Enlargement of the male breast is one of the most frequent reason of aesthetic disatisfaction in men, as a consequence of an inconfortable feeling in the social life or of a true phsycological embarrass. Usually bilateral resulting from a benign proliferation of the glandular component, gynecomastia is often confused with a simple fat deposition with no glandular proliferation (lipomastia or pseudogynecomastia). Pseudogynecomastia and the physiologic and idiopathic gynecomastia should always be differentiate from underlying hormonal disorder or malignancy by lab tests and imaging studies. The surgical approach is often necessary if medical therapies (drugs,hormones, diet) have been tried in an early course. Surgical procedures include the following: a simple reduction with liposuction, a more extensive surgery (adenomammectomy) associated, where needed, to skin reduction (mammaplasty) depending on breast tissues involved and any extent in aesthetic purpose.
Anesthesia, Postop and Recovery
These procedures are now sometimes performed on an outpatient basis (Day surgery) and sedaction, inpatient hospitalization for up to 2 days is required when general anesthesia is indicated. On average, patients are able to resume most normal activities within 1-2 weeks. Some patients need a longer recovery time. Elastic garment has to be dressed for at least 4 weeks. The process of deep scar tissue development and resolution takes as long as 6-12 months. Wound care is important in order to prevent scar hypertrophy; this reinforcement is achieved with the use of silicon tape. The tape can be left in place for 3-6 months.
Lipoplasty or Liposculture is a general term indicate a cosmetic procedure used to remove unwanted body fat. The basic technique works sucking out small areas of fat that are hard to lose through exercise and a healthy diet. It’s carried out on areas of the body where deposits of fat tend to collect, such as the buttocks, hips, thighs and tummy. The aim is to improve the body shape, and the results are generally long-lasting, providing you maintain a healthy weight. It works best in people who are a normal weight and in areas where the skin is tight and elastic. In addition, liposuction can sometimes be used for breast reduction or treatment of gynecomastia. After liposuction, the skin molds itself to the new contours of the treated areas. If you have good skin tone and elasticity, the skin is likely to appear smooth. If your skin is thin with poor elasticity, however, the skin in the treated areas may appear loose. Liposuction doesn’t improve cellulite dimpling or other skin surface irregularities. Likewise, liposuction doesn’t remove stretch marks. How your liposuction procedure is done depends on the specific technique that’s used. The surgeon will select the appropriate technique based on your treatment goals, the area of your body to be treated, and whether you have had other liposuction procedures in the past. If your procedure requires the removal of only a small amount of fat, the surgery may be done in an office setting. If a large amount of fat will be removed — or if you plan to have other procedures done at the same time — the surgery may take place in a hospital followed by an overnight stay. You’ll wear a supportive garment or collant for about 4 weeks after your liposuction. This helps prevent fluid buildup and provides support while you heal.
TUMMY TUCK – ABDOMINOPLASTY
A tummy tuck is a cosmetic surgical procedure to improve the appearance of the abdomen. During a tummy tuck — also known as abdominoplasty — excess skin and fat are removed from the abdomen. Connective tissue in the abdomen (fascia) usually is tightened with sutures as well. The remaining skin is then repositioned to create a more toned look. Abdominoplasty is a commonly requested procedure for many reasons, including the concerns of an aging population determined to maintain a youthful physique, women intent on restoring their prepregnancy appearance, the rise in massive weight loss patients who are seeking to remove the stigmata of residual excess skin from weight loss. The goal of abdominal contour surgery is the aesthetic improvement of the affected soft tissue layers of skin, fat, and muscle through the least conspicuous incision feasible. Depending on the anatomic nature of the “disagreeable biologic condition,” the goal can be achieved through a range of procedures starting from limited abdominoplasty, to standard, to extended with liposuction (Lipoabdominoplasty). During the typical tummy tuck, the plastic surgeon makes incisions to remove most of the skin and fat between your bellybutton and pubic hair in a horizontal oval or elliptical shape. Connective tissue (fascia) that lies over the abdominal muscles is then tightened with permanent sutures. It will then repositioned the skin around your bellybutton. Your bellybutton will be brought out through a small incision and sutured in its normal position. The incision from hip to hip above the pubic hair will be stitched together and will leave a scar that falls along the natural crease within the bikini line. The procedure typically takes about two to three hours.
Anesthesia, Postop and Recovery.
These procedures are now sometimes performed on an outpatient basis (Day surgery) and sedaction, inpatient hospitalization for up to 2 days is required when general anesthesia is indicated. You’ll wear a supportive abdominal garment (abdominal binder) for about six weeks after your tummy tuck. This helps prevent fluid buildup and provides abdominal support while you heal and it will be explained how to care for your scar. For the first six weeks after a tummy tuck, you’ll need to be careful when moving around. You’ll also need to avoid positions that strain your incision line — such as quickly bending at the waist — to prevent the reopening of the wound. The process of deep scar tissue development and resolution takes as long as 6-12 months. Wound care is important in order to prevent scar hypertrophy; this reinforcement is achieved with the use of silicon tape. The tape can be left in place for 3-6 months. The process of deep scar tissue development and resolution takes as long as 6-12 months. Wound care is important in order to prevent scar hypertrophy; this reinforcement is achieved with the use of silicon tape. The tape can be left in place for 3-6 months.