BY ALFREDO HOYOS
Gynecomastia or “male breasts” is a common condition affecting men of all ages. Most men who have gynecomastia are self-conscious about the appearance of their chest and often go to great lengths to hide the condition. Many refuses to remove their shirts at the pool, beach, or while playing sports
1. How painful is the surgery?
Most patients say the surgery is not as painful as they expected. In fact, patients describe their recovery as easy, and the pain as being comparable to the discomfort they experience after a heavy chest workout in the gym.
2. How long does it take to see the results?
Most men see an almost immediate improvement in their chest contour; however, complete results often take 4-6 months. Swelling and some bruising are normal after surgery, and the healing time will depend on the individual.
3. When can I return to the gym or sports?
Most patients begin exercising slowly about one week after surgery and find they are back to their usual gym routine around two weeks. Most men can return to work after 5-7 days unless they have a very physical job and need an extra week to recuperate.
4. Can taking hormones cure Gynecomastia?
Being a naturally occurring hormone, testosterone is not only directly responsible for the male physical features, but it also affects a man’s sex drive and mood. Gynecomastia, or the development of larger breasts, can develop when there is an imbalance of the body’s hormones in men, including testosterone. This is also the case when there is a low testosterone level in men.
Both issues of low testosterone levels and gynecomastia are often treatable. However, it is of utmost importance to first understand the underlying causes of each condition.
5. When is gynecomastia surgery necessary?
Most cases of gynecomastia resolve on their own once the underlying cause is addressed. If the condition persists for more than a year, surgery may be needed to remove the excess breast tissue.
6. Are there non-surgical treatment options for gynecomastia?
No. Although creams, pills, and other “treatments” claiming to reduce breast tissue can be found on the internet, they are not effective.
7. Am I a candidate for gynecomastia surgery?
The doctor will determine your suitability for the procedure during the initial consultation. As a general rule, candidates for male breast reduction should be in good health with no pre-existing conditions or active diseases that would make surgery contraindicated.
8. What can I do after my male breast reduction surgery to achieve the best results?
Like any other plastic surgery procedure, it’s vital that you closely follow your surgeon’s pre and post-op instructions. After the procedure, patients wear a compression garment to minimize swelling and support their new chest contour as it heals. Male breast reduction patients should wait about a week before returning to work (though this depends on their job) and at least two to three weeks before exercising following their procedure.
9. How is the procedure performed?
Gynecomastia surgery is typically performed using a combination of liposuction and tissue extraction to remove excess tissue and contour the chest. The procedure normally takes one to two hours and is performed on an outpatient basis under general anesthesia.
10. Are there any activity restrictions following surgery?
You can resume driving and most activities a week after the surgery. Strenuous physical labor and exercise should be avoided for two to four weeks.
11. Will I see the results immediately?
Although you will notice some change immediately after surgery, the final results may not be apparent for up to six months. Your chest contour may continue to improve for up to a year following the surgery.
12. Will I have scars?
Every surgery produces a certain amount of scarring. With male breast reduction surgery, the incisions are normally hidden under the arm or around the areola to make them as inconspicuous as possible.
13. Can gynecomastia return following surgery?
A: This depends on the cause. If the condition is hereditary, the results are normally permanent. If it is caused by medications, hormonal imbalance, or endocrine dysfunction, the breast tissue may grow again if the underlying issue is not addressed.
14. Does gynecomastia put me at risk for breast cancer?
Although it is possible for men to develop breast cancer, there does not appear to be a correlation between gynecomastia and cancer risk.
FAT GRAFTING IN MALE
How Fat Grafting for Men is done?
Men want to be big in some areas and trim in others, too seldom they find that those areas are mismatched. Fat can be extracted from unwanted areas, treated for texture, injected, and molded into the tight muscle where the patient wants it.
• Abdomen – Rectus Augmentation
The abdomen is the perfect location in the body to enhance an existing structure to make the male figure more statuary. After removing the excess fat at the abdomen and love handles, the aspirated fat is purified and injected into each individual part of the rectus abdominis muscle.
Each of the six packs is enlarged in this manner with the injected fat to enhance their size, thereby creating a truly statuesque figure. The oblique muscles are similarly injected with the harvested fat or even augmented by injecting the fat over the muscles to create a sculpted athletic figure.
• Chest - Pectoralis Augmentation
Fat is removed from the chest and abdomen to highlight existing muscles. Instead of discarding the liposuctioned fat, the fat is purified and re-injected into the pectoralis major muscles on the chest. The technique involves injecting small droplets of fat to achieve the enlarged pectoral muscles men envy. • Arms -Biceps and Triceps Augmentation While it’s uncommon for men to have excess fat in their arms, it is common to have smaller than desired biceps and triceps muscles. We all know the aesthetic appeal of large muscular arms which are more proportionate to a sculpted figure.
Based on how much fat is available from your liposuction and the order of preference of your anatomy you wish to enhance. The muscles don’t have to be extraordinarily large but enhanced to create a more statuesque figure. Incisions are small and wellhidden and downtime is minimal.
• Shoulders - Deltoid Augmentation
Shoulder enhancement with fat grafting is crucial when considering augmenting the male upper body. Wide powerful shoulders bring enlarged pectoralis and a narrower more defined abdomen into proportion. Of the various anatomic areas augmented, the shoulders would probably be best combined with augmentation of other areas.
• Buttock augmentation
The fat is injected into the gluteus muscles to enhance their size. This creates a rounder and softer result, more natural results.
16. What are the Benefits of a Butt Lift?
Beyond it being an all-natural augmentation, there are other benefits of getting a Brazilian Butt Lift: • Since it's your real fat being transferred, and not an implant, the buttocks will have a softer feel. • The results are permanent. • Since this procedure does not involve artificial implants, no maintenance is required. • There are minimal scars; each scar is only a quarter of an inch long. • The fat transfer not only plumps up the backside, it also trims your waist, leaving you with a shapelier figure.
17. Who Is an Ideal Candidate? If you're in good health, have a good skin tone, and have realistic expectations, you're probably a good candidate for fat transfer. You must also have some excess fat to be able to donate. . About the Calves fat grafting Procedure
Calf augmentation is done to make the legs appear shapelier and more defined. This can create a greater feeling of confidence, particularly in clothes, such as shorts and swimsuits. With the fat transfer, fat is harvested from one site on the body (such as abdomen or thighs) and transferred to the calf muscle through a very small incision.
18. How is the recovery from Calf Augmentation?
Immediately following the surgery, the calves may feel stiff and sore. Some swelling and bruising are to be expected. Normal physical activities may be resumed a few days after the fat transfer surgery. Patients can resume full activity in 5 to 7 days after fat injections. However vigorous activities such as exercise should be delayed until about six weeks after the surgery.
19. What are the risks with Calf Augmentation?
The risks of fat transfer/fat injection are few and minimal. Soreness and swelling are possible. The body can also reabsorb the fat injections, which is difficult to predict. With fat transfer, the average patient may need more than one treatment to get the desired result.
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