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What is gynecomastia surgery?

Gynecomastia surgery encompasses a range of procedures aimed at reducing the size of enlarged breasts in men. This condition, known as gynecomastia, can result from hormonal changes, heredity, obesity, or the effect of certain drugs. Gynecomastia surgery can help alleviate emotional discomfort and improve self-confidence by addressing the excess fat, glandular tissue, and sometimes excess skin in the breast area.

Who is a suitable candidate for gynecomastia surgery?

  • Men whose condition cannot be corrected through non-surgical treatments.
  • Healthy individuals without life-threatening illnesses or conditions that impair healing.
  • Non-smokers and non-recreational drug users.
  • Men with specific goals for improving the physical symptoms of gynecomastia.
  • Physically healthy men of relatively normal weight.
  • Men with realistic expectations about the outcome of the surgery.
  • Men whose breast changes have stabilized.
  • Adolescents may benefit from surgery, but secondary procedures may be necessary if breast changes continue.

What should I expect during my consultation?

During the consultation for gynecomastia surgery, you can expect to discuss various aspects with your surgeon:

  1. Surgical Goals: You’ll discuss your desired outcomes and expectations for the surgery.
  2. Medical History: Your surgeon will inquire about any medical conditions, drug allergies, medications, supplements, and previous operations.
  3. Physical Examination: Your chest will be examined, and measurements may be taken to assess size, shape, skin quality, and nipple/areola placement. Blood tests may be performed to determine the underlying cause of gynecomastia.
  4. Treatment Options: Your surgeon will explain different treatment options available and recommend a course of action tailored to your needs.
  5. Risks and Complications: Likely outcomes of gynecomastia correction, as well as potential risks and complications, will be discussed.
  6. Anaesthesia: The use of anaesthesia during the procedure will also be discussed.

During the consultation, it is important to ask questions, this is an opportunity to clarify your understanding of the procedure, or express concerns you may have about potential surgery. It is normal to feel some anxiety before surgery, and you should feel comfortable discussing any feelings or concerns with your surgeon.

By having a thorough consultation and discussing your goals and expectations with your surgeon, you can make an informed decision about gynecomastia surgery and feel confident about the process.

What questions should I ask my plastic surgeon about Gynecomastia surgery?

  • Are you vocationally registered with the Medical Council of New Zealand as a specialist plastic surgeon?

  • Are you a member of the New Zealand Association of Plastic Surgeons?

  • Will the procedure be conducted in a hospital or office-based setting, and is the facility accredited for this type of surgery?

  • What type of anaesthesia is needed for this procedure?

  • Based on my medical history and condition, is surgery the best option for me? If so, am I a suitable candidate for this surgery?

  • Which surgical technique do you recommend for my case, and why?

  • What are the realistic expectations for the outcome of this procedure in my case?

  • What steps or lifestyle changes are necessary for me to get the best result from my surgery?

  • What is the anticipated duration of recovery, and what assistance will I need during this period?

  • What potential risks and complications are associated with this procedure? How would you manage these should they arise?

  • How will my results change over time?

  • If I’m unhappy with the outcome, what recourse options are available?

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