| Popis: |
During the past decade, more esthetic surgery has been performed on male patients compared with the past. The most common request has been for improvements in the chest, ‘love handles‘ and abdomen. In the youthful male, the musculature, breast tissue and nipple areolar complex are quite tight. As age progresses, laxity of the tissue, skin and musculature becomes a problem. Management of contouring of the male breast depends on the size and shape of the breasts, whether the breasts are glandular or fatty and whether ptosis is present. Surgery aims to reduce fat content, increase skin and subcutaneous tissue contracture, and reposition the tissue in a more anatomical plane. Most of the procedures done by the author have been by ultrasonic liposculpturing. The level of satisfaction has been over 90%. A combination of ultrasound and conservative excision of glandular components can be done. Management of most juvenile breast hypertrophy and enlargement should be discouraged because of incomplete growth of the patient. However, sometimes ultrasound liposuction has a significant role to play in correcting this deformity. |
