ENLARGED MALE BREASTS (GYNECOMASTIA)
Cosmetic Clinic Dubai | 1 June 2023
Gynaecomastia is the benign (non-cancerous) growth of male breast tissue and can be due to a number of causes. It may be due to hormone imbalance or as a consequence of medication you are taking. It can also be due to alcohol excess or recreational drug abuse. Your doctor will discuss the cause of your gynaecomastia with you. Along with causing swelling of the breast and nipple, gynaecomastia can be uncomfortable and the nipple can become sensitive.
HOW CAN GYNAECOMASTIA BE TREATED?
Some cases of gynaecomastia will get better without any form of treatment. If one of your medications is thought to be causing the gynaecomastia, it may improve with changing or stopping a particular tablet. Your doctor will discuss this with you.
Whilst gynaecomastia itself can be uncomfortable and unsightly, it is not dangerous and no harm will come from having it. When cancer has been ruled out, many men are happy to have no treatment.
Another form of treatment is to have medication. These medications are often good at reducing discomfort and sensitivity but may not reduce the size of the breast.
The third form of treatment involves surgery to your breast.
SURGICAL TREATMENT OF GYNAECOMASTIA
There are three main surgical procedures which can be undertaken:
Liposuction
Liposuction is used to remove the fatty tissue under a general anaesthetic. Small incisions (cuts) are made on the chest wall. A small metal tube (cannula) is used to suck out the fatty tissue. The incisions are then sutured to give a flatter, firmer and better-contoured chest. Any stitches will be of the dissolving type and so do not need to be removed.
Excision of Gynaecomastia
In excisional surgery, I will make a cut around the nipple to remove the breast tissue. This may be combined with liposuction of the breast tissue at the same time.
Male Breast Reduction
If the breast is very large more tissue and skin may have to be removed. This will give more scars. The degree of scarring will depend on how much skin needs to be removed. I will advise you about this.
After Surgery
After surgery for gynaecomastia your breasts will look discoloured and feel firm and swollen. You may need to have a drain (a fine plastic tube) inserted into the breast during the operation. This will be removed seven days after your operation. You should be able to go home the same day. You may be advised to wear a corset for up to six weeks after the operation to help with the swelling. I will advise you where these can be bought. You will not be able to drive home after your operation and it may be two to three weeks before you can drive.
The dressings can be removed after 7-10 days and you should be able to return to work after two weeks. For the first three weeks after the operation, don’t lift anything heavy or do heavy manual work. Most men resume normal activities within two to three weeks.
Risks and Complications
All surgery carries with it some risk. Common side effects of a general anaesthetic include nausea and vomiting. As mentioned earlier, the chest can be swollen and bruised following the operation.
Specific Complications
Haematoma
This is bleeding into the tissues following surgery. It can occasionally lead to patients returning to theatre to stop the bleeding or remove the blood.
Wound infection
This can occur after any kind of surgery and may need treatment with antibiotics or a return to theatre. If your wound becomes red and inflamed you should contact your doctor.
Deep vein thrombosis
This can happen after any operation or general anaesthetic. The risks are reduced by wearing preventative stockings (TEDS) for two weeks.
Poor wound healing
With a male breast reduction problems may occur with the wound. The blood supply to the area around the vertical scar is at its poorest. This may delay healing and very occasionally the wound may break down and leave a small raw area. This gradually heals with time but may take several weeks.
Nipple complications
The operation by its nature partially disrupts some of the blood supply to the back of the nipple. There is a small risk therefore of the nipple dying resulting in its loss. There is a risk of loss or alteration in sensation to the nipple.
Asymmetry
There may be some lasting differences in the size and shape of your breasts following surgery. Most men are asymmetrical prior to the operation.
Scarring
Initially the scars will be bright red lines – in most cases the scars will heal satisfactorily and soften becoming much paler in time, usually within twelve months. Some patients have a tendency to form red and lumpy scars or keloid scars which are broad raised scars. Such scarring will be permanent.
FOLLOW UP
You will be given an appointment to return to the clinic in 7-10 days where the dressings and drain(s) will be removed and the wounds inspected. You will also be reviewed approximately six weeks after your surgery once the bruising and swelling has completely settled.
LONG TERM OUTLOOK
If lipofilling is performed and only fat is removed, weight gain can make the gynaecomastia return. If the breast tissue itself is removed, as in the excision surgery or male breast reduction there is a chance the breast tissue can regrow. You will have medical photography before and after surgery of your chest. There will be nothing which will identify you to anyone else on these and they are used as a record of your treatment.
BREAST AUGMENTATION (ENLARGEMENT)
Breast Augmentation Dubai | 8 May 2023
Breast augmentation surgery normally takes place as a day-stay or short-term visit system, requires an overall sedative, and takes 1-2 hours to complete. Following the operation, it is imperative to engage in only brief, gentle exercise, refraining from carrying heavy objects for 7–10 days. Once more, the majority of patients could drive and resume their jobs approximately 10 days after the treatment. Heavy lifting and sports should be avoided for three months after the surgery.
The surgical process known as bosom growth can lengthen your bosoms and make them more proportionate to the rest of your body, which can boost your confidence and attractiveness. Bosom expansion can also be used to treat differences in your breasts’ size or sagging breasts, both of which can occur after pregnancy and breast-feeding.
In terms of breast expansion, there are a lot of options, so it’s important to carefully consider which ones are best for you. Before making a choice with your specialist, you should be aware of the benefits and drawbacks of these options. Contrasts in the size and condition of your bosoms may try to become more apparent following the treatment, but the fundamental state of your bosoms won’t change as a result of bosom inserts.
BREAST AUGMENTATION CAN ENHANCE YOUR APPEARANCE AND YOUR SELF-CONFIDENCE
Plastic Surgery Dubai | 7 May 2023
Breast augmentation surgery typically takes 1-2 hours, involves a general anaesthesia, and is done as a day-stay or overnight procedure. Following surgery, it’s crucial to limit mild activities and refrain from heavy lifting for 7–10 days. In most cases, patients can resume driving and working 10 days after surgery. Sport and strenuous activity should be avoided for 3–4 weeks after surgery.
Breast augmentation can increase your breast size and make them more proportionate to the rest of your body, which can improve both your appearance and self-confidence. Breast augmentation can also be done to treat size discrepancies or sagging breasts, both of which can develop after pregnancy and breast-feeding.
There are numerous possibilities and choices for breast augmentation, so determining which ones are best for you requires careful consideration. Prior to discussing your options with your surgeon, you should be aware of the benefits and drawbacks of each option.Your breasts will grow in size thanks to breast implants, but the contour of your breasts won’t change at all; in fact, after the procedure, the discrepancies between your breasts’ size and shape might even stand out more.
WHAT IS A BREAST LIFT?
Breast Augmentation Dubai | 6 May 2023
The majority of my patients have rather simple plans for their breast augmentation surgeries. You might also need to consider having a breast lift if you are older (over 40), have had several pregnancies, or have lost a large amount of weight.
Implants alone can provide the lift required in the absence of additional surgical lifting in patients who have minor breast sagging and minimal extra (but good quality) skin. This is especially valid when the implants are positioned beneath the muscle. Placing the implant under the breast will assure perky, natural, and firm results if the patient has minimal sagging.
To get the best cosmetic result, a lift is required if the patient has poor skin quality, stretch marks, excessive amounts of sagging skin, low-resting nipples, or it looks that the skin, glands, and chest wall are not engaged. Although older women are more likely to fit into these categories, some younger women do as well. If you’ve given birth more than once, there’s a good likelihood that the breast tissue’s constant expansion and contraction has left loose skin, stretch marks, and diminished breast volume (particularly in the upper portion of the breast). Significant weight loss among women under the age of 40 is typically accompanied by flat, sagging breasts.
Due to the extra intricacy, some surgeons steer clear of combining breast augmentation and lift surgery, although overall, mastopexy augmentation is usually less demanding and more affordable. Combining breast augmentation and lift surgery into a single procedure makes it simpler for the patient and increases the likelihood of a satisfactory outcome.
COMBINATION OF LIFT AND BREAST AUGMENTATION IS JUST AS SAFE AS SINGLE SURGERY
Breast Augmentation Dubai | 3 May 2023
No surgical procedure is risk-free. Having said that, combining a breast lift and augmentation operation can be just as safe as performing both procedures separately. Aside from treating a variety of aesthetic problems, augmentation-mastopexy surgery has a lot of special advantages. Combining these breast operations has various benefits, both aesthetic and reconstructive:
– There is less scarring
– There is less removal of skin
– The implant helps fill out the breast and improves its overall appearance so that less lifting is needed
– Combining surgeries is less expensive than having both surgeries separately
– Combining surgeries can reduce overall recovery time
The risks are the same whether operations are performed separately or in combination, and the majority of patients prefer to undergo a single surgical procedure if possible. Every surgery, after all, entails a certain bit of inconvenience: Patients must arrange for time off work, find a carer to assist them during their first recovery, and (if they have children) locate a daycare provider. Not only is it more work to complete these tasks twice rather than once, but it also frequently incurs additional costs.
FAT TRANSFER BREAST AUGMENTATION
Breast Augmentation Dubai | 2 May 2023
We have some good news for you if you’ve ever heard someone jokingly remark they wish they could transport the extra fat from their waist to their breasts: It is truly achievable with a treatment called “fat transfer breast augmentation.”
In this procedure, fat is extracted via liposuction from a specific body area (the thighs, arms, love handles, or back) and injected into the breasts. For individuals who want simply a slight increase in breast size, this procedure is ideal. Using your own natural fat cells, it can help reduce blemishes, enhance breast contour, and enlarge your breasts. Additionally, patients with current implants can boost the size of their breasts even more with a fat transfer rather than undergoing a revision procedure that involves implant replacement. Even if you call it “augmentation light,” breast augmentation is still breast augmentation.
It’s crucial to remember that fat transfer to the breasts is still a surgical procedure even though a surgeon may just use local anaesthesia. It’s still very important to follow your surgeon’s recommendations for proper healing even though the recovery following fat grafting typically only lasts three to five days and involves little discomfort and swelling.
In essence, fat transfer operations kill two birds with one stone, which makes them quite popular. In the end, contouring and shaping the body by removing fat from an area with excess fat enables the patient to define their form. In the interim, the fat can be employed again to enhance the breasts in a way that looks and feels very natural. Many ladies feel more at ease after hearing this concept. In the end, fat grafting has no danger of allergic reaction, rupture, or implant rejection.
PINNING BACK THE EARS IS KNOWN AS AN OTOPLASTY OR PINNAPLASTY
Cosmetic Clinic Dubai | 1 May 2023
The first bodily part to reach adult size may be the ears. It could be seen obvious if the ear sticks out excessively. 2 percent of people think their ears protrude unnaturally. The issue, which is frequently acquired, is brought on by the ear’s lack of the distinctive ligament folds.
Most problems with large ears in young people are often caused by bullying at school. Most doctors recommend delaying surgery to correct bulging ears in youngsters until they are old enough to comprehend what it entails. At this age, the child is likely to take part and enjoy the results. Remember that not everyone who has a visible ear wants it to be fixed. Children would suffer needlessly if medical procedures are carried out on them before they are mature enough to understand. Exercises for distinct ears are therefore rarely performed on children under the age of five because the ear ligament is typically sensitive in the early years.
The term “otoplasty” refers to the precise alteration of recognisable ears. Most doctors recommend waiting this therapy until the child’s ears are fully developed, which is often around age eight. Some experts agree with the child’s right to make their own decisions. There is more than one effective approach that can be employed with each child to solve this issue; there isn’t simply one.
Despite the fact that adults can receive treatment while under local anaesthesia, children often receive care that additionally entails a general sedative. During the surgery, a cut is made behind the ear, close to the notch between the ear and the side of the head. If the ear was reshaped or rotated towards the head, the ligament may have been weakened by slicing the front of the ear, cutting a small bit of the ligament bowl (concha), or covering the ligament with a fastener buried in the back. The area is often covered with a bandage or piece of clothing to offer protection when the skin is sealed off.
BREAST REDUCTION SURGERY INVOLVES REDUCING THE BULK OF THE BREASTS
Plastic Surgery Dubai | 23 April 2023
In breast reduction surgery, the size of the breasts is reduced. The phrase “restorative procedure” is occasionally used to describe it. Mammary hypertrophy, often known as breasts that are too large, is a physically debilitating ailment that can also attract unwanted attention from members of the opposite sex and result in skin rashes, neck pain, and back pain. These issues are occasionally overlooked in a world where having huge breasts is generally seen as an appealing quality, yet having breasts that are extremely large can really be unpleasant and uncomfortable.
By reducing the size of the breasts, breast reduction surgery can dramatically lessen the weight that must be sustained by the back and shoulders.
Anaesthesia is utilised during the breast reduction procedure. In order to determine which breast reduction operation is ideal for you, Dr. Vigo will go through all of the options with you during your appointment. The skin and fat from your breasts will be removed during your breast reduction treatment, regardless of the technique employed. Additionally, depending on the size and form of your breasts, your nipple may need to be repositioned. Near the areola, each technique will leave a minute mark.
By reducing the size of the breasts, breast reduction surgery can dramatically lessen the weight that must be sustained by the back and shoulders.
Anaesthesia is utilised during the breast reduction procedure. In order to determine which breast reduction operation is ideal for you, Dr. Vigo will go through all of the options with you during your appointment. The skin and fat from your breasts will be removed during your breast reduction treatment, regardless of the technique employed. Additionally, depending on the size and form of your breasts, your nipple may need to be repositioned. Near the areola, each technique will leave a minute mark.
BREAST LIFT TYPICALLY REDUCES BRA SIZE BY ONE FULL CUP
Breast Augmentation Dubai | 20 April 2023
You may have heard that if you want to restore perkier, firmer breasts or lessen breast drooping, a breast lift will make your bust smaller, necessitating a change in bra size. Sure, you might need to wear a smaller cup size in general, but that doesn’t necessarily mean that your breasts are smaller. In actuality, some women need to size up following a breast lift. Simply expressed, it depends on the individual. You could need a new bra fit when getting a new breast shape and contour.
The average reduction in bra size following a breast lift, or mastopexy as it is technically termed, is one cup. However, this is typically not due to a volume reduction. When excess skin and drooping breast tissue are removed or realigned, cup sizes are often lowered. In actuality, many women find it to be beneficial. It might even eliminate the requirement for uncomfortable underwire.
Depending on your specific goals and customised technique, you could decide to combine a breast lift with a breast augmentation. This hybrid technique adds volume to the breasts while also removing strained tissue to achieve the desired results.
If the areola is looking downward or, alternatively, if it is located below the natural crease of your breasts, a mastopexy or breast lift is typically necessary. (The periaortic overlay.) Because it is a day case, general anaesthesia is used, which enables the use of more advanced sedation techniques to hasten patient recovery and return to work.
Due to the scarring associated with this particular methodology, the cut locations will be carefully examined during the general restoration and reshaping of the bosoms using this methodology.
A BREAST UPLIFT, IS AN OPERATION TO REMOVE EXTRA LOOSE SKIN FROM THE BREASTS & TO LIFT/RESHAPE THEM
Plastic Surgery Dubai | 17 April 2023
Breast tissue in women typically loses flexibility as they age, lose weight, become pregnant, give birth, or nurse. This flexibility is restored through breast lift surgery, sometimes referred to as mastopexy or breast reconstruction. A bosom raise is one of the best placement adjustment techniques in fulfilling because of the visible rise in certainty and confidence.
Using this technique, you can raise breasts that hang unusually low over your chest and have most of their volume at the base. It typically works well as a fantastic way to accentuate the breasts without actually making them smaller. Throughout the procedure, one of our incredibly gifted doctors will lift and shape your breasts to give them a firmer and younger appearance. Additionally, we can ensure that the progressions are normal and proportionate by raising the areolas on the breast. If necessary, I might additionally suggest having your bosom raised or decreased concurrently with your bosom lift to guarantee the greatest results. This will be covered in your initial interview.