- Male Breast Reduction with excision technique
- The best candidates for gynecomastia with excision technique
- Possible complications
Enlarged male breasts must be differentiated from carcinoma of the breast.
Gynecomastia can be thus classified to 4 degrees, depending on the amount of enlarged gland:
- I
- IIa
- IIb
- III
Generally degrees IIa and III require not just gland resection, but skin excision. In most cases it is possible to correct gynecomastia from periareoral approach.
Male Breast Reduction with excision technique
Excision technique is required if the size of areola needs to be reduced or nipple is to be repositioned to achieve more natural male contour. This technique also allows surgeons to remove glandular breast tissue or excess skin. The incision is made around the areola and the surgeon removes gland.
Finally, sutures are given along the incision. There is however another technique which offers elegant procedure, so called arthroscopy shaver technique.
This cordled shaver uses tube with blade that moves back and forth, it means that by inserting this tube underneath the glandular tissue, shaving is performed, since it cannot be removed by means of liposuction or laser. Furthermore laser might be used to stimulate additional skin tightening.
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The best candidates for gynecomastia with excision technique
The best candidates for such a procedure are those who are emotionally stable and fit, dispose of good skin elasticity, are over 18, and with ideal body weight.
The patients can enjoy the fruit of surgeons effort about three months after the surgery. Fortunatelly, the final effect is likely to last for quite a long time unless the patients gain much weight.
Possible complications
Possible complications are inversion or folding of the nipple, or areola, nipple, or areola necrosis, contour, or size asymmetries, residual skin redundancy, hematomy, or fluid collection.
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Most of the complications are preventable, the rate of complications is low and most patients are very content with the results.
Dr Oleg Turkin is a cosmetic surgeon who specialises in all areas of cosmetic surgery, including facial, body and breast surgery. He has very dedicated approach to his work, aiming to give patients a first class service with more than 30 years experience. 
