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What should I expect during my Gynecomastia Consultation?
Gynecomastia Surgery Consultation
During your initial consultation, Dr. Agha will inquire about your general physical and mental health status, pre-existing health conditions, prior surgeries, your medications, allergies, and smoking habits. Relevant questions in the history include:
- Previous surgical procedures (including laparoscopic procedures)
- History and method of weight gain and loss
- A detailed history of current medical and psychological problems, e.g. heart disease, diabetes, a history of thromboembolic disease, connective tissue disorders, and wound healing problems.
It is important that you be thorough when providing the requested information as this will allow Dr. Agha to rule out any medical causes of gynecomastia, such as impaired liver function, use of estrogen-containing medications, or anabolic steroids. When asked about medications, be sure to include any diet pills, vitamin or herbal preparations, since some vitamins and herbal medications can affect your blood pressure and clotting ability. Honesty regarding your smoking and alcohol use is also very important, as these will have a profound impact on your recovery period and your ability to heal following your procedure.
After reviewing your medical history, Orange County Plastic Surgeon Dr. Agha will discuss your concerns, priorities and motivations for pursuing plastic surgery. Dr. Agha will then proceed with examining your breasts and check for causes of the gynecomastia. He will assess the breast tissue excess and take detailed measurements of their size, shape, and position of your nipples and areolas. Attention is also paid to the ratio of gland to fat within the breast, the amount of excess fat deposition in the surrounding chest, and your overall body contour and proportion. Finally, he will evaluate your skin quality, elasticity, laxity and signs of skin damage (such as stretch marks).
Dr. Agha may also perform diagnostic testing to determine the underlying cause of your gynecomastia; such as endocrine function tests or a mammogram. The later will not only rule out the very small possibility of breast cancer, but will reveal the breast’s composition.
Dr. Agha will subsequently provide you with information on different options and will explain the advantages and disadvantages of the procedure to you. You will then be provided with information regarding the potential risk and complications. Finally, considering your input, Dr. Agha will plan an appropriate procedure to best suit your anatomy, and likewise meet your desires and expectations.
Treatment of gynecomastia may be covered by medical insurance- but policies vary greatly. Check your policy or call your carrier to be sure. At the completion of your consultation, you will have the option to schedule your procedure if you so choose. You are encouraged to bring your spouse, significant other, family member, or a friend to your consultation.
The cornerstone of Dr. Agha’s approach is to customize treatment to your specific needs and circumstances, and to ensure that you have an adequate understanding of the procedure so that you are able to make a fully informed decision. This will help you achieve the appearance you desire with the least invasive procedure available.
Prior to surgery, you may be asked to obtain specific lab tests and a medical evaluation.
Where will your procedure be performed?
Dr. Agha has been granted staff privileges at several local hospitals and outpatient surgery centers. In the interest of the safety of his patients, he only performs surgery in fully accredited facilities with the proper services and staff.
Details of Your Male Breast Reduction Procedure
Male breast reduction surgery takes one to three hours to perform. After you have changed into a gown and had your intravenous line started, Dr. Agha will mark certain landmarks on your chest in the pre-operative area. This ensures proper incision placement and symmetry. He will also review the entire operative plan with you, including incision, location, implant type and size, and potential complications. You will then be given a dose of intravenous antibiotics as a precautionary measure.
What happens during breast augmentation surgery?
Step 1 – Anesthesia
Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. After initiation of anesthesia in the operating room, Dr. Agha will inject a solution of local anesthetics into the breast tissue and surrounding chest areas. This injection solution consists of a combination of lidocaine, marcaine, and epinephrine. The lidocaine and marcaine will numb the surgical site for several hours after the surgery and decrease your sensation of post-operative pain. The epinephrine causes constriction of the blood vessels at the surgical site, reducing the potential for bleeding and bruising.
Step 2 – LiposuctionDr. Agha start the procedure by liposuctioning the chest and its surrounding areas. A narrow tube (cannula) is inserted to vacuum the fat layer that lies deep beneath the skin. The cannula is pushed back and forth through the fat layer, breaking up the fat cells and suctioning them out. The suction action is provided by a vacuum pump or a large syringe. If many sites are being treated, Dr. Agha will then move on to the next area, working to keep the incisions as inconspicuous as possible.
Step 3 – The Incision – If you are unhappy with oversized breasts, you should know that there is a solution to gynecomastia. Contact Dr. Siamak Agha to learn more about male breast reduction surgery. During your appointment, you can learn about the other body contouring procedures he offers, including liposuction, tummy tuck, and more. Call 949-393-4213 to schedule a consultation.
Schedule a ConsultationNext, Newport Beach plastic surgeon Dr. Agha will make the incisions necessary for removal of excess breast tissue and reposition of the nipple and areola to a more natural level.
Step 4 – Closing the IncisionsIncisions are carefully closed with absorbable sutures to minimize scarring. Over time the incision lines will fade. A sterile dressing is applied to the incisions, and a soft surgical bra is placed over your breasts.
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