migueldelgado's blog

Gynecomastia Surgery and Nipple Sensitivity

As potential patients research all the pros and cons of male breast reduction surgery, there is one issue in particular that comes up from time to time. It is discussed extensively on the forums of this site, and that is the concern of the loss of nipple sensation.

Permanent loss of nipple sensation after gynecomastia surgery is possible although rare, but needs to be considered as a surgical risk. For some men, it may be a deal breaker, and for others the tradeoff is worth it, to be rid of their “man boobs.”

Young Men With Gynecomastia Need Support!

Up to 65% of young men will develop breasts by the age of 14. As boys go through puberty, they will have an imbalance of sex hormones. This is a normal condition but can be very frightening as they see their body going through changes

Unfortunately, if boys do not understand what is happening they will probably try to hide their chest with loose fitting shirts, avoid swimming, or any activities that require removing their shirt. Most boys are too embarrassed to confide in their parents.

Gynecomastia Revision Surgery and Scar Tissue

After male breast reduction surgery, if a lump is felt weeks or even months later, the natural reaction is the breast tissue has grown back. Unless the patient has been taking anabolic steroids, Propecia or other substances that may cause breast tissue growth, it is most likely the formation of scar tissue. Scar formation is normal after any type of surgery and generally takes 4 to 12 weeks to form.

If there is puffiness early in the recovery, it could be residual swelling or possibly not enough tissue was removed, but it would not be scar tissue.

The Importance of the Compression Vest

Not all surgeons require a compression vest after surgery, or some for only a short time. I have my gynecomastia patients wear a compression vest 24/7 for 6 weeks. The vest may be bulky, and a little uncomfortable, but is necessary for the healing process. It should be worn snug, but not tight.

Dr. Miguel Delgado recommends the vest be worn 24/7 for 4 to 6 weeks, depending on how the patient is healing. The vest should only be removed when showering. It is recommended to have 2 vests so that you can rotate them while one is being laundered.

Gynecomastia Surgery and Avoiding a Seroma

 

Avoiding complications after gynecomastia surgery is a goal of all surgeons. With careful planning, most complications can be minimized or avoided altogether. Most gynecomastia surgeons believe in the use of drains and the wearing of a compression vest after surgery.

Tis the Season For Gynecomastia Surgery

 

Deciding to proceed with male breast reduction surgery is an exciting time. It also presents with many arrangements that you will need to make; such as, having someone care for you for at least the first 24 hours, transportation home after surgery, getting lab tests done, filling prescriptions, getting time off work…and when will you have the surgery?

Gynecomastia Affects Posture

Many men attempting to hide their gynecomastia breasts may roll their shoulders and even tip their spinal cord forward. Ultimately, this poor posture may have many detrimental effects such as; back and neck pain, and misalignment of their skeleton, and even digestive and breathing problems.

Risperdal Lawsuits Accelerate in 2017

In 1993 the FDA approved the use of Risperdal for the treatment of autism, bipolar mania, and schizophrenia. However, it became evident that the drug had some serious side effects including the development of breasts in boys and men.

Asymmetry and Gynecomastia

When a man has too much estrogen stored in his body, female type breasts may develop. In most cases when breasts develop, they are mostly the same size and shape. However, it is possible for breasts to be different sizes or possibly only one breast will develop. Asymmetric breast development can cause even more distress for men than symmetric gynecomastia.

It is normal to have some asymmetry, but when it is obvious, it may cause shame and embarrassment. A gynecomastia specialist can correct asymmetry with liposuction and removal of some breast tissue.

After Gynecomastia Surgery, What Does The Male Chest Look Like?

Understanding what to expect after gynecomastia surgery helps ease anxiety. The goal, of course, is to reduce the size of the male breast and to leave a masculine contoured chest. Removing too much breast tissue may result in a "crater deformity" and may necessitate further surgery. If not enough tissue is removed, additional surgery may also be needed. It is important to choose a Board Certified Plastic Surgeon who specializes in gynecomastia.

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