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| Breast
Reduction For Men |
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Breast
reduction is designed to reduce
the size of the breasts. Breast
reduction reduces the size
and makes the breasts more
symmetrical. |
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| Who
is a Good Candidate? |
| Anyone
who has any one or combination of the following: |
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Large
or womanly looking breasts |
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Sagging
of the breasts due to excessive weight
loss. |
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| Private
Consultation: |
During
your initial consultation you will discuss
with your plastic surgeon your past and
present medical conditions and current
medications used. He needs to know if
you have hypertension, thyroid problems
or diabetes. He should also know about
your past surgeries, allergies to any
medications and personal habits, such
as smoking and drinking. You should let
him know if you are planning to lose a
significant amount of weight in the future.
A physical examination will be performed
to measure the amount of tissue to be
removed or lifted. Preoperative photographs
will be taken. You may be shown before
and after photographs. Lab tests, x-rays
or EKG may be ordered depending on your
general health. At the conclusion of the
consultation and physical examination
the fees will be discussed with you by
the doctor and his staff. |
| Preparation: |
Stop
all non-prescriptive medication, diet pills,
herbs, and garlic two weeks before surgery.
It is advisable to stop
smoking two weeks prior to and two weeks
following surgery. Do not drink any alcoholic
beverage two days prior to and one week
following surgery.
Stop all prescribed or
nonprescribed diet products two to four
weeks before surgery. Any lab work or
mammogram should be taken prior to surgery.
Avoid taking aspirin
and aspirin
containing products such as Advil and
avoid garlic and garlic products two weeks
prior to surgery. These products can prolong
bleeding and increase bruising. Tylenol
may be taken during this period.
For a period of two days
before surgery you should wash your entire
torso from shoulders to hips, (including
chest, under arms and sides) for 15 minutes
twice a day with Betadine soap. An additional
wash should be done just before you come
in for surgery. No skin product should
be used two days prior to the surgery.
You may use skin care products following
these washes, except the last wash before
surgery, when no skin care products should
be used. If your surgeon has put markings
on your breasts the day before surgery,
you should be careful not to wash them
off.
Do not eat or drink anything
after midnight before surgery. You may,
however, take prescriptive medication
with a small amount of water and brush
your teeth the morning of surgery. Wear
a loose fitting button or zipper type
dress or blouse that does not pull over
your head. Loose sweats are recommended
as you will be in a compression garment
after surgery and they may be difficult
to get on. Do not wear jewelry or bring
valuables.
Please plan to have someone
bring you to and take you home from surgery
and stay with you the first 24 hours.
Notify the office staff of this person's
name and telephone number prior to surgery.
Have all prescriptions
filled a few days before surgery, so they
will be available for you when you arrive
home from surgery.
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| The
Procedure: |
Reduction
of breasts in men is most often performed
by the method of liposuction, especially
with the use of ultrasonic system. In
some occasion, if this method is not successful,
open open surgery may have to be performed.
Suction lipectomy method is performed
through small incisions on the line under
the breast, but the open surgery may have
to be performed through the lower portion
of areola (the dark skin around the nipple)
or in case of excessive sagginess due
to weight loss, may have to be performed
with the method applied to women. The
operation is performed using general or
local anesthesia with heavy conscious
on outpatient basis. |
| Postoperative
Care: |
Rest with your head elevated on two
or more pillows the evening after surgery.
Take pain medication as needed. A slight
fever is normal one to three days following
surgery.
You will be sent home with bandages
over the breasts with sutures and possibly
drains underneath. Your physician will
instruct you on how to care for your
drains and incisions. The drains will
be removed in approximately 1 - 2 days.
You may shower the day after the drains
are removed. Your sutures will be removed
in stages between 5 to 12 days. You
will receive appointments for these
visits.
You are encouraged to walk around the
day after surgery for short periods
of time. After a few days you should
be able to move around easily without
assistance. Avoid straining, bending
and reaching over your head for a couple
weeks, since they may increase the risks
of the procedure.
You may notice some tingling sensations
or electrical shock type feelings in
your breasts for a few weeks following
surgery- Your nipples may have less
sensation for a while following surgery.
The incisions may be red and noticeable,
but will gradually blend in.
Social activity can be resumed in approximately
two weeks or so. You may return to work
after two weeks depending on your job.
Vigorous exercise should be avoided
for up to four weeks. Light exercise
can begin in approximately two weeks,
which include walking, bicycling. Sexual
activity should be avoided for two weeks.
Take precautions and be gentle with
your breasts for the first several weeks
following surgery. You are encouraged
to call the office if you have any questions.
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| Fees: |
It
is customary that the fees for surgery
to be paid two weeks prior to surgery.
This assures that the patient is sincere
in his or her motivation. The fees include
the surgeon's fee, the facility charge,
which is private and fully accredited
with high tech equipment, and anesthesiologist
or certified nurse anesthetist, if general
anesthesia is used. Also included in
this fee are any laboratory tests performed
in the office, use of special equipment.
It is very rare that insurance plans
cover cosmetic surgery. Please feel
free to ask the office staff if you
have any questions in that regard.
We
understand this is a very important
decision in your life and you would
like to do this for yourself. In your
private consultation with Dr. Zandi,
who is a Board Certified plastic surgeon,
you may discuss your needs in detail
and also obtain additional information.
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