Exactly how is male breast reduction surgery different from female breast reduction surgery? Is the procedure less time consuming or less complicated for men?
How Visible Are the Incision Scars After Having Male Breast Reduction Surgery?
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Proper Incision in gynecomastia surgery
Real Gynecomastia requires a sub areolar incision(under the nipple)and in my experience this is the only way to ensure proper results.This incision fades gradually and usually becomes unnoticeable. In female breast reduction the scars are much more noticeable. It is less complicated in man when the surgeon is experienced with gynecomastia surgery. See wikipedia and surgeons websites for helpfull pictures.
Peri Areolar Incisions in Gynecomastia Surgery
In the vast majority of cases a peri areolar incision is used when treating gynecomastia. This incision is made around the inferior border of the areola and is extended slightly to each side. It’s hidden nicely at the border of the areola with the surrounding tissue. As the scar fades, it’s even less apparent.
In contrast, breast reduction in women is much more complicated with much longer incisions. This procedure not only reduces the size of the breast, but also lifts the breast into normal position. The procedure results in a circumferential incision around the areola, a transverse incision in the infra-mammary fold and a vertical incision that connects the two.
Male breast reduction is less complicated then female breast reduction. There’s less scarring, fewer complications, shorter recoveries and shorter operative times. It’s important to note that both procedures have high satisfaction rates.
Breast Reduction Scars for Men Vs Women
The scars for men are very different than for women. For the female, the goal is not to have an almost flat chest as it is for a man. To reduce the size of the breast in a woman there is usually a vertical scar from the areola down to the breast crease and then for many an additional incision across the breast crease for what is known as an anchor or inverted T procedure. For the man in order to remove breast tissue and fat an incision is made around the bottom half of the areola so that when it heals it is almost invisible. I also do a tiny incision in the armpit for the cannula for liposuction and for the drain most of my patients have a hard time finding it. Depending on the severity of the gynecomastia breast determines the incisions, sometimes it can be less, in some cases it can be more if a second stage reduction is needed.
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Scars from gynecomastia surgery
The scars from correction of gynecomastia surgery really vary depending on the severity. The most common type of correctin can be done leaving a scar either on the lower border of the areola, or as I prefer, through a small scar off to the side. As the breast becomes larger and saggier, some of the skin may need to be removed leaving you with a thin scar around the entire areola. For the most severe type I perform a nipple graft procedure which leaves you with a single scar along the entire inframammary creasr and another around the areola. I do not like the "T" scar as it is very un-natural for men.
Male Breast Reduction Surgery
The male breast reduction surgery is usually a much smaller surgery when compared to the female breast reduction surgery. The incision is normally under the areola (which fades nicely with time). The glandular tissue must be removed. This firm fibrous tissue extends from the nipple areolar complex down to the surface of the pectoral muscle beneath. In some cases, it is helpful to use liposuction to remove some of the fatty tissue which always surrounds this ductal tissue. Without this liposuction some patients would have a “donut” shaped defect after removal of the ductal tissue.
Breast reduction surgery is very different for men
Men's breast enlargement is a combination of excess fat and usually excess breast tissue that is centered right under the nipple, going outwards several inches.
The fat is treated by ultrasonic liposuction, in my practice. The incision is 1/4 inch and is at 6 o' clock under the areola.
The breast tissue, if present, is treated by enlarging the incision under the areola, following the edge of the areola, then carefully and incrementally removing the breast tissue with cautery dissection.
When healed, the incision(s) are barely visible.
Women's breast reduction involves an incision that goes completely around the areola, down the front of the breast, and often in the crease. Larger amounts of breast tissue are removed and the nipple/areola is moved upwards. The procedure is considerably more involved and more time consuming.
Male Breast Reduction Scars
Scars after Gynecomastia surgery vary depending on the amount of breast tissue present and the elasticity of your skin. That is because the procedures vary. If you have small breasts that are only fat, then the scars are tiny, only large enough to admit a Liposuction cannula. If you have very large female like breasts, then the scars will extend across each side of the chest, but can usually be hidden in a crease or made to somewhat disappear. With firm breast tissue, there is usually a scar under the areola. If the areolae are large and need reduction also, then the scar goes all the way around the areola. In spite of larger scars for larger breasts, everyone is usually quite satisfied with the results.
Gynecomastia scars are minimal
THe scars for treating most gynecomastia are minimal and placed in areas that heal well. They are rarely a problem unless a man has really large or hanging breasts and skin needs to be removed. In these cases, the scars are a real issue.If this is your situation, you need to discuss with your surgeon how visible they will be afterwards.
Male breast surgery
Male breast surgery reduction is usualy different from female reduction, but of course it depends upn the severity of the problem. Some men can be treate with liposuction alone, or combination of liposuction and areola incision, to a more formal excisional procedure and skin excess reduction.
Scar from gynecomastia surgery is usually not detectable.
Mostly good news. Gynecomastia surgery is much simpler and less invasive than a female breast reduction. For gynecomastia, there is only a tiny incision inside the nipple. Most of the flattening is achieved with liposuction, and then the small amount of breast tissue under the nipple is removed through this incision. Takes about an hour and a half, and a few days of recovery.
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