral and inferior tissues, leaving the upper pole mostly untouched.
Horizontal scar technique
Horizontal scar techniques involve the use of a scar along the inframammary fold and a round cutout for the NAC. These procedures typically require a inferior or inferior-lateral pedical like traditional “Wise pattern” surgeries but eschew the vertical wedge excision. They permit a shorter scar option in women who are too large for vertical scar techniques. Advantages include the absence of a scar on the visible meridian of the breast and better scarring of the NAC inset. Disadvantages are the potential for “boxy” shaped breasts and poorer scarring that can be produced along the IMF.
The liposuction-only technique does not have as noticeable of a result, but will leave minimal scarring.
Liposuction-only technique
The liposuction-only technique is used for women with breasts that are not quite as large as with the other procedures or in patients who are anesthesia risks for longer procedures. For the best outcomes, women who choose this procedure have fatty, non-dense breast tissue with good skin and little ptosis (droop). As few women with larger breasts possess those characteristics, the widespread use of this technique may be limited. The result is not as drastic as the other techniques, but it involves a quicker healing time and little scarring.This is a technique typically used in conjunction with some direct excision of dense tissue for male gynecomastia surgery.
Free nipple graft technique
The free nipple graft technique is used primarily for high risk patients of ischemia to the NAC to reduce the chance of sloughing it postoperatively. Typical candidates would include diabetics, smokers, longer breasts approaching 20 cm from the IMF to the nipple, and breasts with significantly larger than normal resection requirements. In this procedure, the areola and nipple are completely removed for relocation and replaced as a skin graft higher on the breast. In these cases, sensation from the areola area will be lost and it eliminates the ability for lactation. This technique is sometimes used during surgery or postoperatively if the NAC viability is questionable. By eliminating the requirement for a pedical, this procedure allows significantly greater amounts of tissue to be removed safely.
Results
Reduction mammoplasty affords the recipient smaller, lighter, and firmer breasts. The surgeon may also reduce the size of and change the shape of the areola or nipples. Both men and women typically have restored confidence, as well. It has been mentioned that patients who have received breast reductions are the happiest and most satisfied of all plastic surgery recipients.
Risks
Possible issues include difficulty breast feeding, scarring, asymmetry, delayed wound healing, altered nipple sensation, fluid retention in the breast, altered erogenous function, and late changes in shape and recurrent ptosis (drooping).
It may impair the likelihood of breastfeeding success due to the surgical disruption to the lactiferous duct system.However, a number of studies have demonstrated a similar ability to breast feed when breast reduction patients are compared to control groups.
Scarring from this procedure may be extensive and permanent. Initially, the scars are lumpy and red, but they gradually subside into their final smaller sizes as thin lines, slightly discolored. Though permanent, the surgeon can make the scars inconspicuous to the point that even low-cut tops may be worn without visible scars.
Cancer-prevention
Although not advocated as a cancer risk reducing procedure, a woman’s risk of subsequently developing breast cancer will be reduced proportionately to the amount of breast tissue left.
The surgery can also make mammograms easier, since it may be difficult to get a decent mammogram reading with a great deal of excess breast tissue. Therefore, with less tissue, it can be easier for doctors to get and interpret the results of a mammogram. However, it is still typically recommended that patients receive new baseline mammograms 6 to 8 months after breast reduction to accommodate expected radiographic changes and give a new basis to which future imaging studies can be compared.
This is my first time i visit here. I found so many interesting stuff in your blog especially its discussion. From the tons of comments on your articles, I guess I am not the only one having all the enjoyment here! keep up the good work.
excellent work man, maintain writing the same manner
Hrmm that was weird, my comment got eaten. Anyway I wanted to say that it’s nice to know that someone else also mentioned this as I had trouble finding the same info elsewhere. This was the first place that told me the answer. Thanks.
A professional laser hair removaller needs to get proper training. Joining in the right laser hair removal school can help get you started on the correct path towards a career in this increasingly popular field. Has laser hair removal ever gone wrong for you? What could be the biggest danger for you?
saw this page bookmarked and I really liked it. I will definately bookmark it as well and go through your other posts tonight.
Thanks because of this! I’ve been searching all above the web for that facts.
My wife had it done. Great results. However, the pain is significant for a couple of days. If you have 7 kids you should plan on someone taking care of them for at least 3 days after the surgery.
Hey very nice blog!! Man .. Beautiful .. Amazing .. I will bookmark your blog and take the feeds also…
Have you ever considered adding more videos to your blog posts to keep the readers more entertained? I mean I just read through the entire article of yours and it was quite good but since I’m more of a visual learner,I found that to be more helpful well let me know how it turns out!
Good idea will do
I can see that you are an expert in this field! I am launching a website soon, and this information is very useful for me. Thanks for all your help and wishing you all the success in your business.
Intriguing, how would I apply this?
Keep up the good work guys!
Hello, sry for my bad english but Ih ave found your web page and would say that I come across your posts great due to the fact they have give me new suggestions and new aspects. Many thanks for this facts.
I couldn’t agree more great stuff here.
I must say,the time I have taken to read this blog is worth it. thanks again.
I’ve gotta tell you, u r totally on. I came 2 this blog from someone else’s link and am heavily intrigued by this category and learning more. Do you mind if I refer to this website from my mailing list?
The epila laser hair removal process shows an alternative way to remove unwanted body hair, but its not for everyone, or can it be used for on all parts of the body. The time saving and the long lasting effects are the most attractive point, but the full details of the system should be carefully understood. Did epila laser hair removal work for you? Which hair did it remove?
I am having trouble viewing your site in Safari, it keeps popping up errors.
Your blog article is very intersting and fanstic,at the same time the blog theme is unique and perfect,great job.To your success.
Hey may I reference some of the information found in this post if I reference you with a link back to your site?
You got a really useful blog I have been here reading for about an hour. I am a newbie and your success is very much an inspiration for me.
hey from down under..i have been browsing through some of your pages and specificly like this one.in the begining i book marked you front page because i saw somthing i liked. this is now my second tip back to see what ellse you had on your site and i just wanted to say that you have done some pritty cool article..chear mate
I was wondering what is up with that weird gravatar??? I know 5am is early and I’m not looking my best at that hour, but I hope I don’t look like this! I might however make that face if I’m asked to do 100 pushups. lol
This unique is one of the perfect post that My partner and i have read through till date on this specific field. Really all-inclusive nevertheless to the point free of any fluff.
Hi there, just wanted to leave a quick comment about the interface of your blog. It is really easy on the eye while also being catchy. I think I will do something similar for my blog as well. Thanks for the nice blog share.
Would you mind if I reference a few sentences from your post? I’m writing a paper for highschool. Thanks a lot!
Hi, admin, I like your blog, but how can I subscribe to the blog itself?
Great article! This is just what I was looking for to finish my research.
Hi, admin, can I copy some information from the post?
hey, nice blog…really like it and added to bookmarks. keep up with good work
Hi there could I use some of the content found in this entry if I link back to you?
Hello can I reference some of the insight here in this blog if I provide a link back to your site?
great blog thank you
Hi there may I use some of the information found in this blog if I reference you with a link back to your site?
This actually good blog which aids me to acquire a lot more details to the topic. I will bookmark it!
Thats exact what I have searched for. I believe with this basics I can get far more information.
Hello may I use some of the content from this blog if I provide a link back to your site?
Hi there could I reference some of the material here in this blog if I provide a link back to your site?
Thanks man. This has been special seeing.
Hi, admin, can I copy some information from the post?
I wish more people would write blogs like this that are actually fun to read. With all the garbage floating around on the net, it is a great change of pace to read a blog like yours instead.
Hi, my english isnt ideal but I consider by regulary visits of your blog it is going to be much better inside the next time. You have a very good wrting style which is easy to understand and can aids persons like me to learn english. I will be now a regulary visitor of your blog.
Enormously informative thanks! It is my opinion that your trusty visitors may possibly
I know this is off topic but what WP Template are you using? it looks pretty cool
Keep posting stuff like this i really like it
It’s really great publish, nice blog..I’m actually looking forward to your subsequent post. very good put up informative content material, Thanks for sharing
How can I to learn more and more available and effective skills ?
Great shopping blog you might have, but if anybody wants to acquire to come back on Paypal and you also are blacklisted from selling, attempt the Paypal Stealth eBook and get to come back on-line today. In case you are blacklisted, constrained, or suspended from selling on Paypal, the Paypal Stealth eBook will aid you obtain previous all of that and commence offering nowadays. Attempt them out!
Thanks for posting the info. It is completelyshall help me.