What is Gynecomastia?
Gynecomastia, or the swelling of breast tissue in males, is a common problem. It is caused by the imbalance of the testosterone and estrogen levels in the body, and is especially common during puberty or with the onset of old age when hormonal changes occur in the body. While this is not a condition that normally has an adverse impact on overall health, it can cause social anxiety, embarrassment and physical discomfort.
Most women receive saline-filled implants which consist of a silicone shell filled with sterile salt. This type of implant is generally less expensive.
Cohesive silicone gel-filled implants
Recently, new cohesive silicone gel implants have become available to Canadian plastic surgery patients. Silicone gel implants tend to feel more like real breast tissue than saline implants and do not ripple or fold as much as saline implants. The current cohesive gel is less likely to seep, run or shift unlike the older type of liquid silicone implants. The silicone implants have two popular subtypes which are the “Round implants” & the “Tear Drop anatomical implants”.
Silicone Gel implants
With advancement in technology daily, new implants are been still invented under the silicone gel implants. Dr. Hong’s expertise in breast augmentation surgeries is remarkable from performing hundreds of breast augmentation surgeries with great artistic skills. His professional & passionate skills can help you achieve your prospective breast augmentation goals. You need a highly skilled and efficient plastic surgeon to give you your desired rejuvenated figure and Dr. Colin Hong is one of the top plastic surgeons in Toronto.
Toronto Male Breast Reduction Section
Male breast reduction is a cosmetic surgical procedure to correct this condition. Dr. Colin Hong is a Toronto plastic surgeon with a great deal of experience in male breast reduction surgery. The development of male breasts may also be the result of obesity and the collection of fat in the breast region, known as Pseudoynecomastia. Any male with excessive breast development should contact a healthcare professional to determine the cause of the problem; if it is determined to be Gynecomastia, a cosmetic surgeon should be consulted to examine the surgical options for curing the condition.
If you are found to be a candidate for male breast reduction surgery, you will be given instructions on diet, medications to be taken and other factors that must be observed for two weeks prior to the Gynecomastia surgery. The surgery itself involves incisions made either on the edge of the nipples or in the underarm areas. Using these incisions the surgeon cuts away the excess fat, glandular tissue and skin from under the nipples and the sides and bottom of the breasts. If a large amount of fat and tissue is to be removed, excess skin is also cut away to prevent the development of folds and to enable the skin to mold to the new beast contour. In some cases a small drain, which is removed later, is left in place to help the remove excess fluids. Post-surgery dressing is used to cover the incision, and an elastic bandage is used to cover the chest and hold the skin in place during the healing period.
Male breast reduction can be performed as an outpatient procedure, and you can return home the same day. Because of the grogginess that will be felt for a day or two after the surgery, a caregiver should be present to take care of you and give you the prescribed post-operative medications. Post-gynecomastia pain and discomfort is controlled by painkillers, and you should be able to return to normal work after a few days, although strenuous physical activity must be avoided. Driving around Toronto can normally be resumed, with the doctor’s approval, after a week or so.
Because of the post-surgical swelling, it may initially appear that the male breast reduction has not achieved the desired results. The true results are only apparent after the swelling has gone down, which may take up to two weeks. The elastic bandage around the chest have to be used continuously for two weeks or so, and then for a few more weeks when sleeping. A regular, and progressively more strenuous, exercise routine is advised to allow you to return to normal activities in a few weeks.
Dr. Hong offers a variety of breast enhancement procedures for women, in addition to helping male patients improve the look of their chest. He is highly regarded as a gifted, empathetic breast augmentation Toronto surgeon. His reputation as an experienced Toronto breast lift and breast reduction specialist is unsurpassed.
Frequently Asked Questions
Choosing your desired implant for surgery depends on quite a number of multiple factors which include your native breast dimension (height and width) , projection, rib cage width, body anatomy, volume, the thickness of tissue, how you want the breast to look like after surgery. The most effective way of choosing implant size is to try out sizers from your surgeon while wearing a tight body fit.
In cases of implant weights, the bigger the implants the more they will likely weigh. The size of 100 cc silicone implant generally weighs 0.23 lbs while that of the saline implant with size 100 cc weighs 0.21 lbs. Going bigger in size, a 300 cc silicone implant weighs 0.69 pounds and a pair weighs 1.38 pounds. 300 cc saline implants weigh 0.63 lb and a pair weighs 1.26 lbs. In this case, implants weigh almost the same as the exact amount that an actual breast tissue would weigh.
In most cases, the weight varies slightly depending on the manufacturers. There might be a slight weight variation from different manufacturers.
Whether or not a person performs a breast augmentation, the genetic makeup of the individual has a major role to play in the contribution of breast sag. Factors such as weight (increasing or decreasing), gravity, age, skin elasticity & ethnicity have a lot to do when it comes to breast augmentation sagging. In this case, use a very good supportive bra that will help you to reduce the effect of sagging.
The lifespan of breast implant is not actually guaranteed as it is not predictable when the implant lifecycle will eventually end. In which case, no matter how your counseling process has been with your surgeon before the operation, always bear in mind that you cannot have a breast implant that will last a lifetime.
There is no set expiry date attached to breast implants because there has not been a reason to get them replaced unless there is a possible rupture or have other problems. Most times implants exceed more than 12 years and even last up to 30 years in some cases.
There are quite a number of new implants that have been introduced for breast augmentation and are known as “jelly bean”, “gummy bear”, or “highly cohesive gel” implants that are also available for breast augmentation and they have a firmer feeling, but there are no effective long term results to indicate that they are much better or tend to last longer than the saline or silicone implants.
Breast augmentation is normally performed in our Accreditation of Ambulatory Surgery Facilities. It also has certification by the College of Physicians and Surgeon OHP program.
Since the surgery is under general anesthesia, there is no pain during the procedure.
The greatest period of discomfort for the patient is usually the first twenty-four to forty-eight hours after breast augmentation surgery. Afterward, pains will reduce and there will be no need for too much pain relievers as usual. We do a 24-hour recovery routine that most patients have a very little discomfort after 24 hours. In the case where breast implants are placed in the submuscular position, there will initially cause more discomfort than when it is placed in the subglandular pocket ( in front of the muscle).
In the case of breast augmentation, general anesthesia is commonly used. This will guarantee a painless procedure and also the surgeon can concentrate to deliver his best surgical result.
You can see pre and post-operative result in our office.