The Operation
The majority of cases are surgically corrected using a liposuction technique. The combination of power assisted liposuction equipment and a liposuction cannula tip designed for fibrous tissue removal, means that the vast majority of cases can be satisfactorily completed using liposuction alone. This requires two or three small incisions placed discreetly within natural occurring skin creases whenever possible. A full description of liposuction can be found under the liposuction section.
As the amount of glandular tissue requiring removal increases so too does the complexity of the operation. Having completed the liposuction if there is still a significant nubbin of glandular tissue behind the nipple/areola complex requiring removal then a small incision is made at the periphery of the lower half of each areola and the tissue is removed. These incisions heal with remarkably good scars.
Occasionally the degree of gynecomastia being treated has resulted in significant skin excess that also needs to be removed as well as the underlying fatty and glandular tissue. In these cases some external scaring is left on the chest, but once again every effort is made to disguise the final scars within naturally occurring body creases. For these cases at the completion of surgery Mr Masters will usually place surgical drains to ensure that no blood or fluid gathers within the wound within the first 24 to 48 hours.
Anaesthesia
This depends on the nature of the surgery performed; most commonly local anaesthetic with intravenous sedation is used. However for more extensive procedures, general anaesthesia is preferred. In either case the procedure is usually done as a day stay so that the patient can go home the same day.
Where is the surgery performed?
For smaller cases, that is those not requiring general anaesthesia, the surgery is performed in Mr Masters rooms in a designated procedure room area. This room is specially equipped with appropriate safety equipment to ensure the patients well being is monitored at all stages. Large cases requiring general anaesthesia are always performed in a fully equipped and staffed operating room.