Gynecomastia Vancouver
Gynecomastia is a very common problem as between 50-65% of middle aged and older men will experience it. There are basically two different surgeries that can alleviate the problem.
The first and much more common procedure is to remove the tissue with a modified liposuction technique. This is performed through a small slit located beneath and lateral to the breast. In order to prevent the extra skin from being floppy, a special technique is used to elevate the tissues around the breast so that the skin redrapes smoothly.
The second technique is used if the breast tissue is too firm to be removed by the first technique. This involves making an incision around the areola, excising the breast tissue, and then elevating the surrounding tissues.
After surgery, patients wear a vest for the first three weeks (except for showering etc..). Dr Brown will provide you with instructions about returning to the gym depending on the technique used. Most patients can return to work in 1-2 weeks, again depending on the technique used.
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This 52-year-old man had a modified liposuction technique with elevation of the surrounding tissues to allow the skin to redrape. The post op photo was taken 12 days after surgery.
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This 26-year-old man has had a modified liposuction technique. The scar is still fading 15 weeks post op.
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This 32-year-old gentleman had very firm breasts requiring direct excision. The incision is placed in a semicircle from 3-9 o’clock position around the areola.
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This 58-year-old man had a modified liposuction technique. Without wide undermining of the tissues above and below the breast, the breast would simply hang down like a deflated sack.
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This 19-year-old patient had very firm breasts requiring direct excision. The recovery with direct excision is a little slower.
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This gentleman had significant asymmetry of the gynecomastia, with the left breast being significantly larger. Asymmetric resections of breast tissue were performed.
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This 38-year-old gentleman has had a modified liposuction technique with undermining.
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This 23-year-old gentleman has had a modified liposuction technique. Note the healing entry incision below and lateral to the breast.
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This gentleman had very firm breast, thus the excess breast tissue was removed through a small incision around the areola.
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This young patient required very wide undermining down to his abdomen to allow the flaccid breast to redrape.
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This hirsute gentleman had a modified liposuction technique. A small incision is noted to the side of the breast.
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This young body builder was unable to reduce his breast volume. The bulkiness of his pectoralis major muscle adds to the problem. The access incision is still visible and will require a little more time to settle down.