dr. J. VANDEPUTTE

Plastic Surgery

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gynecomastia (male breasts)

Men have a mammary gland bud under the areola. Normally these remain undeveloped. Once in a while, men do develop actual breast tissue. This generally involves both glandular tissue and additional fat. Breast development in men nearly always occurs naturally, without a demonstrable cause. After excluding a specific cause, medical treatment follows.

Under general anaesthetic, liposculpture is performed on the breast, removing excess fatty tissue. During the second part of the procedure, an incision is made in the lower part of the areola, just at the areola chest skin interface (in order to minimize the scar). Through this small incision, the firm breast tissue is excised.

After-care generally consists of one, sometimes two nights in hospital. With rest, most of the pain usually disappears within a few days; pain when moving the arms and stiffness can persist for a couple of weeks. During six weeks an elastic corset is to be worn to reduce swelling of the operated area. Manual lymph drainage carried out by a physiotherapist will further speed up reduction of swelling. The first few weeks the areola will feel a little harder and is somewhat retracted in comparison with the surrounding skin; after scar maturation the surface will be much more supple and smooth.