Gynecomastia
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Learn more about Treatment for Gynecomastia with Adractim Testosterone gel.

Teatment

Normally, before any case of Gynecomastia is treated there should be a full pathology investigation. In practice however, most cases are temporary and are not serious in nature. Many therefore feel that these costly tests are not required at the start. A simple, short-term treatment is very often all that is needed. This can be done with Andractim.
However,it is not safe to continue prolonged treatment by this method. Response is generally rapid, within about ten days. After two or three tubes have been used, there
is unlikely to be any further progress over what has by
then been achieved

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Aside from treatment of any underlying causes, the treatment of gynecomastia can include use of medications, irradiation and/or surgery


The surgical treatment of gynecomastia can be broadly categorized into
that which requires skin removal and that which does not. For cases without significant skin excess, ultrasonic liposuction, by providing more complete fat removal and skin shrinkage has resulted in a dramatic improvement in aesthetic results


Some of the more difficult cases of gynecomastia located just behind the nipple will respond to ultrasonic liposuction.


To relieve the condition adequately so that the patient can participate more fully in activities where embarrassment and anxiety would otherwise occur. This can include sports and social activities where certain clothing styles would ordinarily be worn or where removal of one's shirt might occur.

When gynecomastia is severe, when it persists, and in those cases where there is
supicion of malignancy
surgical treatment may be indicated. In most cases the incisions for this operation can be placed just inside the areolar border where they are less likely
to be conspicuous. The glandular tissue must be removed. This firm fibrous tissue
extends from the nipple areolar complex down to the surface of the pectoral muscle beneath. In some cases it is helpful to use liposuction to remove some of the fatty tissue which always surrounds this ductal tissue. Without this liposuction some patients would have a "donut" shaped defect after removal of the ductal tissue.

Method: Ultrasonic liposuction

alone is helpful for removing the tissue and may avoid skin excision in many patients. It is now considered the treatment of choice for many men with large breasts.The type of surgery recommended depends on the
pattern of enlargement.

The most common traditional method is to remove the excess tissue through an incision around the nipple. The incision extends out from the nipple at
3 and 9 o'clock. Liposuction is used to improve the contour or remove additional fat.
The operation is under a general anesthetic (you are asleep). Most of the time this is an outpatient operation and a stay in the hospital is not needed.

Problems:

All operations have some risk. It is possible to divide the risks of surgery into two groups. First those that are seen in all operations and second those that are unique
or special for this operation. In the first group, the main risks are swelling, bruising,
bleeding, infection, a scar and numbness or change in feeling. The main problems which are special for this operation are surface irregularity and a change in shape or position
of the nipple.

Postoperative care:

The recovery takes one to two weeks. Most people are back to work within a week or two

Complications

The most common complication following surgical removal of the ductal tissue is hematoma. When severe this could lead to a second operation to drain the collection of blood . Some residual deformity of the nipple areolar area may remain despite the best efforts of the surgeon. With any operation a wound infection could occur. Inadvertent injury to the blood supply of the nipple areolar region could result in loss of skin in the nipple areolar area. There would be the usual anesthetic risks associated with any surgical procedure. These complications and other even rarer complications do not occur often and the vast majority of patients undergoing this operation are very pleased and adopt a more normal life style with regard to exsposure of the chest in normal social situations such as the beach.



 
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