If you are a man with unwanted breast tissue or asymmetry with respect to the breasts, nipples or areolas then you are a candidate for gynecomastia cosmetic surgery in St. Louis. The mildest forms of gynecomastia are corrected with liposuction alone, while more severe forms of gynecomastia may require a combination of liposuction and surgical removal of breast tissue and skin. Your height, weight, and degree of deformity are taken into account when designing surgery.
The operation creates a more normal appearing male chest contour and as a result, most men and boys are comfortable in and out of clothing and no longer wear baggy clothes or multiple layers to cover up the breasts.
This makes it possible for patients to be less self conscious and not worry about their appearance. Scars are often camouflaged around the nipple and hidden with chest hairs.
A detailed medical history and physical examination are performed at the initial consultation. Bring a list of medications both prescription and over the counter with you, as some medications can cause gynecomastia. You should mention the reasons why you are considering surgical correction. Insurance considers correction of gynecomastia as cosmetic, and they do not cover the costs.
The physical examination will focus on body measurements as well as illustrating for you an anticipated outcome. Occasionally, a referral to an endocrinologist (hormone doctor) may be made in order to rule out any hormonal imbalances. Photographs will be taken to allow Dr. Jones to plan your procedure. Click here to Request Your Complimentary Consultation at Genesis Cosmetic Surgery and Laser Center.
Incisions are hidden as much as possible within the pigmentation around the nipple. Very rarely are incisions carried out beyond the nipple area.
Although unusual, there are potential risks associated with surgical correction of gynecomastia including those of anesthesia, bleeding and infection. The following are other risks of correction of gynecomastia:
The scars after surgery for gynecomastia are very short and small if liposuction alone is used to treat the deformity. More commonly a scar will be present around the nipple-areolar complex. Although this scar may spread during the healing process, once the redness fades, it is minimally noticeable.
There exists a possibility of asymmetry after surgical correction of gynecomastia. Revision surgery is possible if this were to occur.
After correction of gynecomastia, there may be reduced sensation to the chest skin or nipple. The numbness may be permanent but is usually temporary.
Loss of Skin or Nipple
Fortunately, very rarely, the blood supply to the nipple may be compromised from the surgery and could result in partial or complete loss of the nipple.
Surgical removal of male breast tissue is usually performed as an outpatient. Drains are placed at the time of the procedure and are removed 1-3 days after surgery. A tight garment is worn around the chest and aggressive upper body activities are discouraged for several weeks after surgery. It takes several weeks for the swelling to completely subside. A minority of patients (less than 5%) will require a short second procedure to revise any areas of irregularity.
Our goal at Genesis is to make your surgical experience as easy and comfortable for you as possible. You will be asked to stop smoking and avoid certain vitamins and drugs that can cause bleeding, such as aspirin, ibuprofen and vitamin E. Additional preoperative instructions and prescriptions to be used postoperatively will be provided. For convenience, we recommend that you have your prescriptions filled several days prior to the procedure. Surgery is usually performed as an outpatient. If your surgery is performed on an outpatient basis, you should arrange for someone to take you home and stay with you the first night.
Your procedure will be performed in an outpatient surgery center or hospital. Dr. Jones will see you before the procedure, sometimes even the day before the procedure, and place ink marks on the skin. General anesthesia is used for everyone. Antibiotics will be administered at the time of surgery. The procedure takes two to four hours. The procedure consists of making the incision around the areola. Excessive breast tissue, fat and skin are removed, and the remaining breast tissue is contoured. Liposuction is frequently used to achieve the desired contour. After each breast is addressed individually, they are examined for symmetry. Dissolvable stitches are used to close the incisions. Small drain tubes are placed.
Following surgery, you will be taken to the recovery area where you will continue to be closely monitored. Pain medications are administered to keep you comfortable. You will be permitted to go home after a few hours unless you have planned to stay overnight.
A few days after surgery Dr. Jones will remove the drains. You can shower 24 hours after surgery, even with the drains. You can expect to be sore for a few days. You will be asked to wear a tight garment for the first four to six weeks. Swelling and bruising will gradually resolve over six weeks.
By three to four days you should be able to lift normal-weighted objects, drive and lift your arms above your head. You may return to work as early as one week after surgery. Activities that require extensive use of the arms and chest, including repetitive lifting, should be limited for four to six weeks. At six weeks you should be back to your normal activities. The scars may be red or pink for several months, but should gradually improve.
You will have prescribed pain medication, and your need for this will become less and less over two weeks. It is not uncommon to have intermittent, shooting pains that gradually resolve completely within two months. You may have decreased nipple sensation, and this will gradually improve over a few months.
Surgical correction of gynecomastia is very gratifying. You have a more masculine shape. Your clothes fit better, and you feel better about the way you look.
Less than 5% of patients will require a small second stage procedure to correct any irregularities or remove any residual tissue. Dr. Jones recommends a follow-up one year after your procedure to make sure you remain satisfied with your result.
As far back as Da Vinci, a highly-sculpted, muscular physique has always been an admirable human physical quality. However, because of genetic programming, trauma, cancer, or congenital skeletal or muscular defects, the desired chest shape cannot always be achieved. Plastic surgeons are able to replaced muscle volume and enhance shape by inserting synthetic, soft, silicon implants. Pectoral implants, commonly referred to as male breast implants or pec implants, are used to correct both congenital or acquired chest defects as well as enhance the appearance, size and muscular definition of pectoral muscles in the normal male chest.
Those who seek body contouring by pectoral implants include male body builders, those with congenital chest deformities, and those with acquired chest deformities from trauma or cancer. Some men, despite resistance training, are unable to achieve their desired chest development. Pectoral implants can create a permanent, predictable change in chest size and shape. In addition, men with congenital chest wall deformities or those with an acquired deformity from rupture or tear of the pectoralis muscle can achieve improvement in chest shape and symmetry.
What are some of the most common benefits of Pectoral implants?
The procedure enhances the size and shape in chest contour. And as a result, most patients are more confident in their appearance. Scars are placed in the armpit area and are not generally visible.
A detailed medical history and physical examination are performed at the initial consultation. Bring a list of medications both prescription and over the counter with you, as some medications can cause bleeding at surgery. During the consultation you will be asked about your general health, your motivation for seeking pectoral implants, and your preferred chest shape. Chest measurements are made and the size of the implant chosen.
The procedure is performed under general anesthesia as an outpatient. An incision under the arm is used to place the soft, solid silicon implant under the pectoralis muscle. Following surgery you are placed in a garment and asked not to use the upper body for weight lifting for several weeks. Pain medicine is prescribed
The chest will feel sore for the first 3-4 days. After 7-10 days this should resolve. You will be asked to wear a compression garment for several weeks. You may resume exercise and sports at 6 weeks. The results are permanent, and generally do not interfere with sports or weight lifting.
With adequate pre-operative preparation, attention to detail intra-operatively, and attentive post-operative care, patient satisfaction after this operation is extremely high. Pectoralis implants have been very successful in allowing patients to achieve their desired chest size and shape. Patients frequently note an improvement in self esteem.
By and large once these implants are placed, they last for several years. Rarely, revision surgery may be required to reposition an implant that has moved. Long term some patients can develop excessive scar tissue around the implant, which can cause pain or distortion, requiring surgery to replace or remove the implant.