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Breast Reduction – Gynecomastia

PERFECT PROCEDURE

  • To correct your breast size out of proportion to your body.
  • To forget about the pain due to you breast size, usually involving your back, neck, and/or your shoulders.
  • To reduce the volume and weight of women’s excessively large breasts.
  • To make both breast the same size.

To forget about your dissatisfaction & self-consciousness about your breast size.

HOW WILL THE PROCEDURE BE PERFORMED?

Typically, incisions are around your nipple, from your nipple down to your chest wall, and side to side under your breast. The skin over the breast tissue to be preserved is removed, after this, excess breast tissue and skin is removed, with the remaining breast tissue moved to its new position, and the skin closed around your new breast mound.

ANESTHESIA

General or local with added sedation.

SURGERY LENGTH

Between 2 and 3 hours.

RECOVERY

You will have to rest at the clinic during 48 hours.

Your bandages will be removed after two days, and you will continue wearing a surgical bra around the clock for several weeks, until the swelling and bruising subside.

You may also be instructed to avoid sex for a week.

You will be able to do physical exercise again 30 days after the surgery.

PAIN

The pain after surgery is usually easily managed with oral pain medications.

REMOVAL OF THE STITCHES

The stitches will be removed in one or two weeks.

BRUISES AND SWELLING

Most bruising, swelling, should subside within three to six weeks.

SCARS

The scars are placed in areas that are not seen unless you are topless, and can be hidden by most bathing suits. These scars are long, and they remain pink or brown for several years. For some women they become less noticeable.

SCARS TREATMENT

In addition to the new techniques used to make your scars as inconspicuous as possible.

Our health care specialists have many tools at their disposal to reduce and treat scars from every part of the body through special scar removal techniques.

After your surgery we will offer you a free consultation with one of our health care specialists in laser treatment.

Laser treatment will help you to reduce the appearance of scars by 70 to 80 percent and prevent their recurrence.

According to your skin quality, the laser scar removal technique will prevent the appearance of keloid scars, hypertrophic scars, or atrophic scars, which have the following characteristics:

– Keloid Scarring: Firm, raised, and reddish-purple scars that extend beyond the initial wound area and builds over time.

– Hypertrophic Scarring: Firm, raised, and pink scars that remain within the initial wound area and possibly naturally regress over time.

– Atrophic Scarring: Depressed pin-like pockets in the skin that can result from skin conditions or diseases such as acne.

MALE BREAST REDUCTION (Gynecomastia)

Gynecomastia (male breast enlargement), is a very common condition in men. It affects an estimated 40 to 60 percent of men.

It can result in terrible embarrassment, teasing, and social trauma. Many will try to hide it with thick shirts, avoiding bare chested activities, and withdrawing from public exposure.

It may affect only one breast or both. Though certain drugs and medical problems have been linked with male breast overdevelopment, there is no known cause in the vast majority of cases.

For men who feel self-conscious about their appearance, breast-reduction surgery can help. The procedure removes fat and or glandular tissue from the breasts, and in extreme cases removes excess skin, resulting in a chest that is flatter, firmer, and better contoured.

HOW WILL THE PROCEDURE BE PERFORMED?

First, your surgeon will examine your breasts and check for causes of the gynecomastia.

Once your surgeon knows how much fat and glandular tissue is contained within the breasts, he can choose a surgical approach to best suit your needs.

If excess glandular tissue is the primary cause of the breast enlargement, it will be excised, or cut out, with a scalpel. The excision may be performed alone or in conjunction with liposuction. In a typical procedure, an incision is made in an inconspicuous location–either on the edge of the areola or in the under arm area. Working through the incision, the surgeon cuts away the excess glandular tissue, fat and skin from around the areola and from the sides and bottom of the breast. Major reductions that involve the removal of a significant amount of tissue and skin may require larger incisions that result in more conspicuous scars. If liposuction is used to remove excess fat, the cannula is usually inserted through the existing incisions.

If your gynecomastia consists primarily have excessive fatty tissue, your surgeon will likely use liposuction to remove the excess fat. A small incision, less than a half-inch in length, is made around the edge of the areola–the dark skin that surrounds the nipple. Or, the incision may be placed in the underarm area. A slim hollow tube called a cannula, which is attached to a vacuum pump, is then inserted into the incision. Using strong, deliberate strokes, the surgeon moves the cannula through the layers beneath the skin, breaking up the fat and suctioning it out. Patients may feel a vibration or some friction during the procedure, but generally no pain.

ANESTHESIA

General or local with added sedation (you’ll be awake, but very relaxed and insensitive to pain).

SURGERY LENGTH

Between 1H30 and 2 hours.

RECOVERY

Whether you’ve had excision with a scalpel or liposuction, you will feel some discomfort for a few days after surgery. However, discomfort can be controlled with medications prescribed by your surgeon.

You’ll be swollen and bruised for a while–in fact, you may wonder if there’s been any improvement at all. To help reduce swelling, you’ll be instructed to wear an elastic pressure garment continuously for two weeks, and for a few weeks longer at night. Although the worst of your swelling will dissipate in the first few weeks, it may be three months or more before the final results of your surgery are apparent.

In the meantime, it is important to begin getting back to normal. You’ll be encouraged to begin walking around on the day of surgery, and can return to work when you feel well enough–which could be as early as a day or two after surgery.

REMOVAL OF THE STITCHES

The stitches will be removed about one week or 10 days.

RESULTS

The results of the procedure are significant and permanent. If your expectations are realistic, chances are good that you’ll be very satisfied with your new look.

 

Arm Lift

BODY LIFT / BODY  CONTOURING

A Complete Body Lift includes any such procedures that enhance the body contour like the arms (Arm lift), the thighs (Thigh lift), the buttock (Buttock lift) and the abdomen (Tummy Tuck).

Like the face, the remainder of the body suffers the consequences of time, gravity and in some cases significant weight loss.

A complete body lift is a very powerful body-rejuvenating procedure, typically performed to remove excess skin following massive weight loss or to improve the results of gastric bypass, panniculectomy, or liposuction.

Patients who have had gastric bypass, Lap-Band, or other gastric restrictive procedures often require a dramatic body contouring to remove excess skin on several areas of the body, including:

  • Facelift: to reduce sagging of the mid-face, jowls and neck.
  • Breast lift: to correct the apron of excess skin hanging over the abdomen.
  • Lower body lift: to correct sagging of the abdomen and buttocks.
  • Thigh lift: to correct sagging of the inner, outer and mid thigh.
  • Brachioplasty / Arm Lift: to correct sagging of the upper arms.

Complete body lift can also be performed to fight the effects of aging and childbearing, including excess skin, cellulite, and sagging fatty tissue.

” …the life changing rewards for patients, both functionally and aesthetically, make body lift surgery among the most satisfying of all the procedures performed by plastic surgeons.” – Dra. Monica Rivera.

Medical Editor, Salud y Vida: (International Press)

ARM LIFT (Brachioplasty)

PERFECT PROCEDURE

  • To have a more youthful appearance and thinner contour to the arms.
  • To remove the excess skin that make your arms look ‘sagging’.
  • To forget about flabbiness and extra skin, especially in the upper inner arms.
  • To forget about folds of skin of the upper chest near the armpit, seen especially when the arms are down at the sides.

HOW WILL THE PROCEDURE BE PERFORMED?

The incision may be completely concealed within the armpit, or down the inside of the arm in an inconspicuous location for a variable length depending on how much skin and where the excess is.

Our surgeons approach arm lifts to meet your specific needs. This means adequately assessing the excess skin and excess fat (if any is present). Each of these components will determine which procedure is best for you. The incisions required are determined by the severity of your condition. Minimal skin excess may be treated with an incision in the armpit alone. Moderate laxity is treated with an incision from the armpit to the elbow.

In some instances, your plastic surgeon may recommend that liposuction be used alone or in conjunction with an arm lift to remove excess fat in the upper arms.

Arm lift surgery can be combined with other plastic surgical procedures.

ANESTHESIA

Local anaesthesia and complementary sedation, or general anaesthesia.

SURGERY LENGTH

Between 1H30 and 2 hours.

STAY IN HOSPITAL

One or two days, depends on the surgeon.

RECOVERY

Some grogginess are present which persists for about a week.

You can resume many activities within the first week, and most by at least three weeks.

Dressings and a light compression garment is used for several days.

PAIN

There is only minimal pain that is mostly gone by the second or third day and easily controlled by medications.

REMOVAL OF THE STITCHES

The stitches are removed at ten days.

BRUISES AND SWELLING

Swelling is mild to moderate and peaks at two to three days then disappear rapidly over the next three weeks.

Minimal or no bruising is the usual.

SCARS

The resulting scars run from the elbow to the armpit, along the interior area of each arm.

Following arm lift surgery, many patients experience an immediate improvement in their self-esteem and discover a greater self-confidence. In addition, many also find greater access to different clothing styles and fashions and are less self-conscious at the gym, around the pool, or at the beach.

After a Complete Body Lift

A complete body lift usually involves several areas such as abdomen (tummy tuck) Thighs (inner thigh lift), Arms (arm lift or brachioplasty), Breast lift (mastoplexy), Buttocks, and Neck Lift.

Body Lift is a major surgical procedure and requires significant recovery time.

Most patients remain in the hospital for two to four nights.

Pain and discomfort are first managed with intravenous or intramuscular medications, and later with oral pain medication.

SCARS TREATMENT: AFTER BODY LIFT

Patients dislike their scars for a number of reasons. Our medical team will make every effort to make your scars as inconspicuous as possible. Still, it’s important to remember that body lift scars are permanent. Fortunately, the scars can usually be placed so that you can wear even low-cut tops.

Our health care specialists have many tools at their disposal to reduce and treat scars from every part of the body through special scar removal techniques.

After your surgery we will offer you a free consultation with one of our health care specialists in laser treatment.

Laser treatment will help you to reduce the appearance of scars by 70 to 80 percent and prevent their recurrence.

According to your skin quality, the laser scar removal technique will prevent the appearance of keloid scars, hypertrophic scars, or atrophic scars, which have the following characteristics:

  • Keloid Scarring: Firm, raised, and reddish-purple scars that extend beyond the initial wound area and builds over time.
  • Hypertrophic Scarring: Firm, raised, and pink scars that remain within the initial wound area and possibly naturally regress over time.
  • Atrophic Scarring: Depressed pin-like pockets in the skin that can result from skin conditions or diseases such as acne.

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