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| Male Breast Reduction: About the Procedure |
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Surgery for gynecomastia is usually performed as an outpatient surgery; rarely is an overnight stay necessary. Anesthesia for the procedure is normally general, though in mild cases, local anesthesia with sedation may be sufficient.
For most plastic surgeons, the technique used is determined by the amount of excess skin present in the enlarged breast. When the excess is minimal, liposuction is preferred; when skin must be removed, excisional (excised, or cut out with a scalpel) treatment is necessary. Occasionally, combined techniques are utilized.
Liposuction for gynecomastia is similar to other liposuction procedures. Through several quarter-inch incisions placed inconspicuously - either on the edge of the areola or in the under arm area - (tumescent) fluid is injected to facilitate tissue removal. A thin metal rod (cannula) attached to a vacuum is then inserted to accomplish tissue removal and sculpting of the new breast. When the breast tissue is very dense, an ultrasonic cannula may be needed to effectively remove breast tissue. The UAL-Ultrasound-Assisted Lipoplasty, produces ultrasound energy. As the energy passes through the areas of fat, the energy explodes the walls of fat-liquefying the fat. The fat is then removed with the traditional liposuction technique.
In any of the procedures, a separate incision may be made where a small drain is inserted to draw off excess fluids. The incisions are then covered with a dressing.
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