How Is Gynecomastia Surgery Performed?

Gynecomastia surgery, also known as male breast reduction surgery, is performed to remove excess breast tissue in men. This surgery can help alleviate physical discomfort and improve self-esteem associated with the condition. Below is a detailed overview of how Gynecomastia in Abu Dhabi is performed, including the techniques used, the steps involved, and what to expect throughout the process.

1. Preoperative Preparation

Consultation:

• Medical Evaluation: A thorough evaluation of your medical history, symptoms, and the extent of gynecomastia is conducted by a qualified surgeon.

• Discussion of Options: The surgeon will recommend the appropriate surgical approach based on factors such as breast tissue composition (fat vs. glandular tissue), skin elasticity, and overall health.

• Informed Consent: You’ll sign a consent form after understanding the nature of the procedure, potential risks, and expected outcomes.

Preoperative Instructions:

• You may be advised to avoid certain medications (like blood thinners) and supplements and to stop smoking for a period before surgery.

2. Anesthesia

On the day of the surgery, you will be taken to the operating room. Anesthesia will be administered to ensure your comfort during the procedure:

• General Anesthesia: Most commonly used for this procedure, allowing you to be completely unconscious.

• Local Anesthesia with Sedation: In some cases, only the chest area may be numbed while you remain relaxed and awake.

3. Surgical Techniques

The exact technique used will depend on the individual patient's needs but typically includes one or more of the following approaches:

Liposuction

• Purpose: Often used when gynecomastia is primarily due to excess fatty tissue.

• Method:

  • Small incisions (approximately 1-2 cm in length) are made in discreet areas, like the underarm or along the edge of the areola.

  • A thin, hollow tube called a cannula is inserted through the incision to suction out fatty tissue.

  • The surgeon may use ultrasound or laser (in tumescent liposuction) to help break down fat for easier removal.

Mastectomy

• Purpose: Necessary when there is significant glandular tissue or when liposuction alone is insufficient.

• Method:

  • Depending on the amount of tissue to be excised, the surgeon will make incisions that may be:

    • Periareolar: Around the edge of the areola, allowing for the removal of glandular tissue while minimizing visible scarring.

    • Inverted-T or Anchor Incisions: Used in more extensive cases that require the removal of larger amounts of tissue. This method minimizes the appearance of scars.

  • The excess breast tissue is carefully excised, and the skin is reshaped to create a flatter chest contour.

Combination of Techniques

In many cases, both liposuction and mastectomy are used together to achieve optimal results, especially if there is a mix of fatty and glandular tissue.

4. Closure and Aftercare

After the surgery is complete:

• Stitches: The incisions are closed using sutures. Some may dissolve on their own, while others may require removal in a follow-up visit.

• Dressing: The area will be covered with dressings or bandages, and you may be instructed to wear a compression garment to help reduce swelling and support the healing chest.

5. Postoperative Recovery

Immediate Recovery:

• You will be monitored in a recovery area until the effects of anesthesia wear off.

• Once stable, you can typically go home the same day.

Postoperative Care:

• Pain Management: You may experience discomfort, which can usually be managed with pain medications.

• Activity Restrictions: You’ll need to avoid strenuous activities, heavy lifting, and intense workouts for several weeks.

• Follow-Up Appointments: Regular follow-ups are essential for monitoring healing, dressing changes, and assessing overall progress.

Expected Recovery Timeline:

• Week 1-2: Swelling and bruising are common. Initial discomfort should decrease significantly.

• Week 3-4: Follow-up visits to ensure healing and manage any concerns. Many people can return to lighter activities.

• 6-12 Weeks: Final results will become more evident as swelling continues to diminish, and the chest contour settles.

Conclusion

Gynecomastia surgery is a well-established procedure that can greatly enhance a man's appearance and quality of life. By understanding the surgical process, including techniques and recovery expectations, patients can approach the procedure with confidence and preparedness. Always consult with a board-certified plastic surgeon experienced in gynecomastia treatment to receive personalized advice and care tailored to your individual needs.