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The American Board of Cosmetic Surgery reports surgery is the "most effective known treatment for gynecomastia." [ 64 ] Surgical treatment should be considered if the gynecomastia persists for more than 12 months, causes distress (ie physical discomfort or psychological distress), and is in the fibrotic stage. [ 65 ]
Chest reconstruction may be performed in cases of gynecomastia and gender dysphoria. People may pursue chest reconstruction, also known as top surgery, as part of transitioning. The removal of breast tissue in chest reconstruction is a type of mastectomy called a subcutaneous (under the skin) mastectomy.
Surgeries for female-to-male transgender patients have similarities to both gynecomastia surgeries for cisgender men, [2] breast reduction surgery for gigantomastia, and the separate mastectomies done for breast cancer. [3] Top surgery involves more than a mastectomy for the treatment of breast cancer. [1]
Breast reduction, or reduction mammoplasty, is the cosmetic surgery used in resizing the breast, in women with oversized breasts and men with gynecomastia. This type of surgery is performed to treat a breast condition known as hypertrophy, which refers to oversized breasts.
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Fat removal procedures are used mostly in cosmetic surgery with the intention of removing unwanted adipose tissue.The procedure may be invasive, as with liposuction, [1] or noninvasive using laser therapy, radiofrequency, ultrasound or cold (cryoablation or cryolipolysis) to reduce fat, sometimes in combination with injections.
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