Despite that more women will go to the plastic surgeon's office for a consultation for plastic surgery of the breast, they are not alone with concerns about breast or chest shape size. The breast problems or concerns for men may appear different to the regular public, but in actuality, there are similar. The large breast problems in men are called by a different name, gynecomastia. The treatments for gynecomastia are different than those for the ptotic breast in women.
When morbid obesity exists in men, they do tend to have large breasts. With the massive weight loss resulting from weight loss surgery or dieting, some of the breast fat and breast glandular tissue may remain. Unlike the large or sagging breast problem of women, men have a much harder time disguising the large breast problem (gynecomastia).
The plastic surgery treatments for gynecomastia are on a continuum, which starts with liposuction plastic surgery of the breasts, and ends with multiple aspects of the plastic surgery including, liposuction plastic surgery and direct excision plastic surgery of the breast tissue. The plastic surgery for gynecomastia may even require a breast lift (mastopexy) to reposition the breast's nipple areolar position.
Few men, after the massive weight loss will only have a modest breast size and shape. This relatively small group of the massive weight loss population may be treated with liposuction plastic surgery alone. This is not the typical man after massive weight loss from weight loss surgery or dieting.
Most previously obese men who present for plastic surgery evaluation and plastic surgery treatment of gynecomastia have concerns about both size and sag. The majority of these men still persist with large breasts (gynecomastia). These previously obese men's issues may not be adequately treated by liposuction plastic surgery alone, and they require additional plastic surgery corrective techniques. The plastic surgery descriptions of breast lifts for the men are similar for the women (described above). The plastic surgery treatment of gynecomastia may involve incisions around the nipple areolar complex and may even require the additional plastic surgery incisions. Some plastic surgeons' preference for the more complex gynecomastia treatment is to do a two-staged plastic surgery procedure. In the first stage, liposuction plastic surgery is performed to suction excess fat and some glandular tissue out of the breast. Over the next several months, the breast skin is anticipated to retract to some degree. The post operative stage one plastic surgery patient is seen to evaluate the amount of skin retraction. The plastic surgeon and the patient may then determine whether the result is acceptable. If the plastic surgery result from the liposuction plastic surgery has been effective, then the patient avoids the second plastic surgery and the plastic surgery scars that would have resulted. This premise is based upon the hope that there would be enough skin retraction to achieve a satisfactory result. If it does not, then the second stage plastic surgery with additional gland excision and plastic surgery scars will take place. These plastic surgery scars will typically be slightly smaller than if the full procedure was performed at one plastic surgery operation. Fortunately for most men, the plastic surgery scars are well concealed in the man's chest hair.
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