Minneapolis Male Breast Reduction doctors
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Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon
4825 Olson Memorial Highway (Hwy 55) Suite 200, Minneapolis |
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3 answers |
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Michael Philbin, MD
Minneapolis Plastic Surgeon
6525 France Ave. South Suite 300, Edina |
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Douglas L. Gervais, MD
Minneapolis Plastic Surgeon
4825 Olson Memorial Highway (Hwy 55) Suite 200, Minneapolis |
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Heather Rocheford, MD
Saint Paul Plastic Surgeon
2101 Woodwinds Dr Suite 400, Woodbury |
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Bruce L. Cunningham, MD
Minneapolis Plastic Surgeon
424 Harvard Street Southeast Masonic Cancer Center, First Floor, Minneapolis |
Recent Answers
I know the risks of smoking and using any sort of tobacco or nicotine product and have no plans to touch anything of that sort. I suffer from chronic migraines, both physical and optical, and the only thing I've found that helps is cannabis, so I wondered if it would be safe for me to take an occasional "hit" of cannabis. By that, I mean one single inhale every few days to a week. When I use it, the migraines tend to go away for a few days.
Calling marijuana cannabis makes it better, right?
Unless you live in a state that has legalized marijuana for medical reasons, and have a valid prescription for medical marijuana, no one is going to OK this, even if someone thinks you are far enough healed to avoid the circulation-impairing aspects of inhaling any kind of smoke, nicotine-free or not!
It's a bit like your surgeon telling you that alcohol stops his "shakes" so would it be OK to drink before operating on you? Just a little?
But let's be serious. If you do have a medically-legal cannabis prescription and it does help your migraines, 2 weeks is still a bit early to pronounce your tummy tuck healed-enough to allow smoking of any kind (including exposure to second-hand smoke, or second-hand weed). Hold off until your surgeon tells you you are healed, and consider a consultation with a physician who can prescribe one of several very good cerebrovascular vasoconstrictors to treat your migraines.
I was hurt in 2008 at work lifting some heavy stone. I tore my rotator and labrum and had surgery in 2009. I also had a pop in my right pec that went from the nipple to almost under my arm. The area was 2 to 3 times the size of my left pec and black and blue for a few weeks. The swelling went down after about 6 months, but is still bigger than the left. My doctor sent me to a cosmetic surgeon that was unsure and said i may have damaged the pec minor, but also it looked like gynecomastia.
Your description is quite accurate for a partial muscle tear causing an intramuscular hematoma (which is what caused the bruising and swelling). This should have been diagnosed and evacuated at the time of the injury, but letting this collection of blood reabsorb over 6 months' time has left persistent scar tissue in the right pec area.
Shame on your "cosmetic surgeon" consultant for failing to diagnose this, though 6 months after injury this may well have looked less like an old collection of blood and more like a fibrous mass of scar tissue that closely mimicked the consistency of gynecomastia tissue. Damage to the pec minor would have been less likely than damage to the pec major, but whichever muscle was injured is immaterial to the diagnosis.
At this point you require excision of the scar mass to equalize the chest/breast area. This can be done through a short periareolar incision, but beware--liposuction (including ultrasonic and laser-assisted) will be a spectacular failure and will NOT make any real improvement! This scar tissue is very firm and fibrous--not at all like fatty tissue--and totally inappropriate for liposuction. Proper surgical treatment of this will require subcutaneous excision of the excess bulk, preserving a small disc of normal tissue beneath the nipple areola complex to prevent unnatural adherence to the underlying muscle, and placement of a drain for about a week. Make sure you see an American Board of Plastic Surgery-certified plastic surgeon, not a "cosmetic surgeon" who may have little true general surgical or plastic surgical training or experience!
I am a male who recently had a nipple reduction with liposuction. The doctor did not provide any compression and 5 weeks later, I still have swollen areolas and I look worse than before the surgery. What can I do?
This is really bothering me. I started using a compression vest 4 days after the surgery. Should I continue to wear the vest or is it pointless at this point? I am concerned the streched areolas won't return to their original shape.
Based on how you stated your question, and your photograph, I infer that preoperatively you only had swelling and/or fullness beneath the nipple/areola complex. This would mean that your degree of gynecomastia was minimal, and likely due to true glandular tissue being present and not just fatty tissue. With over twenty years of doing these procedures, I can tell you truthfully that liposuction alone, without direct excision of the fibrous, firm glandular tissue by your surgeon, will not correct your initial concern. Even when the swelling and scar tissue subside, you will still have the firm tissue beneath this area, minus a small amount of fat, plus a small amount of scar tissue = not much change. Compression helps with swelling or scar tissue, and is certainly appropriate and non-harmful, but compression will not get rid of the tissue that SHOULD have been removed by direct excision with blade and/or scissors. Liposuction all too often makes a minimal degree of improvement in patients with mostly glandular gynecomastia, and really works well only in patients who have mostly fatty "man-boobs," usually from being overweight. Mixed glandular/fatty gynecomastia requires a combination of direct excision plus liposuction techniques. BTW, ultrasonic or laser-assisted lipo may remove a bit more gynecomastia tissue, but still leaves the fibrous, glandular breast tissue and a less-than-happy patient.
