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Gynecomastia Patient Information - INTRODUCTION: Gynecomastia is a medical term meaning enlarged breast tissue. Although certain drugs and medical problems have been linked with gynecomastia, in the vast majority of cases there is no known cause. Surgery to correct the condition may be performed on healthy men of any age. The best candidates for surgery have firm, elastic skin that will reshape to the body's new contours. EXCESS GLANDULAR TISSUE: If excess glandular tissue is the primary cause of the breast enlargement, Dr. Zevon will excise it with a scalpel. He will make an incision in an inconspicuous location, either on the edge of the areola or in the armpit, depending on your anatomy. He will cut away the excess glandular tissue, fat and skin from around the areola and from the sides and bottom of the breast. The excision may be performed alone or in conjunction with liposuction. LIPOSUCTION: If your gynecomastia consists primarily of excess fatty tissue, Dr. Zevon will use liposuction to remove the excess fat. Through a tiny incision, a fine hollow tube called a cannula is inserted to vacuum the fat layer that lies beneath the skin. The cannula is pushed and pulled through the fat layer, breaking up the fat cells and suctioning them out. The suction action is provided by a vacuum pump. Ultra-sound assisted liposuction has been shown to be especially effective in fibrous areas such as the enlarged male breast. UAL requires the use of a special cannula that produces ultrasonic energy, exploding the walls of the fat cells and liquefying the fat. ANESTHESIA OPTIONS: Dr. Zevon will discuss anesthesia options with you during your consultation. Your options depend on the extent of your gynecomastia surgery, and your personal preferences. Most patients have surgery for gynecomastia under sedation or general anesthesia, although occasionally patients choose to have the male breast reduction surgery under local anesthesia. Dr. Zevon will recommend an anesthesia option for you and explain why it is the best choice. Continue reading gynecomastia surgery patient information Pre-operative Instructions
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