The Surgery
When the main cause of the breast enlargement is the surplus of glandular tissue, it can be moved off or cut out only with a scalpel. This procedure can be performed alone or in combination with liposuction. When a surgeon performs a typical procedure he or she makes an incision in an unnoticeable location. It can be done on the border of the areola or in the under arm area. Working throughout the cut, the surgeon moves off the unnecessary glandular tissue, fat and skin from around the areola, the sides and underneath of the breast. Sometimes can be such reductions including the elimination of a significant amount of tissue and skin that need larger incisions that result in more noticeable scars. While liposuction is used to take out surplus fat, the cannula is typically inserted through the open incisions.
If your gynecomastia consists mainly of excessive fatty tissue, your surgeon can use liposuction to take away the excess fat. He will do a small incision, less than a half-inch in length, around the edge of the areola (the dark skin that around the nipple), or in the underarm area. A thin hollow tube called a cannula which is joined to a vacuum pump is then inserted into the incision and using tough, premeditated movements, the surgeon moves the cannula through the layers under the skin. He breaks up the fat and absorbs it out. Patients will no feel a pain just slight vibration or some rubbing during the procedure.
When during the procedure large amounts of fat or glandular tissue have been removed, your skin will can’t to arrange well to the new smaller breast contour. In such cases your surgeon will remove the excess skin to allow the removing skin to tightly re-adjust to the new breast contour.
There are some cases when a small drain is inserted through a separate incision to draw off fluids. Once closed, the incisions are typically covered with a bandage. The chest must be wrapped just to keep the skin tightly in place. Period After the Surgery
As with any other operation you will feel some discomfort for a few days after surgery. You will control it with medications prescribed by your surgeon. In any case, you must organize to have someone drive you home after surgery and to help you out for a day or two if needed.
You'll be inflated and injured for some time. You will have to wear an elastic pressure garment for a week or two to help reduce a tumor. But you’ll have to wear it a few weeks longer at night. The main part of your swelling will disappear during the first few weeks. The final results of your surgery will be noticeable after three or more months.
Meanwhile, it is important for you to begin getting back to normal. You'll be supported in walking around on the day of surgery. You will return to work in a day or two after surgery. All your sutures will usually be removed about 1 to 2 weeks after the procedure.
Your surgeon can order you to avoid sexual activity for a week or two after the surgery, and heavy exercise for about three weeks. You'll be ordered to excuse yourself from any sport or job that risks a stroke to the chest area for no less than four weeks. Normally, it will take you about a month before you can back to all of your usual activities.
You should put out your scars to the sun for at least six months. Sunlight can enduringly affect the skin's pigmentation, and your scar will become darker. If you can’t avoid a sun exposure you must use a strong sun block.
| 
