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The best
candidates for gynecomastia correction
Surgery to
correct enlarged male breasts can be performed on healthy, emotionally stable men of any
age. The best candidates for surgery have firm, elastic skin that will reshape
to the body's new contours.
Surgery may be discouraged for obese men, or for overweight men who have not
first attempted to correct the problem with exercise or weight loss. Also,
individuals who drink alcohol beverages in excess or smoke marijuana are usually
not considered good candidates for surgery. These drugs, along with anabolic
steroids, may cause enlarged male breasts. Therefore, patients are first directed to stop
the use of these drugs to see if the breast fullness will diminish before
surgery is considered an option.
All surgery carries some uncertainty and risk
When male breast-reduction surgery is performed by a qualified plastic
surgeon, complications are infrequent and usually minor. Nevertheless, as with
any surgery, there are risks. These include infection, skin injury, excessive
bleeding, adverse reaction to anesthesia, and excessive fluid loss or
accumulation. The procedure may also result in noticeable scars, permanent
pigment changes in the breast area, or slightly mismatched breasts or nipples.
If asymmetry is significant, a second procedure may be performed to remove
additional tissue.
The temporary effects of male breast reduction include loss of breast sensation or
numbness, which may last up to a year.

Many men have gynecomastia
(enlarged, female-like breasts) caused
by excess glandular tissue or fat
(or both).
Planning your
surgery
The initial consultation with your surgeon is very important. Your surgeon
will need a complete medical history, so check your own records ahead of time
and be ready to provide this information. First, your surgeon will examine your
breasts and check for causes of the gynecomastia, such as impaired liver
function, use of estrogen-containing medications, or anabolic steroids. If a
medical problem is the suspected cause, you'll be referred to an appropriate
specialist.
Your plastic surgeon may, in extreme cases, also recommend a mammogram, or
breast x-ray. This will not only rule out the very small possibility of breast
cancer, but will reveal the breast's composition. Once your surgeon knows how
much fat and glandular tissue is contained within the breasts, he or she can
choose a surgical approach to best suit your needs.
Don't hesitate to ask your surgeon any questions you may have during the initial
consultation- including your concerns about the recommended treatment or the
costs involved. Treatment of gynecomastia may be covered by medical
insurance--but policies vary greatly. Check your policy or call your carrier to
be sure. If you are covered, make certain you get written pre-authorization for
the treatment recommended by your surgeon.
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