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Male Breast Reduction - Excision technique

Breast reduction is a technique in evolution. With the improved understanding of breast anatomy and improved equipment and technology available, the focus has shifted from simply decreasing the breast size with survival on the nipple areola complex in both women and men to improving the resultant shapes, stability and scars.

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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:

  1. I
  2. IIa
  3. IIb
  4. 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.

Most of the complications are preventable, the rate of complications is low and most patients are very content with the results.

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