Is gynecomastia surgery painful

The low systemic absorption rate coupled with high local lidocaine concentrations on the skin support the safe use of lidocaine patches in dogs and cats. These patches appear to result in a differential blockade, preserving sensory function of the skin and motor function of regional muscles while inducing analgesia at the site for as long as 72 hr. Local analgesic solution such as 2% lidocaine, without epinephrine, should be injected at each site, about 2 mL/site for adult animals or up to a maximum of 6 mg/kg. Care must be taken with young animals not to exceed the toxic dose of lidocaine by limiting the total dose to 4 mg/kg, or inadvertently to inject local anaesthetic intravenously. cardiac effects manifest as arrhythmias, bradycardia, vasodilation and cardiac arrest. Lidocaine toxicity produces more neurological signs, while bupivacaine is more cardiotoxic. Local anesthetic toxicity can be treated with intravenous lipid administration (1-4 mL/kg) over 30 How safe it is to use veterinarian Lidocaine in a human for local anesthesia? Hello everyone, I'm a male in my mid-20's, no known medical condition, no drugs, no alcohol, no medications, relatively fit. The purpose of this study is to determine the amount of lidocaine and its metabolite monoethyl-glycinexylidide (MEGX) in breast milk after local anesthesia during dental procedures. Methods: The study population consisted of seven nursing mothers (age, 23-39 years) who received 3.6 to 7.2 mL 2% lidocaine without adrenaline. Lidocaine Hydrochloride Injectable 2% is a potent local anesthetic for producing epidural and nerve conduction anesthesia. Each ml of solution contains 20 mg Lidocaine Hydrochloride. May be administered to horses, cattle, dogs and cats. Lidocaine Hydrochloride. How to Order Prescription Medications; Veterinarian Information E.g. for 1% lidocaine: contains 10 mg of lidocaine per 1 mL Max volume of 1% lidocaine that can be administered to a 10 kg patient = 45 mg / 10mg/m L = 4.5 mL Systemic toxicity may occur from administration of local anesthetics and is related to the serum concentration of the drug as it is absorbed into the circulation. Lidocaine is an effective and potent local anesthetic. It can be combined with epinephrine to maximize the effect of the anesthetic. Epinephrine constricts blood vessels, allowing the lidocaine to persist in local tissues. However, lidocaine with epinephrine should never be used for controlling the heart rhythm.

2020.08.01 04:05 AnonymousNikola Is gynecomastia surgery painful

Hello everyone, I'm a male in my mid-20's, no known medical condition, no drugs, no alcohol, no medications, relatively fit.

I've asked this in another subreddit and I'm still waiting for an answer, so I thought I'd also ask here. If this post is against rule 2 for any reason, feel free to remove it.

I have gynecomastia and I'm planning to remove it by myself, as I cannot afford to pay to get it removed and no insurance covers this condition. I have already attempted to remove it a few years ago, but since I'm not a doctor I was not allowed to purchase an injectable anesthesic, so I used an anesthesic skin cream instead. I was able to do the incision and partially remove some of the gland and some of the fat in one side, but at about 45min into it the pain became unbearable and I was not able to continue, so I had to close the incision. Unfortunately I had to ask my family to drive me to the hospital as I feared getting an infection, so they found out about what I was doing and confiscated my surgical material (scalps, surgical scissors, sutures, clamps etc.).

This time, however, I'm living by myself, am isolated due to the pandemic situation, have more knowledge and I'm planning on using an injectable local anesthesics to bear the pain. Since I'm still not a doctor, I still cannot purchase injectable Lidocaine, but I found that I'm allowed to purchase the veterinarian version. I believe that it is basically the same product, as it have the same active compound (2% Lidocaine with adrenaline). I just have to adjust the dosage. Since I have no known cardiac or hepatic condition, I believe I will not have problems with the adrenaline, but I can also purchase the version without it.

So I was wondering, is it safe to use the veterinarian version of Lidocaine in humans, since it is the same compound? can I get an allergic reaction from it? I couldn't find any information about it on the internet. And also, what perioperative cares should I take? would the local anesthesia in the thorax region produce numbness in my arms? If so, would I still be able to move them while under anesthesia?

I do not care about possible complications, side effects, the possibility of dying etc etc, but I would like to avoid them if possible. I also know it sounds crazy and blablabla, have heard it all already, but I considered all the risks and I am willing to take them, as long as I get rid of my condition. I have also already consulted with a plastic surgeon before the first attempt, so I know that I have to make a surgery to remove it; that I have to talk to a bunch of other doctors (including a mastologist, which I'm not willing to do since I'm humiliated enough by this condition to go to an appointment at a female clinic, especially living in a small town); and that I am not able to afford such surgery in the foreseeable future, so I'm absolutely decided to do the procedure and any additional information helps.

If you need any particular details, please feel free to ask, as long as it doesn't involve anything that could identify me.
Thank you very much in advance.
submitted by AnonymousNikola to medical [link] [comments]


2020.08.01 02:28 AnonymousNikola Surgery painful gynecomastia is

Hello everyone, I'm a male in my mid-20's, no known medical condition, no drugs, no alcohol, no medications, relatively fit.

I have gynecomastia and I'm planning to remove it by myself, as I cannot afford to pay to get it removed and no insurance covers this condition. I have already attempted to remove it a few years ago, but since I'm not a doctor I was not allowed to purchase an injectable anesthesic, so I used an anesthesic skin cream instead. I was able to do the incision and partially remove some of the gland and some of the fat in one side, but at about 45min into it the pain became unbearable and I was not able to continue, so I had to close the incision. Unfortunately I had to ask my family to drive me to the hospital as I feared getting an infection, so they found out about what I was doing and confiscated my surgical material (scalps, surgical scissors, sutures, clamps etc.).

This time, however, I'm living by myself, am isolated due to the pandemic situation, have more knowledge and I'm planning on using an injectable local anesthesics to bear the pain. Since I'm still not a doctor, I still cannot purchase injectable Lidocaine, but I found that I'm allowed to purchase the veterinarian version. I believe that it is basically the same product, as it have the same active compound (2% Lidocaine with adrenaline). I just have to adjust the dosage. Since I have no known cardiac or hepatic condition, I believe I will not have problems with the adrenaline, but I can also purchase the version without it.

So I was wondering, is it safe to use the veterinarian version of Lidocaine in humans, since it is the same compound? can I get an allergic reaction from it? I couldn't find any information about it on the internet. And also, what perioperative cares should I take? would the local anesthesia in the torax region produce numbness in my arms? If so, would I still be able to move them while under anesthesia?

I do not care about possible complications, side effects, the possibility of dying etc etc, but I would like to avoid them if possible. I also know it sounds crazy and blablabla, have heard it all already, but I considered all the risks and I am willing to take them, as long as I get rid of my condition. I also already consulted with a plastic surgeon before the first attempt, so I know I have to talk to a bunch of other doctors (including a mastologist, which I'm not willing to do since I'm humiliated enough by this condition to go to an appointment at a female clinic, especially living in a small town) and that I am not able to afford such surgery in the foreseeable future, so I'm absolutely decided to do the procedure and any additional information helps.

If you need any particular details, please feel free to ask, as long as it doesn't involve anything that could identify me.
Thank you very much in advance.
submitted by AnonymousNikola to AskDocs [link] [comments]


2020.07.14 00:24 purplealmondmonkey Is gynecomastia surgery painful

I have lived with this all my life like a lot of you here. I have my surgery scheduled for tomorrow. I am nervous about it. Is it going to be alright? Is my chest still going to look feminine? I don't know.
I had a few questions:

  1. Will I be able to dress myself and cook myself? How bad is the pain?
  2. Will the scars be visible 4 weeks from now?

I have little to medium gynecomastia to give you an idea. Please let me know. Really appreciate it.
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2020.07.09 15:38 HowToRemainHidden Gynecomastia is painful surgery

So i had the surgery with Dr Nurein in the UK. Mainly gland removal with a small amount of lipo. Was under local anesthetic, didn't feel much but was a strange experience being operated on awake. Overall I think everything was done very professionally, all the staff were very friendly. I have to wait until the 3 day mark before i see any kind of result due to wearing the compression garment. There is very little pain surprisingly but it was only grade 1 gyno.
I am 20 years old now and think i got this around age 12/13. For years i thought it was just fat but i had lost a lot of weight and it wasn't budging. It's the usual story of feeling self conscious without a top on and having it poke through T-shirts causing me to always wear jumpers.Not going swimming for years despite enjoying it in my youth. Just the obvious things like that and the mental side of confidence were the consequence of gynecomastia to me. Anyway it kind of clicked just over a year ago, i tried going through the NHS but it was very tedious and didn't work out. So i decided to get it done privately.
To those looking into surgery, please try and lose most of your fat before booking anything. I believe you will get better results, and ultimately your end goal is to feel better about your body so why not help yourself. I don't think surgery alone even with lipo while being overweight will garner the results you are looking for exactly.
I guess my only fear now with it is that will look very asymmetrical but i'm hoping for the best. Either way i think it's worth a shot for myself to give me more confidence.
There is a pre-op image added for those interested and i will be making another post with before/after when i feel things have settled down (It's going to be swollen for a while). If you have any questions i'll be responding since i don't have much else to do other than recover since im off from uni lol.
submitted by HowToRemainHidden to gynecomastia [link] [comments]


2020.06.21 07:59 JustPlainRick Is gynecomastia surgery painful

I hope it is alright that i am writing all of this here, i am currently in a really depressed mode and i feel the need to try to unburden some of the emotional weight that i am constantly carrying with me, i am not expecting anything really from this but hopefully it can have some small cleansing effect for me and if my story would make another person feel less worse about their life or just give them another perspective then that would be nice, by the way i am not saying that my life sucks more than others.
I'm just gonna start with a plain listing of my handicaps and background here then i proceed to talk about how i experience my existence and life in general.
I weighed 4,6 kg (10 lb 2 oz) when i arrived into this world, during the birth i was damaged, i don't know if there is a medical word for it but let's just say i was squashed, i don't know if that was the origin of all my handicaps or if some was caused in the womb during the pregnancy.

So that's about it, those are the handicaps that i know of at least, my psychiatrist has been talking about me possibly having ADHD, Autism and/or Bipolar disorder, but no evaluation has been done for this so it's has not been diagnosed so i won't add these to the list.
Obviously this has had a huge impact on my existence and the quality of my life, i have some medicine i have to take for the reminder of my life, i started taking daily injections of growth hormones when i was about seven years old and i grew to be 191 cm tall (6,2 ft) so that was successful , puberty was not so good though, for some reason the doctors didn't start to give me testosterone injections until i was 22 years old, i don't know why and that is one question i have been wondering about for almost my whole life, but anyway i basically i had no puberty at all, or a very inadequate one, my body didn't undergo any change, my penis didn't grow, my testicles which weren't down in the scrotum when i was born and still are up where ever they are didn't grow either, although i can feel them inside me every day.
Also no hair growth on the face or body, i've had boobs my whole life, i don't know if it is Gynecomastia or just the result of having a prepubertal body, either way i never underwent the sexual maturation into an adult, and i am also uncertain if i underwent a mental maturation, i don't the importance puberty has on the mental aspect.
I am not gonna bring up every point in my life here about how this has affected me but i think those of you who are still reading this can understand that i feel miserable and that i think that my life is completely worthless.
I am 44 years old now and i've hated myself ever since i understood that i am different from "normal" people and as the years has passed i have become more and more depressed and bitter.
It's hard existing but not being able to participate in life, it's hard watching how other people can have social and sexual relationships, they can travel, they can work, they can have families, if life were a game then i am stuck in the demo version, i wish i could pay for the full version but as we all know life doesn't work like that.
Lately it's gotten harder to keep on, my father passed away seven years ago and and my mother died of cancer last year, i've wanted to commit suicide for the last ten years now but never had the heart to inflict that kind of pain on my relatives, instead i have on purpose been hurting myself with eating and living a very unhealthy life hoping that destiny or just lucky circumstances would kill me, either way that i would die not by my own hand, Force Majeure as the french so eloquently say it. I weight 155 kg (341 lb 1 oz) and i got type-2 diabetes, i still continue to eat unhealthy hoping to get a heart attack.
The only thing can preventing me from committing suicide right here and now is my dog, i have a dog that i love very much and who(m?) i have a responsibility to care for to the best of my abilities, also i lack a good fast painless way to kill myself with.
I've indulged myself with materialistic things throughout my life to keep the mind occupied, i've been playing games, watched movies and tv-series because that is the only thing there was in life for me, and when i was younger it worked pretty well, but as you grow older you realize there is more to life than just materialistic things, you start to realize that it is basically shallow things that don't really give any meaning to life, people is what gives meaning to life, having social relationships, experiencing life first hand, not through a television.
Obviously i've never had sex, i've never even kissed a woman, i've never experienced any intimacy with another human. I wish i was asexual, i wish i didn't have a desire for sex or the plain need to touch and be touched that we all have. I masturbate daily and i think about sex a lot, i had at one time the thought to buy sex/intimacy from a prostitute, i don't know if i technically can well you know fuck but sex isn't just about vaginal penetration, but considering that i can't use a condom and well there is the issue with STDs i didn't go on with my plans, also since i utterly hate my body i could never willingly expose myself to another person, for both my sake and theirs.
I don't feel like an adult, i barely feel as a human, most of the time when i watch myself in the mirror i just see a freak, an abomination, a monster that doesn't belong on this planet. When i was a kid i used to dream that somewhere on the planet there is an unknown island, it cannot be seen by "normal" people, it's kind of a monster island, the elephant man is there, Frankenstein's monster, the bearded lady, Rocky Dennis, all the freaks are there , that's where i want to be, that is where i belong in my mind.
It's just so hard to live a life like this, i would like to consider myself a fairly intelligent person and i try really hard to maintain a healthy perspective on myself and my disabilities, i try to keep in mind that there are those who have it much worse and who endure much more suffering than i have done. With that said it is still hard, my bitterness is increasing for every year that passes and slowly it makes me more and more hateful of life in general. At the same time i have a respect for life, i consider myself to be a pacifist, i have no moral problem with hurting myself because i am worthless but i could never hurt another living being just because i am feeling miserable, for me that is just really pathetic and inexcusable.

Well that's about it, i could really go on and on about things, about my view on religion, philosophy and life in general but i feel i've gotten most things of my chest, most of how i feel and view myself has been said, and for those enduring viewers who've been with until the end i give my thanks and i hope you'll all have a good day amongst the bad ones, take care!
submitted by JustPlainRick to depression [link] [comments]


2020.06.03 19:41 qb91996 Is gynecomastia surgery painful

Hey fellas! 23 year old male and just had my gynecomastia taken out yesterday and I’m in pain but I’m beyond HAPPY! General things such as Cost: $3500 Location: Miami, Florida Dr: Joan Grace Valina Name of facility: Jolie Plastic Surgery Extra expenses: compression vest $120 and drug test $25 COVID-19 test: $100 but I got mine for free at CVS before I went. Now that’s out the way, let’s get down to it. I’m from Georgia, a small town about 35 minutes south of Atlanta named Senoia so it was about a 10 hour ride to Miami but luckily I have a cousin who lives at the halfway point, Jacksonville, and she let me stay with her before pre op then we stayed at a hotel in MIA for three days. I had a pretty bad case of gyno and had a little excess skin so my post op is looking kind of scary right now. Went it for a follow up today and I have pools of blood at the bottom of my chest, the doctor did not think I wanted drains which was not the case so she had to go in and physically push the blood out of my chest that I just had surgery on. I could cry it hurt so bad. She wants me to massage my chest 10 to 15 times a day to make sure blood does not build up and if it does I will have to get it taken out by needle. I cannot describe the pain of having your chest pushed on after surgery I was ready to punch my doctor but I’d never. She was super cool and personable! She eased my nerves a whole bunch! When I checked in for my pre op they had to do my vitals and everything was high because I was damn nervous but after speaking with my doctor my vitals went to normal. Pain meds and nausea meds are my bff right now. Any questions at all feel free to comment! I can’t believe I’m FREE! I have a flat chest!!!! Will post pre op pics and post op day one. Will continue to update as healing process goes on!
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2020.06.03 03:52 ermahgerdden Is gynecomastia surgery painful

I had gynecomastia surgery back in 2011 to remove my gyno from puberty and it was good/never bothered me until May 2018 (a couple months after I started lifting). I started to get swelling on both sides and it was extremely painful/annoying/itchy/burny and bothered me daily for months (caffeine would make it 10x worse). I went to the doctor and he said I was fine and that it wasn't gynecomastia coming back (basically told me to just stop worrying). I didn't believe him so I asked to get refereed to an endocrinologist. They ran bloodwork and did a urine analysis test. Everything came back normal. Estrogen was 10. Testosterone was 811. Prolactin and all that were in range (they said I was fine and dismissed me). My other doctor ordered a mammogram and ultrasound to see if they found anything and it came back with nothing. It eventually stopped hurting and swelling as much in September 2018 and was fine until March of this year. The exact same swelling and pain came back. Some days are good some are bad.
I was wondering if scar tissue could cause swelling or lymph node drainage issues since my lymph nodes seem to be swollen and my arm pit area occasionally hurts and is sore. I never was told to do compression stuff after surgery, I just had wraps so I'm sure scar tissue definitely formed. It just seems weird that this pain/swelling comes on for a few months then stopped for 2 years then came back again at right around the same time a year. I don't have any hard/rubbery masses behind the swollen areas just squishy/swollen skin so maybe it is residual gland tissue. The only thing that relieves the pain when it's bad is raising my hands above my head.
What do you all think it is? Relapse from residual tissue? Scar tissue swelling?
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2020.05.17 02:53 Curious-Interaction Is gynecomastia surgery painful

Hi everyone,

I took the plunge and had gynecomastia surgery in mid December of 2019, including gland excision and liposuction.

The initial results were fantastic. I wore the vest for 3 months, and throughout, the results seemed perfect, aside from a very small, asymmetric lump under the right areola, which had most of it's mass near the outer scar site, which I assumed was scar tissue.

As time went on, the right lump seemed to grow, and about a month ago I began developing a lump on the upper half of the left areola. Both have since grown to the worst it has been. While my chest otherwise has kept shape and is largely improved, the nipples look like pre-surgery levels of puffiness. Moreover, the lumps are much harder than my pre-surgery gynecomastia.

On my surgeons recommendation, I have been doing regular massaging of the area. Even now, over 5 months post-op, the massaging is causing the lumps under the nipple to be very sore and painful. After massaging, the nipple seems to constrict and start looking good again, similar to what happened pre-surgery.

I was hoping to ask this community whether this is normal at all, if anyone else has had a similar experience? The pain/soreness is particularly concerning to me, as is the behavior of the puffiness going away after massage; both of these symptoms make me think it is recurrence.

It would be great to hear from you all about your post-op experience.

Thanks for your time.
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2020.04.23 09:41 tandonclinic Painful is surgery gynecomastia

Gynecomastia Surgery: Know Everything about the Procedure
https://preview.redd.it/7druuzb2gju41.jpg?width=667&format=pjpg&auto=webp&s=70a260fde00b31bd44720acc123f7aa7a0eae184
Gynecomastia is the abnormal growth of breasts for men, and the problem is through excess breast tissue in the region. This disorder can be caused by a hormonal imbalance, very recurrent at puberty due to the various transformations that man goes through.
The increase in male breast tissue can manifest itself in different degrees, from a small bud to a full-formed breast. The change can be only one-sided, but it can also compromise both breasts.
In some cases, over time, the problem may go away on its own, but in others, male breast reduction in Delhi is necessary to reduce the breasts.
Main causes and symptoms
The main cause is due to hormonal changes that men go through, especially during puberty. Other factors may be related to excess glandular breast tissue, excess weight (accumulation of fat) or even some diseases, says plastic surgeon in Delhi.
Another cause that is not always taken into account is that some patients, in an attempt to gain muscle more quickly, use anabolic steroids indiscriminately, and one of the side effects is precisely the enlargement of the breasts.
Some patients with gynecomastia may experience breast pain, swelling, nodules, and breast discharge, explains plastic surgeon in Pitampura.
How Gynecomastia Surgery Works
The approach to gynecomastia surgery in Delhi must be twofold: first, to treat the developed mammary gland, and second, to the fat present in the chest.
The surgery aims to remove the breast tissue and excess fat that some patients have. Associated liposuction in Delhi can be performed, depending on the fat content of the breast and the quality of the skin.
To remove this fat, cosmetic surgeon in Delhi makes an incision in the axillary crease, and through liposuction in the chest region, the entire area is aspirated to reduce this fat tissue as a whole. After there is a regularity in the skin, a small incision is made in the areolar region (small circular area that surrounds the nipple), from where the gland that is located just below the areola is removed.
After the procedure, a drain is placed for an average of two days, and then removed. Then a retaining mesh is placed that puts pressure on the detached region for 30 days.
Classification of gynecomastia
Plastic Surgeon in Rohini classifies gynecomastia into three types, with their different degrees. Are they:
– Grade 1 gynecomastia: when a glandular mass appears around the areola. It is apparent with the contraction of the nipple and/or wearing tight clothes. Because it is small, it is easy to remove.
– Grade 2 gynecomastia: the breast is slightly larger than the previous grade. Here, gynecomastia begins to expand and reaches the chest area as well.
– Grade 3 gynecomastia: this is the one that has the largest amount of breast tissue. In addition, the breast is drooping due to the weight it has.
Results of gynecomastia surgery
The first results are already visible after 30 days, although swelling is common in the region. The final result occurs from four to six months.
Postoperative
Patients are released to return to work and normal study activities the day after surgery, taking simple painkillers and anti-inflammatory drugs for about five days. After 30 days, they are free to practice physical activity and return to their daily activities.
Imperceptible scars
The scars left by the surgery are practically imperceptible. Only in cases where the breast has grown exaggerated, the incisions will be larger, as well as your scars.
At Tandon Clinic, our patients receive all the care and guidance for gynecomastia surgery. Schedule an evaluation and answer your questions with our plastic surgeon in Delhi.
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2020.04.18 08:25 Hyrosr I just don't know what to do! I would be glad if someone help me!

Hi there! There is something that has bothered me for quite a while. I have Gynecomastia and it's is ruining my teen life. I'm 6'1 and weight 90 kilos. I have wide shouders and back. I'm about to make 17. So here is my story:
When i was about 11 years old, I was overweight. One day me and my friends went to swim. I took my t-shirt off and their started laughing at my chest, telling me that I have bigger boobs that the girls in class. There were also girls too and they offered me their bras. It was so embarrassing! I put on my t-shirt and returned back home. I told my father what happened and on the next month I started training boxing. I lost weight but my man boobs didn't go away. When I was at school my classmates and kids from other classes were joking me about my boobs. They were telling me that my boobs were like bombs, and they would like to play with my ,,bombs''. Girls were ghosting me and with all this i got low self-estem and lost confidence. I started wearing loose shirt but they kept joking. I got to new friendships but i noticed that the people i become friend with always were looking at my chest. So time past and I got 15. Me and my father went to the doctor. They made exams, took blood from me and ect. It was cofirmed that I have Gynecomastia. The doctor told me that nothing can't be done until I reach 18. I started wearing leather jacket to hide my chest from everyone, even in the summer. Everyone were asking me about why do i wear jacket, when it is extremly hot weather. After the question I was taking my jacket off and they started to laugh because of my chest. I never had a girlfriend. I was looking the other boys having a girls and that made them cool, I thought. So to boost my self- esteem I tried to have girlfriend. When I confesed my feelings to my crush, she told me: ,,Are you crazy? Look at your boobs! I like boys with male body, not boys with body like mine! Fuck off and never aprroach me again!'' It was very painful for me but i knew she told me the truth. I knew that girls don't like boys with boobs but i though I try. From then, I have never tried to express my feelings to a girl. I got 16. I started hitting the gym and became obssesed with it. In the summer i combined boxing and the gym. There were results. My body started looking good except my chest. I'm having 1-2 hours of chest day, twice per week but no results. I went to the doctor again. He told me again to wait until i get to 18 to make a surgery. I don't go anywhere except the gyms. I don't socialise and have very low self-esteem and low confindence.
I have never used steroids and never did drugs. I know there are other men and kids, who have gynecomastia too, even worse than my situation. But for me that is the main problem in my life. Gynecomastia ruined my teen life and did psychological damage. So can anyone tell is there chance my man boobs to go away without surgery or it is impossible?
Sorry if my english is bad. It's not my native language.
submitted by Hyrosr to gynecomastia [link] [comments]


2020.03.04 21:55 muddylegs Surgery is gynecomastia painful

I get that chest binding is never going to be comfortable, but the pain is getting so intense that it's worrying me.
I've been binding for about six years now. I've always experienced occasional (less than monthly) muscle cramps and stabbing pains between my ribs, but recently they've been troubling me every day. These stabbing pains used to only occur when I was binding and twisted at a bad angle, but nowadays they happen when I'm relaxed and not even wearing a binder. Sometimes I have difficulty breathing, and I've been having nightmares about suffocating where I wake up unable to breath because I've been sleeping with my chest at a bad angle.
There's no visible bruising, and there aren't any specific areas that feel injured.
When I asked my doctor a couple of years back about minor pain from binding (like shoulder strain and pain in the muscles surrounding my ribs) she recommended that I take a two week break from binding. This isn't something I can do-- I obviously take breaks whenever I can, I usually only bind for up to four hours a day on maybe three days of the week, but I don't feel comfortable leaving the house without something concealing my chest. I bought a gynecomastia vest as a less-constrictive alternative but it is just as uncomfortable to wear.
Do I need to see a doctor? Or is there something I can do about this?
I've already been referred for top surgery so I'll hopefully no longer need to bind by the end of the year.
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2020.02.20 17:29 duchess_mango Painful gynecomastia is surgery

WARNING: This true story contains descriptive writing about testicular pain.
In May of 2017, I was diagnosed with Kleinfelter's Syndrome (XXY) after a karyotype test. During adolescence, puberty was stunted, I developed breast tissue, my weight fluctuated, and of course the small testes. So I was incredibly body insecure from through teen-hood. The first thing I did after my diagnoses was to try to go through fertility treatment to try and store some sperm before my testes fully atrophy. After 7 months of HGH (which was already painful from body aches), I had a semen analysis (i had to ejaculate in a cup after not ejaculating for a week). The test was negative, absolutely no sperm cells were found. I opted to get a microsurgical sperm removal to see if I had any sperm in my testes, which was also negative (no sperm found). the doctors removed portions of my testicular tissue from both testes, to freeze in the hope that they may be able to create sperm from the tissue. this left each testicle mishappened and far more sensitive.
In February 2018, I started testosterone therapy, and the effects were monumental. I was so grateful to finally feel physically better. I received gynecomastia surgery and I felt amazing. However, a year after I started treatment, I started to feel more sensitivity in my testes, above what I was already feeling. By September 2019, I would feel intense testicular pain a day or two after taking my injection. the pain would recede day by day, but then I'd take testosterone again, and it would repeat. I went to my endocrinologist and explained what was going on. He did some examinations and told me that I was starting my atrophy. He continued saying that it could take from a few years to a decade. and if I continued to feel pain like this, it would most likely be lifelong. This was also liked to the increased sensitivity and damage brought on from my surgery.
Today, I take my injection every week on Monday, and I feel pain so intense that walking or standing, or sitting for too long becomes incredibly difficult. Even exercising is difficult. By Friday the pain is okay, and Sunday, it's minimal aside from normal sensitivity. My endocrinologist and fertility urologist said that even after my testes atrophy, I will still most likely experience lifelong pain.
I can’t find many resources online nor do many people on XXY blogs I speak to experience this as well. At this point, I’ve been looking for various ways to make the pain more manageable, because at this point it heavily affects my daily life. Sometimes it can be unbearable. OTC pain medications barely work, and I refuse to use prescription pain medications. In my research and trying to email men who have experienced significant testicular pain, they mentioned a procedure. I recognized the name of the operation because it was once briefly mentioned by the urologist and barely mentioned by the endocrinologist (under different pretenses though). The procedure is called an orchiectomy, the surgical removal of the testicles. There are normal-sized prosthetics that can replace them, but the meaning is the same; I’d be removing an organ that is an extremely integral part of masculinity in our society. But I honestly am considering it. The men I spoke to all had various issues in their testes that caused significant pain. They underwent surgery and took testosterone, and they’re doing better than ever. I’m seriously considering the operation, but my main concern is how my doctors and family will take the news.
What do you guys think?
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2020.02.13 02:14 doaamohamed28 Surgery painful is gynecomastia

Cosmetic surgery is a type of plastic surgery that aims to improve a person’s appearance, but it should be approached with caution.
Cosmetic surgery continues to grow in popularity, with 15.1 million cosmetic procedures carried out in the United States in 2013, an increase of 3 percent on the previous year.
Procedures are available for almost any part of the body, but the choice to undergo cosmetic surgery should not be taken lightly. The results are often permanent, so it is important to be sure about the decision, to use an appropriate practitioner, and to have the right motivation.
A surgeon may refer a patient for counseling before surgery if they believe there is an underlying problem that cannot be solved by the surgery, or if the patient shows signs of Body Dysmorphic Disorder (BDD).
BDD can cause a person to perceive that there is something seriously wrong with their appearance, when objective evidence suggests otherwise.
Reconstructive surgery is another type of plastic surgery. It aims to improve function and to give a normal appearance to a part of the person’s body that has been damaged, for example, after a mastectomy. This article will focus on cosmetic surgery only.
Types and uses
A variety of aesthetic procedures is available for different parts of the body.
Breast surgery
📷 Breast surgery
Women may seek breast surgery to improve their body shape. Mammoplasty procedures may include:
Breast augmentation, or enlargement, traditionally performed using saline or silicone gel prosthetics, and now occasionally with fat grafting.
It may be carried out if the woman feels her breasts are too small, if one breast is larger than the other, or if the breasts have changed after pregnancy or breastfeeding. Some older women opt for this treatment when the breasts being to droop due to the skin losing elasticity.
In some women, a breast enlargement can boost self-esteem and improve their feelings about their sexuality. In some, however, existing problems remain. This is why women are encouraged to undergo counseling first.
Breast reduction can help provide relief from physical discomfort, while the aim of augmentation more often relates to appearance. Breast reduction may also reduce the risk of breast cancer in women who are at high risk of the disease.
Mastopexy, or a breast lift, involves removing skin and glandular tissue to make the breasts smaller and rearranging the remaining tissue to make the breast appear lifted.
Depending on how much volume a patient has lost or desires, mastopexy can be combined with an implant. While it is similar to a breast reduction, which removes a much greater amount of tissue, mastopexy is not usually covered by major insurance carriers as it is not deemed medically necessary.
Male breast reduction treats gynecomastia, an enlargement of the mammary tissue in men. It may be done by liposuction or with various scar patterns, often hidden around the nipple and areola.
Liposuction
Liposuction, or suction-assisted lipectomy, uses thin cannulas, or hollow metal tubes, to vacuum fat from various parts of the body, usually the abdomen, thighs, buttocks, hips, backs of the arms, and neck. Liposuction may also be used for male breast reduction.
Tools used in liposuction include standard, ultrasound, mechanical, and laser devices. They all tend to involve suction of fat through a tube.
To prevent complications, there is a limit to the amount of fat that the surgeon can safely remove, depending on whether the patient will be discharged immediately after surgery or admitted to the hospital.
Liposuction should not be intended as a weight-loss procedure. When performed in the right patient, the goal is to improve contour and decrease limited areas of fat deposits.
Complications are rare but possible. They include the accumulation of blood under the skin, known as hematoma, infection, changes in sensation, allergic reactions, damage to underyling structures, and unsatisfactory results. The doctor must discuss these with the patient beforehand.
Vulvovaginal surgery
Labiaplasty, labioplasty, labia minor reduction, or labial reduction involves surgery of the labia majora or labia minora of the vulva, a part of the female genitalia. It aims to reduce elongated labia, usually as part of a vaginoplasty.
There is a lack of clinical or scientific evidence to guide gynecological surgeons as to the safety and effectiveness of cosmetic vaginal procedures.
Body procedures
Abdominoplasty, or “tummy tuck” reshapes and firms the abdomen. Excess skin and fat is removed from the middle and lower abdomen, with the aim of tightening the muscle and fascia of the abdominal wall.
This may be suitable after pregnancy or after losing a great deal of weight.
Other body contouring procedures
Buttock augmentation enhances the appearance of the buttocks by making them larger. The surgeon will either graft fat from another part of the patient’s body using liposuction. This is known as the “Brazilian Butt lift.” Silicone implants may also occasionally be used in the buttocks.
A buttock lift, or lower body lift involves removing excess skin from the hips, buttocks, and thighs in order to tighten and lift them. These procedures are often combined with abdominoplasty in patients who have lost a considerable amount of weight after bariatric, or weight loss, surgery, for example.
Facial cosmetic surgery
Blepharoplasty, or eyelid surgery, aims to reshape the eyelids. With age, the skin becomes lax, and there may be drooping or hooding of the upper lids, and bags on the lower lids. Eyelid surgery may be functional, cosmetic, or both. It usually involves removing or repositioning excess skin and fat, and the procedure may reinforce surrounding muscles and tendons.
Surgery can change the shape of the face or tighten the skin.
In rhinoplasty, also known as a “nose job,” the surgeon reshapes the patient’s nose to improve the appearance and often breathing, too. It may involve reshaping the tip and reducing the bony hump at the upper aspect of the nose.
It can be performed with small incisions that are well hidden, often inside the nostrils. Surgeons do not recommend rhinoplasty until the patient is at least 15 years old, to allow for full growth of the cartilage and bone of the nose.
Otoplasty, or ear surgery, treats prominent or misshapen ears by surgically “pinning” the ear closer to the head with sutures, reshaping the cartilage, or both.
One or both ears may be treated. It is most commonly performed in children after of 5 or 6 years as the ears have essentially reached adult size by that age.
Rhytidectomy, also known as a facelift, aims to surgically remove wrinkles and tighten facial skin in order to achieve a more youthful appearance.
Typically, the incision is placed in front of and behind the ears, extending into the hairline in the temple area. The skin is lifted off the deeper facial tissue, redraped more tightly, and the excess skin is removed. The incisions are then closed with sutures.
The deeper tissues of the face and neck may also be tightened. Blepharoplasty, or eyelid surgery may be done at the same time.
A brow lift, browplasty, or forehead lift aims to remove signs of aging by raising drooping eyebrows and removing forehead wrinkles, or worry lines. It is often done alongside other cosmetic procedures to achieve a more harmonious facial appearance.
Chin augmentation aims to make the chin more prominent and provide a better balance of facial features. It may be done at the same time as rhinoplasty, depending on the measurements taken before surgery. It can be performed with either a prosthetic implant or through manipulation of the chin bone.
Malar, or cheek, augmentation can make the cheekbones more prominent. The surgeon may place an implant at the top of the cheekbones.
Peels, fillers, grafts, and laser treatment
Less invasive treatments may include peels, fillers, injections, grafting, and laser treatment.
📷 Share on PinterestFillers can be used to iron out wrinkles and to make the lips look plumper.
Chemical peels may help treat acne, pock marks, scars, or wrinkles. A number of active agents may be used.
A light or superficial peel uses Alpha Hydroxy Acids (AHAs) such as glycolic, lactic, or fruit acids to treat the outermost layers of the skin. The treatment is not as deep as with some peels, so the recovery time is minimal.
A medium peel usually involves TCA (tri-chloroacetic acid) of various concentrations. It penetrates the dermis, or deep layer of the skin, to a greater depth than the light peels. The recovery and pain are more significant than the lighter peels. Redness and flaking may persist for several days or weeks.
A deep peel, or phenol peel, penetrates the skin to the deepest extent. As a result, it has the greatest impact on resurfacing the skin, but it also has the longest recovery time, and it can causing scarring and skin lightening.
Chemical peels have been shown to be safe and effective for both light and darker skin types.
Botulinum toxin, or botox, is the brand name of a toxin produced by the bacterium Clostridium botulinum (C. botulinum), first approved by the FDA in the 1980s for muscle spasm.
A range of cosmetic surgery procedures aim to improve appearance.
It is used to treat wrinkles and facial creases.
It acts by blocking the signal from nerves to the muscles that are injected. The injected muscle can no longer contract, or tighten, as forcefully as before, and this leads to a controlled relaxation of the muscles.
It is approved for treatment of frown lines on the forehead, crow’s feet, or lines around the eye, and axillary hyperhidrosis, or increased sweating of the armpits.
Apart from “botox,” several other brand names of botulinum toxin are now commercially available.
Soft tissue fillers, or dermal fillers, are medical device implants approved by the FDA for use in helping to create a smoother, fuller appearance in the face.
They can be used to treat nasolabial folds, cheeks, and lips, and to increase the volume of the back of the hand.
They can also reduce wrinkles, lines and scars, and augment soft tissue contours. They are not permanent, but they are degraded by the body, so repeat treatments may be necessary to maintain the effect.
Commercially available products include hyaluronic acid, poly-L-lactic acid (PLLA), calcium hydroxyapetite, and polymethylmethacrylate beads (PMMA).
These products normally come in a gel formulation that fine needles can inject into the deeper layers of the skin and underlying soft tissue of the face. Collagen injections are no longer performed because some patients experienced allergic reactions, some of them serious.
Complications can occur with facial fillers, and especially permanent fillers. Clinicians and patients are urged to check the contents of a filler and discuss all the implications of surgery before going ahead with a procedure.
In 2015, the U.S. Food and Drug Administration (FDA) warned that rare but serious problems may arise if soft tissue fillers are accidentally injected into blood vessels in the face.
Fat injections and fat grafting have broad applications in cosmetic surgery.
The patient’s own fat is collected from one part of the body using liposuction, and it is injected into areas requiring volume enhancement. It is usually applied to the face, including the lips, the hands, and depressions in skin contour.
The results are generally safe and long lasting, and it can have the additional benefit of removing fat from a place where it is not wanted. The fat is removed, washed, and purified and then carefully re-injected with specially designed needles. Sometimes the procedure needs to be repeated several times for best results.
Stem-cell enriched fat grafts have been trialed for reconstructive surgery, with promising results, suggesting that the procedure is reliable, safe, and effective. However, tumor growth may be an adverse effect, so further research is needed before stem cells can become central to plastic and reconstructive surgery.
Lasers and light-based facial treatment, also known as facial laser resurfacing or laser skin treatment, can help reduce fine lines, wrinkles, and abnormal pigmentation, such as sunspots. Treatment utilizes concentrated, pulsating beams of light.
A variety of laser types are used, and these vary in aggressiveness and downtime. It may take several sessions to see results.
Hair transplantation
Surgery can return hair growth to those with hair loss.
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Hair transplantation is a kind of cosmetic surgery. can help renew hair growth.
Tiny hair follicle grafts are obtained from the back of the scalp, where hair tends to be denser. It is then transplanted with minute incisions to the areas of the scalp that are affected by hair loss.
Patients may need several sessions to achieve the desired results. After 6 weeks, the transplanted hair will fall out, but about 3 months later, new hair will appear.
Anyone who is considering cosmetic surgery should stop smoking or using any tobacco products several months prior to any procedures, as they can interfere with wound healing.
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