Male breasts are a common problem. They can develop naturally during puberty, later in life with weight fluctuations, as a side effect of certain drugs or for no obvious reason at all. Regardless, it is an embarrassing problem for those afflicted and fortunately it is correctable. However, if the cause is drug-induced, the deformity can return even after surgery unless the drug is discontinued. Marijuana and certain blood pressure medications are the usual culprits in these cases.
In some patients, the male breast is mostly consistent of fat. In these individuals liposuction addresses the problem nicely and expeditiously with imperceptible incisions that are well-hidden and usually cannot even be seen after a few months.
In certain individuals, the breast is a combination of fat and fibrous breast tissue. Again liposuction can address 90% of the volume reduction. However, in these individuals a direct excision of the residual breast tissue under the nipple areola complex becomes necessary as well. The incision is hidden in the pigmented part of the areola in these cases.
Most people can return to work after one week unless they have a physically demanding job. A compression garment is necessary after this operation and can be discreetly worn under clothing for a period of 4 to 6 weeks depending on the amount of volume removed. Upper body and arm exercises should be avoided for 6 weeks and general cardiovascular exercises should be avoided for 3 weeks.
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