Procedures Offered

Cosmetic Medicine >>

Botox

Dermal Fillers

Jan Marini >>

Mole Mapping; >>

What is Mole Mapping?

Dermatoscopy in Kenya

Skin Leison Glossary

Prevention

Plastic Surgery>>

Facial Surgery:

  • Facelift Surgery
  • Brow Lift
  • Eyelid Surgery
  • Ear Correction
  • Necklift
  • Skin Lesions

Breast Surgery:

Body Procedures:

For Him

Gynaecomastia surgery

Summary

  • General or Local anaesthetic
  • Operating time about 2-3 hours
  • Hospital stay 1-2 days
  • Back to work within 1 week
  • Compression support garment for 6-12 weeks
  • Full exercise after 4-6 weeks

Gynaecomastia surgery in Kenya

Gynaecomastia is a common condition characterized by the benign enlargement of breast tissue in males and can occur at any age. It may occur transiently in newborns. Half or more of adolescent boys have some breast development during puberty. Newborn males frequently experience temporary gynaecomastia due to influence of maternal hormones, male adolescents also frequently experience a temporary form of gynaecomastia during puberty, and older males often experience a longer-term form of gynaecomastia.

The condition can be the result of hormonal changes or an imbalance of the hormones estrogen and testosterone, heredity, obesity, or the use of certain drugs.

Gynaecomastia may arise as an abnormal condition associated with disease, such as metabolic disorders, as a side-effect of medication such as anti-ulcer drugs or medication for heart disease, illegal drugs, such as cannabis or anabolic steroids, drinking too much alcohol, a health abnormality such as kidney failure or liver disease, lumps or infection in the testicles or Klinefelter syndrome.

Patients who undergo gynaecomastia surgery frequently are seeking relief from emotional discomfort caused by overly large breast. Gynaecomastia surgery usually can solve these problems. The surgery will improve your overall body proportion and increase your social confidence.

Am I a good candidate for Gynaecomastia Surgery?

Gynaecomastia is characterized by:

  • Excess localized fat around the breasts
  • Excess glandular breast tissue development
  • Sometimes excess breast skin
  • Presence unilaterally (one breast) or bilaterally (both breasts)

You may be a good candidate for gynaecomastia surgery if you have one or more of the following conditions:

  • Your condition cannot be corrected through alternative medical treatments.
  • Healthy individual who do not have a life-threatening illness or medical conditions that can impair healing.
  • Non-smokers and non-drug users.
  • You have a positive outlook and specific goals in mind for improving the physical symptoms of gynaecomastia.
  • You are physically healthy and of relatively normal weight.
  • You have realistic expectations.
  • Your breast development has stabilized.
  • You are bothered by the feeling that their breasts are too large.

Gynaecomastia surgery can be performed at any age, adolescents may benefit from surgery, although secondary procedures may be needed in the future should breast development continue. Commonly you will have experienced a life-long struggle with all the problems associated with overly large breasts, and now you feel it is time to do something about it. Ideally, you should have stabilized your weight.

During the consultation, you will be asked about the results you would like to achieve from your gynaecomastia surgery. This will help us to understand your expectations and determine whether they realistically can be achieved.

Preparing for gynaecomastia surgery

In preparing for gynaecomastia surgery, you may be asked to:

  • Get lab testing or a medical evaluation.
  • Take certain medications or adjust your current medications.
  • Stop smoking.
  • Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.

The success and safety of your gynaecomastia procedure depends very much on your complete candidness during your consultation. You’ll be asked a number of questions about your health, desires, and lifestyle.

Dr Stasch might ask you to get the following results from your blood test that you can do with your GP or endocrinologist:

  • Renal function, Liver function test
  • T4, TSH
      Hormone profile:
  • Estradiol
  • Testosterone
  • Prolactin
  • Beta-hCG level
  • Alpha-fetoprotein (AFP)
  • Luteinising hormone (LH)

Other tests you might be asked to do after the initial consultation are:

  • Ultrasound of breasts in all cases of suspicious or unilateral breast enlargement.
  • Ultrasound of testes if there is any abnormality on examination, or if there is a raised beta-hCG or AFP.
  • CXR if a lung lesion is suspected

Gynaecomastia – the operation

There are a number of different techniques used to perform a gynaecomastia surgery, depending on the size, amount of ptosis and your expectations of the results.

Liposuction Technique
In cases where gynaecomastia is primarily the result of excess fatty tissue, liposuction techniques alone may be used. This requires insertion of a cannula, a thin hollow tube, through several small incisions.

The cannula is moved back and forth in a controlled motion to loosen the excess fat, which is then removed from the body by vacuum suction.

There are various liposuction techniques that may be used; the technique most appropriate in your case will be defined prior to your procedure.

Excision Technique

Excision techniques are recommended where glandular breast tissue or excess skin must be removed to correct gynaecomastia. Excision also is necessary if the areola will be reduced or the nipple will be repositioned to a more natural male contour. Incision patterns vary depending on the specific conditions and surgical preference.

MOST of the time the HORIZONTAL scar is avoided altogether, and you will only have the circular scar around your areola.

Combination of liposuction & excision techniques

Most commonly, gynaecomastia is treated with both liposuction and excision.

After the Gynaecomastia surgery- your recovery

    • You will be admitted on the day of surgery, and your length of stay depends on your recovery. Usually, you will stay in the hospital for 1 – 2 nights.
    • You will have tape dressings applied to stabilize your breasts. A small drain (plastic tube attached to a suction bottle) might have been placed to drain excess wound fluid and blood. This is not always necessary. The drains will usually be removed after 2-3 days. Most people do not find gynaecomastia surgery to be painful.
    • On the day following surgery, we will encourage gentle movements. You will also be fitted with a special support garments which you will be encouraged to wear for 12 weeks following the operation to minimize swelling and support your new chest contour as it heals after surgery.
    • You will be mobile from day one and should be back to full exercise within six

weeks. Stitches will need to be removed after 2 weeks. Most people have approximately 2 weeks off work following a gynaecomastia surgery, depending on the type of work you do. It is important in the first 4 weeks to avoid any strenuous activities which can cause stretching to the incisions and disturbance of the new shape.

We will keep a close eye on you after your surgery and would normally see you for your follow-up appointments at regular dressing clinics every 2-3 days and then 6 weeks following surgery, at which point your post-operative photographs will be taken.

Results after Gynaecomastia surgery

Gynaecomastia surgery results are immediate. Most men feel very pleased with the results of surgery, they often start to exercise again and enjoy new hobbies. Satisfaction will continue to grow as you recover from the surgery.

A gynaecomastia surgery is considered a permanent solution unless you gain or lose a significant amount of weight.

Any surgical treatment to correct gynaecomastia will require incisions. While most incision lines are concealed within natural contours, some may be visible and are a necessary result of male breast reduction surgery.

All gynaecomastia surgery scars are permanent, even though some scars may be concealed in the natural contours of the breast. Your improved upper body will likely enhance your self- image and confidence, whether in a shirt, t-shirt, or baring your chest at the beach.

Any scar goes through a maturation process, which takes a year to complete.

Gynaecomastia surgery risks and safety

The decision to have plastic surgery is extremely personal, and you will have to decide if the benefits will achieve your goals and if the risks and potential complications of gynaecomastia surgery are acceptable.

Whilst these operations are generally safe in the hands of a qualified and experienced plastic surgeon and regarded to be highly successful, there are, as with any operation, risks involved and the possibility of complications that patients need to consider. These risks and others will be fully discussed prior to your consent. It’s important that you address all your questions directly with your plastic surgeon.

For further information about what is involved in this type of procedure, please contact Valentis Clinic on  0732 110 005   or contact Dr Tilman Stasch at info@valentisclinic.com or 0725 045 705 if you have any questions regarding your forthcoming surgery.