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Doc, I've something to get off my chest

makapaaa

Alfrescian (Inf)
Asset
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Coffee Shop Talk - Doc, I've something to get off my chest </TD><TD id=msgunetc noWrap align=right>
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Subscribe </TD></TR></TBODY></TABLE></CENTER><TABLE class=msgtable cellSpacing=0 cellPadding=0 width="96%"><TBODY><TR><TD class=msg vAlign=top><TABLE cellSpacing=0 cellPadding=0 width="100%" border=0><TBODY><TR class=msghead><TD class=msgbfr1 width="1%"></TD><TD><TABLE cellSpacing=0 cellPadding=0 border=0><TBODY><TR class=msghead><TD class=msgF noWrap align=right width="1%">From: </TD><TD class=msgFname noWrap width="68%">BadNews0 <NOBR></NOBR></TD><TD class=msgDate noWrap align=right width="30%">Dec-27 4:01 am </TD></TR><TR class=msghead><TD class=msgT noWrap align=right width="1%" height=20>To: </TD><TD class=msgTname noWrap width="68%">ALL <NOBR></NOBR></TD><TD class=msgNum noWrap align=right>(1 of 1) </TD></TR></TBODY></TABLE></TD></TR><TR><TD class=msgleft width="1%" rowSpan=4></TD><TD class=wintiny noWrap align=right>17545.1 </TD></TR><TR><TD height=8></TD></TR><TR><TD class=msgtxt>Doc, I've something to get off my chest
Student, 16, is one of growing number of S'porean males seeking breast-reduction surgery
By Ng Wan Ching
December 27, 2008 Print Ready Email Article
JOHN (not his real name) was the butt of his friends' jokes in school.
The reason: He had breasts which looked like a woman's.
John, 16, who attends a local boys' school, became so depressed that he considered committing suicide.
Fortunately, he told his sister about his problem who, in turn, told his parents. They took him to see a plastic surgeon, who did an operation to reduce his breast size last year.
John is part of the growing number of men, from teenagers to those in their 60s, going under the scalpel to deal with gynaecomastia, a condition which causes a man to look like he has breasts.
Gynaecomastia occurs when the level of female hormone oestrogen, which is present in low levels in men, rises relative to the level of testosterone. The oestrogen can cause breast tissue to grow.
Before he found out about this procedure, John, a rugby player, said he could not shower in the locker room without someone making fun of his chest.
'I was really dreading what might happen when I have to do my national service,' said John, who spoke on the condition of anonymity.
'I had no idea what to do about the problem. No one else I knew seemed to have the same problem.'
Things got so bad that he would hang around after practice until almost everyone had left before taking a quick shower.
'I could not take a shower if there were other boys about. Some of them even tried to grope me,' he said.
He said: 'After the operation, there was some swelling and bruising. But after a month or so, my chest was flat and looking normal. It did not look like I had 'breasts' anymore. I was relieved and happy with the way my new chest looked.'
Rising demand
Six out of 10 plastic surgeons in private practice told The New Paper that they have seen demand for the procedure go up from two to four fold over the last two years.
Unlike women's breast jobs, which helps to augment the breast size, men want flat, muscled pectorals (pecs).
Pecs are the fan-shaped muscles, situated at the top of the chest wall.
Said Dr Marco Faria Correa, a Brazil-trained plastic surgeon who has been practising here since 2000: 'People now know more. They have more information. So they know that they can come for surgery to correct this problem.
'Our techniques have also improved over the years.'



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makapaaa

Alfrescian (Inf)
Asset
He used to perform open surgery for men with this condition when he first started practising plastic surgery 25 years ago.
Now, all it takes are some tiny cuts around the nipple area or in the armpit area. (See graphics on facing page).
As for side effects, there is usually swelling and bruising after the operation, which goes away after two to four weeks. There are also possible risks of infection.
Depending on the complexity of the operation, the cost could range from $2,800 to $20,000.
Over the last two years, Dr Marco has seen the numbers going up from one case a month to four to five such cases.
Almost all of them end up getting the operation to reduce their breast size. His patients' ages range from those in their teens to those over 50 years old.
Other reasons for the increase in the number of cases could also be due to the fact that more people are getting obese.
'Fat carries more oestrogen. The more oestrogen you have in your body, the more you will have breasts,' said Dr Marco.
Said Dr Woffles Wu, plastic surgeon at Camden Medical Centre: 'The food that we eat nowadays may be filled with more hormones. A lot of non-organic protein like chicken is reportedly pumped with hormones to make them grow bigger.'
A couple of years ago, he used to see one such case every six months.
Now he is seeing four to five such cases a month and operating on one to two such patients a month.
Dr Martin Huang, plastic surgeon at the Cosmetic Surgery Clinic in Paragon, saw an increase of 20 to 30 per cent of such cases in the last two years.
Four plastic surgeons say they have been seeing fairly consistent numbers of such patients over the last few years as people become more informed and aware that there are solutions for such problems.
Said Dr JJ Chua, plastic surgeon at Mount Elizabeth Medical Centre: 'I see about 20 such cases a year and they range from teens who come in with their parents to my oldest patient, who is 64 years old.'
Lopsided
His elderly patient wanted the surgery done because he swims with his friends and they teased him that he had 'one small, one big'.
He has also helped patients before their wedding.
'I have had a patient come in with his fiancee just before his marriage. He wanted the procedure done so that he would look nice in the wedding photos,' said DrChua.
'As you can see, it's a social as well as a medical problem for many of these men. They fear social rejection or being made fun of. And if they have grossly big breasts, it can be very uncomfortable for them to exercise,' he said.
 
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