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Gynecomastia Procedure

Gynecomastia Procedure

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Gynecomastia is the medical term for large breasts in men, which take on a female appearance. Is gynecomastia a problem you have been facing and are you looking for a solution? If so, be sure to read the information provided by the Dr Lanzer Clinic below.

What Do Enlarged Male Breasts Look Like?

There are many different sizes and variations to gynecomastia. It may be worth looking at our before and after photography section on this website, which can give you many examples of how enlarged male breasts look like.

Some enlarged male breasts are pendulous, while others are very large and round. Some can be small and pointy. Sometimes the gynecomastia is just from fat, in which case the problem could be solved through liposuction. Other times, the gynecomastia is due to actual breast tissue which is fibrous, white, and hard. The size of the fibrous tissue can vary from a small marble to almost a handful. When this tissue is present, an excision of the tissue is also required. In some cases, the gynecomastia also involves a large amount of fat on the sides of the breast. Dr Lanzer usually advises to treat both simultaneously.

What Causes Gynecomastia in Men?

There is a strong genetic tendency with gynecomastia. Often, we see it running in families. Of course, there can be factors other than genetics contributing to gynecomastia. A prime example is overweight, which can cause an excessive build-up of fat in the male breasts. Subsequently, this factor could be tackled with weight loss and an active lifestyle.

To determine the best treatment for gynecomastia, you must be examined by an experienced cosmetic surgeon. Once the cause of enlarged male breasts is known, more effective treatments can be put forward for your consideration.

Gynecomastia Procedure


Discover Man Boob Surgery Advantages!

An increasingly large amount of patients now opt for Man Boobs Surgery. This procedure is ideal for those that do not require a large quantity of fat to be removed, but rather small amounts for a flatter natural looking chest.

If you’re looking to lose isolated areas of fat, get a free consultation with Dr Lanzer.

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What Happens During a Gynecomastia Consultation at the Dr Lanzer Clinic?

The procedure starts with the assessment by Dr Lanzer. Firstly, Dr Lanzer will take photographs. These photographs will be used as a reference point for your treatment, but they can also be your “before” photos after your treatment has taken place.

Before the procedure is executed, Dr Lanzer will mark the areas of fat. Markings will be subject to the most prominent amount of tissue that must be removed. Different concentric circles are drawn, which will aid in the understanding of what needs to be removed during the procedure.

The procedure can be done under local anaesthetic or general anaesthetic. When the gynecomastia surgery is done under local anaesthetic, patients will feel a small sting as the local anaesthetic is infiltrated into the breast tissue; this takes about five or ten minutes. After the initial sting, the breast becomes numb. Often, we will wait thirty – ninety minutes to help the anaesthetic work. The anaesthetic also contains adrenaline. The adrenaline causes closure of blood vessels. It is for this reason that after 15,000 liposculptures, Dr Lanzer has not had to give a blood transfusion on any occasion; this breakthrough method was also described by dermatologist, Dr Jeffry Klein, in America.

Once the breast is tight, firm, and numb, Dr Lanzer will commence the suction process. There are usually two small keyhole incisions around the breast. Then, Dr Lanzer attaches a very powerful suction device to a cannula. Dr Lanzer uses a specialised device called “MicroAire”. MicroAire is a vibrating cannula, allowing Dr Lanzer to pass easily between the fibrous tissues of a male breast. In some cases, he will also use the Vaser ultrasound to help soften the fat and tissue as well. It is important that Dr Lanzer removes the fat on multiple layers and levels, so that all the fat is removed; this will enhance the skin contraction. Once the tunnels have been created, the skin will contract, so that the skin collapses down and tightens down to the muscle.

A significant amount of tissue between the skin and the muscle is removed. If there is breast tissue present, then Dr Lanzer will make a small incision under the nipple and remove the breast tissue. Sometimes, the breast tissue removed will be minor, approximately the size of a little pebble underneath the nipple. Other times, it can be as large as almost a tennis ball.

Breast tissue has a white thickened appearance. Excess breast tissue sometimes occurs for no reason other than genetics. Other times, it can be caused by hormones and drugs. Once the tissue has been removed, Dr Lanzer will put some stitches along the edge of the nipple to close the area where he removed the tissue from. No stitches are placed on the actual liposculpture incision. Padding is applied onto the breast and a compression garment is worn; this will reduce the amount of bruising and swelling. Ice is sometimes beneficial in the recovery period.

Gynecomastia Procedure 1

Will I Get Medication Before and During My Recovery from Breast Reduction?

Dr Lanzer always gives pre-operative antibiotics. He usually starts a cephalosporin derivative the night before orally and gives an intramuscular injection just before surgery. Infection is extremely rare, but it is still worthwhile taking prophylaxis prevention antibiotics. Dr Lanzer also recommends anti-septic washes to be applied the night before surgery. Pain is not a major issue with gynecomastia surgery. Basic panadeine tablets are prescribed following the surgery.

What Signs of Complications Should I Look Out for After Surgery?

As we mentioned briefly already, the chances of complications are rare at the Dr Lanzer Clinic, but that does not mean patients should rule them out all-together. We usually tell patients to look out for specific symptoms of complications, so they can contact the Dr Lanzer Clinic as soon as possible.

Common signs that may indicate complications include fever, excessive swelling, excessive bruising, and breathing difficulties. If you notice anything abnormal during your recovery, contact the Dr Lanzer Clinic for an emergency appointment.

Do you have any additional questions about recovering from a breast reduction? Contact the Dr Lanzer Clinic today for more information.


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Let us know the procedure(s) you are considering and your details and we will get back to you with a time and day to suit you.

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