Your surgeon will always discuss with you and recommend the treatment that is appropriate for you. During the consultation, the surgeon will also explain the treatment, its results and benefits, the duration of the result and the frequency of repeating the treatment.

As a practice known for using the latest technology for the benefit of our patients, we have selected a special technique of lipo selection to ensure smooth, predictable results and fast healing. We have thoroughly researched this technology to make this decision with confidence, and as one of the first clinics within the U.K. to be using this technology, we welcome the opportunity to help you determine if VASER Liposuction is right for you. The information below should answer most of your questions about VASER Liposuction.

GYNAECOMASTIA

VASER Liposuction is the next generation of ultrasound liposuction using new technology, designed and widely used across America, to gently and precisely reshape the body via the removal of fat pockets and breast tissues. This is the latest advancement of ultrasonic-assisted systems and is the most advanced approach to fat removal available today. In fact, the technology is so gentle and specific that it was originally designed to treat brain tumours.

What distinguishes VASER is its ability to differentiate body fat from tissues that are best left undisturbed – such as nerves, blood vessels and connective tissues. This latest generation of ultrasonic energy simply bounces off these healthy and important tissues while targeting and dissolving the less structured fat cells. Your liposuction treatment will actually remove the fat, but leave your other tissues intact. This allows your skin to retract smoothly and evenly after the procedure and minimizes pain and bruising typically associated with fat removal. Most patients experience fast recovery and return to normal activities within days.

We also perform, in certain cases when the breast tissue is predominant, direct excision of the breast tissue through a small incision on the aureola that is less than 1 cm.

WHERE THE SURGERY WILL BE PERFORMED

The gynecomastia reduction procedure is performed in our Harley Street clinic.

TYPE OF ANAESTHESIA

The gynaecomastia reduction procedure is carried out under intravenous sedation so there will be no pain and you will sleep through the operation.

THE SURGERY

Gynaecomastia reduction procedure usually takes one to one and a half hour.

PREPARING FOR YOUR SURGERY

You will be given specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking and taking or avoiding certain vitamins and medicines.

If you smoke, plan to quit at least two weeks prior to the surgery and not resume smoking for at least two weeks after your surgery. Avoid overexposure to the sun before the surgery, especially on the abdomen, and do not go on an astringent diet, as both can inhibit your ability to heal. If you develop a cold or infection of any kind, it is important to inform the surgeon, as your surgery may need to be postponed.

You will need to arrange for someone to collect you after your surgery, as you will be unable to drive. It is also advisable to have someone to stay with you for a few days to help you out if needed.

BEFORE YOUR SURGERY

In the week before, you should not take any medications containing aspirin (acetylsalicylic acid), since these products affect the blood clotting mechanism and therefore may lead to excessive bleeding during and after surgery, hence resulting in increased bruising. Taking high doses of vitamin E, fish oil, eating large amounts of garlic, ginger and consuming alcohol can also produce the same result and should be avoided. If pain medication is necessary, we recommend you take Voltaren/paracetamol.

It is in your own best interests to quit smoking, at least two weeks before and until 2 weeks after surgery. It is well known that smoking causes narrowing of the blood vessels, which leads to a decreased blood supply to the skin, thus slowing and interfering with the healing process.

Be sure to inform your surgeon of any medications you take, as well as possible allergies including (drug, latex, plasters and so on). Your surgeon will decide whether preliminary examinations are necessary, such as blood tests, an electrocardiogram, or x-rays of the lungs. If this is the case, these tests should be performed several weeks before the surgery.

YOUR GYNAECOMASTIA SURGERY

The gynaecomastia procedure will be performed under intravenous sedation (this is not a general anaesthetic). You may or may not be aware of what is going but will you will totally pain-free and will not remember the procedure. The procedure will take place at our Dubai Healthcare City Clinic.

It is best to wear loose clothing that will fit over the garment you will need to wear after your operation.

You are likely to experience liquid leakage after the operation, which on occasions can be quite excessive. It is therefore recommended that you wear old, loose clothes on the day of your operation and use old bedding whilst resting until this leakage ceases.

Do not eat or drink anything for 6 hours before your operation.

During the procedure, the area to be sculpted is filled with a special saline solution that helps to numb the site and shrink the blood vessels (to minimize blood loss and bruising). This solution wets and fills the area to be treated, making the fat cells easier to liquefy with the machine’s sound energy. Then, small probes transmit sound energy (similar to that used for cataract removal in the eye) that dissolves fat cells on contact, while leaving other important tissues undisturbed. High-frequency sound waves target and dissolve less resistant fat cells on contact, while harmlessly bouncing off other healthy and important tissues. The emulsified fat flows into the wetting solution and is easily extracted because it is in liquid form.

Finally, gentle suction and massage of the sculptured site remove the emulsified fat quickly and easily. Thanks to its unique patented technology, only LipoSelection machine first liquefies and then removes the fat cells in this manner, which is why it is so gentle, effective, and provides such fast, predictable results.

And if necessary, we will also remove some breast tissue under the areola through a small incision on the lower part of the areola.

HOW MUCH FAT CAN BE REMOVED?

There are limits to how much fatty tissue can be safely removed, and the deepest layers of fat – those surrounding and protecting your vital organs – cannot be taken safely (which can amount to quite a bit of your fat). The Surgeon will advise you how much fat can be removed. Bear in mind that this procedure is not intended as a weight loss solution. The goal is to create a slimmer silhouette. As fat weighs less than water, you may not notice a significant amount of weight loss, but should be pleased with your new slimmer new shape.

AFTER THE OPERATION

The operation will take from 1 to 2 hours depending upon the amount of fat to be removed. After the operation, you will remain at the clinic for a further 2 hours to allow us to monitor your progress, after which you will be free to leave. Make certain you have someone to collect you and stay with you overnight after the surgery. You are not allowed to travel unaccompanied or drive a car for 48 hours after the surgery, due to the effects of the anaesthetic.

The recovery time from gynecomastia varies with the extensiveness of the procedure – the amount of fat removed. However, with the exception of some activities (heavy lifting and strenuous exercise) recovery from this procedure is so rapid that most patients return to normal activities within days as compared with the weeks normally anticipated with other fat removal systems. You should expect to feel some soreness, tenderness and discomfort, which could last up to two weeks.

After the operation, you will need to wear a special LipoSelection garment for one week. This garment must be worn 24 hours a day for 7 days; you will not be able to shower during this week. After one week you return to the clinic to see the nurse have your bandages and sutures removed. You may or may not see the surgeon during this appointment, but will return after 6 weeks for a postoperative visit with the surgeon.

To get the best possible results, it is recommended that after your VASER Liposuction you begin a course of Endermologie (a machine-assisted massage). This will help facilitate the break-up of underlying fat deposits, help improve circulation to the specific areas, reduce fluid retention, help with any numbness and also improve post-op recovery.

ALL SURGERY CARRIES SOME UNCERTAINTIES AND RISKS

The VASER Liposuction technique has reduced both the incidence and severity of potential complications typically associated with fat removals, such as contour irregularities, prolonged swelling, loss of sensation or prolonged numbing, blood clots (DVT), bruising, blister-like spots called seromas, burns, skin discolouration, and infection. The risks of developing these complications can be further reduced by the patient’s strict adherence to the surgeon’s postoperative instructions. Recovery from liposelection is fast and patients are able to return to their normal activities within days as opposed to the weeks normally associated with traditional liposuction.

If you have any further questions or queries about this procedure, please feel free to call and speak to either Dr. Roberto Viel, Dr. Maurizio Viel or any of our nurses. Please note that it is necessary to attend a consultation prior to your operation, this is also the case with existing patients, it may also be necessary to have repeat blood tests.

To book an appointment for Male Breast Reduction, please call: 020 7636 4272