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Vaishali B. Doolabh, M.D., F.A.C.S.
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Contemporary
Plastic Surgery |
4221
Southpoint Parkway
Jacksonville, Fl 32216 |
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Male Breast Reduction
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| Male breast overdevelopment,
technically known as gynecomastia, affects an estimated
40 to 60 percent of men! It may affect only one breast
or both. Though certain drugs and medical problems have
been linked with male breast over development, there is
no known cause in the vast majority of cases. |
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The Best Candidates For Male Breast Reduction |
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| Surgery to correct gynecomastia can
be performed on healthy men of any age. The best
candidates for surgery have firm, elastic skin that will
reshape to the body's new contours. |
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The Procedure For Gynecomastia Correction |
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If your gynecomastia consists
primarily of excessive fatty tissue, (this is the most
common), Dr. Doolabh will likely use liposuction to
remove the excess fat. A small incision, less than a
half-inch in length, is made around the edge of the
areola- the dark skin that surrounds the nipple.
Alternatively, the incision may be placed in the
underarm area. A slim hollow tube called a cannula,
which is attached to a vacuum pump, is then inserted
into the incision. Using strong, deliberate strokes, Dr.
Doolabh moves the cannula through the layers beneath the
skin, breaking up the fat and suctioning it out.
Patients may feel a vibration or some friction during
the procedure, but generally no pain.
If excess glandular tissue is the primary cause of the
breast enlargement, it will be excised, or cut out, with
a scalpel. The excision may be performed alone or in
conjunction with liposuction. In a typical procedure, an
incision is made in an inconspicuous location - either
on the edge of the areola or in the under arm area.
Working through the incision, Dr. Doolabh cuts away the
excess glandular tissue, fat and skin from around the
areola and from the sides and bottom of the breast.
Major reductions that involve the removal of a
significant amount of tissue and skin may require larger
incisions that result in more conspicuous scars. If
liposuction is used to remove excess fat, the cannula is
usually inserted through the existing incisions.
In extreme cases where large amounts of fat or glandular
tissue have been removed, skin may not adjust well to
the new smaller breast contour. In these cases, excess
skin may have to be removed to allow the remaining skin
to firmly adjust to the new breast contour. Sometimes, a
small drain is inserted through a separate incision to
draw off excess fluids. Once closed, the incisions are
usually covered with a dressing. The chest may be
wrapped to keep the skin firmly in place. |
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Testimonial |
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“What impressed me the most
about Dr. Doolabh was her professional and personable manner. She
explained every procedure carefully. I went into surgery with
complete confidence and the outcome was terrific.” J.H. |
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After the
Procedure For Male Breast Reduction |
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Whether you've had
excision with a scalpel or liposuction, you will feel
some discomfort for a few days after surgery. However,
discomfort can be controlled with medications prescribed
by Dr. Doolabh. In any case, you should arrange to have
someone drive you home after surgery and to help you out
for a day or two if needed. You'll be swollen and
bruised for a while-in fact, you may wonder if there's
been any improvement at all.
To help reduce swelling, you'll probably be instructed
to wear an elastic pressure garment continuously for six
weeks. Although the worst of your swelling will
dissipate in the first few weeks, it may be three months
or more before the final results of the surgery are
apparent. In the meantime, it is important to begin
getting back to normal.
You'll be encouraged to begin walking around on the day
of surgery, and can return to work when you feel well
enough-which could be as early as a day or two after
surgery. Any stitches will generally be removed about 1
to 2 weeks following the procedure. Dr. Doolabh may
advise you to avoid sexual activity for a week or two,
and heavy exercise for about three weeks. You'll be told
to stay away from any sport or job that risks a blow to
the chest area for at least four weeks.
In general, it will take about a month before you're
back to all of your normal activities. You should also
avoid exposing the resulting scars to the sun for at
least six months. Sunlight can permanently affect the
skin's pigmentation, causing the scar to turn dark. If
sun exposure is unavoidable, use a strong sun- block. |
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If you have any questions, or wish to schedule a consultation with Dr. Doolabh, please call Contemporary Plastic Surgery today at
904.854.4800. |
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