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It is interesting to keep in mind that males have been having surgery for gynecomastia considering that as early as the 1800s. These surgical treatments have continued to alter and be modernized. Surgical treatment for gynecomastia is typically a last resort due to the fact that it is essentially a mastectomy, other than in the case of pseudo gynecomastia where the only liposuction is required. A great deal of males will try to explore other avenues before they finally pick the idea of going through with the surgery.
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How is a gynecomastia procedure performed?
The objective of gynecomastia surgical treatment is to restore a typical male breast shape and to correct defects of the breast, nipple or areola. Surgical choices include liposuction, excision (surgical removal of tissue) or a combination of both techniques. Glandular breast tissue is denser than fat and is not appropriate for liposuction.
- The option of surgical strategy depends upon the probability of skin redundancy after surgery. Skin shrinking is greater in younger than older patients.
- The most common technique is the intra-areolar incision, or Webster incision, which extends along the circumference of the bottom half of the areola in the pigmented part.
- The length of your cut will be based upon your anatomy.
- In severe gynecomastia, skin resection (surgical elimination of part of an organ or structure) and moving the nipple (nipple transposition) may be essential.
- Minimally invasive gynecomastia surgical procedures have acquired popularity. In the "pull-through method," a really small incision (approximately 5 mm) is made at the areolar edge. Following liposuction, the glandular tissue from the overlying areola is pulled through the incision. The significant benefit of this procedure is the smaller incision. This method is utilized in well-selected patients.
- Ultrasonic liposuction has actually enhanced the outcomes of gynecomastia correction. In liposuction-assisted breast reduction, there is less compromise of blood supply, nipple distortion, and areola slough. In addition, postoperative issues are fewer with this method than with open surgical resection; however, liposuction-assisted breast reduction is ineffective for fixing glandular gynecomastia. The fatty and glandular elements of your breast should be evaluated before surgery. Few clients can be adequately treated with liposuction just.
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