Gynecomastia is the swelling of breast tissue in boys and men, caused by the imbalance of estrogen and testosterone hormones. During puberty, levels of these hormones may fluctuate and rise at different levels, resulting in a temporary state in which estrogen concentration is relatively high. Gynecomastia surgery reduces breast size, flattening and enhancing the chest contours.
- Overall balance of the body
- Enhancement of the contours in the chest
- A flatter chest
- Enhanced confidence
BEST CANDIDATES FOR A GYNECOMASTIA
The best candidate for a Gynecomastia surgery is a male with an imbalance of estrogen or testosterone hormones that cause swelling of the breast tissue.
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GET TO KNOW YOUR DOCTOR
This is your time to get to know Dr. Stiller and the staff at Stiller. Be sure to convey your goals and expectations for the surgical procedure.
Dr. Stiller will evaluate your medical health and explain the surgical techniques available to you. All of your questions related to the procedure will be answered as thoroughly as possible. Dr. Stiller will perform an examination of your trouble area at the consultation.
Dr. Stiller will go over the risks and potential complications and he will explain the preoperative and post-operative process.
All procedures carry some uncertainty and risks.
- Numbness or sensation changes of the skin
- Some patients will require additional surgery
- There may be asymmetry in some areas.
- Pigmentation change of skin is possible
- Irregular contour may occur
Skin slough/necrosis: When wound edges are put together sometimes the skin edges can slough. Your body will heal it, but it may prolong the healing time. Smoking increases this risk
GETTING READY FOR SURGERY
During your consultation, an explanation of preoperative and postoperative plan will be reviewed.
You will be given a list of medication to avoid taking two weeks prior to the operation. A Stiller staff member will contact you a few days before the surgery and notify you what time you are expected to arrive for your procedure and discuss any last minute details.
At this time, you will be given an opportunity to ask any further questions. Continuing a healthy diet and exercise is very important prior to surgery. Smoking must be stopped two weeks prior to surgery.
Do not eat or drink eight hours before your surgery. You should wear a button-down or zipper front shirt and sneakers. Do not wear sandals or slippers.
You will meet with a member of our staff to prepare for surgery. Dr. Stiller will see you prior to your surgery to answer any final questions and meet family or friends. You will meet with our anesthesia provider to discuss anesthesia. For family or friends that accompany you, we have a lounge area to comfortably pass the time.
You will need someone to drive you home after the operation and stay with you the first 24 hours after the surgery is completed.
In cases where gynecomastia is primarily the result of excess fatty tissue, liposuction techniques alone may be used. This requires insertion of a cannula, a thin hollow tube, through several small incisions. Excision techniques are recommended where glandular breast tissue or excess skin must be removed to correct gynecomastia. Excision also is necessary if the areola will be reduced or the nipple will be repositioned to a more natural male contour. Incision patterns vary depending on the specific conditions and surgical preference.
AFTER THE SURGERY
Following surgery, you will likely have drainage from your incisions. Any discomfort you feel should be controlled with oral pain medications prescribed by Dr. Stiller.
Depending on your job, you should be able to get back to work in a few days. Dr. Stiller will direct you regarding resuming exercise and normal activities during your follow-up evaluations.
The decision for a Gynecomastia Surgery is a very personal choice. The most important thing is how you feel. If your goals have been met, then your procedure was a success. However, it is very important to continue follow-ups as recommended by Dr. Stiller.