A sculpted male torso…
Some men are unable to develop their pectorals despite on-going body building exercises. Some methods can help achieve a more athletic figure. For some patients with malformations, these methods help to restore the symmetry of the thorax.
This method involves removing fat liposuccion from areas where there is an excess of fat, then re -injecting it into the area requiring volume. This is performed during the same surgery under general anaesthesia.
The rate of engraftment varies between 50 and 70%, which means that we must inject more fat than necessary in theory to achieve the desired volume (overcorrection). To be a candidate for lipomodelage you must have a “reserve” of sufficient fat.
For large volume increases, several sessions of lipomodeling can be performed several months apart.
The advantage of this technique is the natural and definitive characteristic of the fat injections. The result is permanent after the partial reduction phase is completed. However, the volume of fat grafted will fluctuate with any significant weight change.
In addition to the increased volume of the pectoral muscles due to the injected fat, patients are encouraged to exercise after the operation in order to benefit from the naturally occurring growth factors found in the injected fat. These growth factors actually facilitate the development of muscle volume.
Hyaluronic acid injections
A very dense hyaluronic acid of non-animal origin (Macrolane) is injected deeply through several nearly undetectable millimeter-sized incisions.
The injections are performed under local anaesthesia, and cause a little discomfort but no pain.
Unlike other techniques used in pectoral enlargements, hyaluronic acid injections take place in the doctor’s office. Therefore this method is the easiest way to increase the volume of the chest.
However, the absorbable nature of the product requires that sessions be repeated every 12 months to maintain the results. This represents a significant cost that could end up being higher than the cost of surgery.
The result is also very natural and the volume can be adjusted according to the patient’s wishes during the treatment.
The implants used are specially designed to increase the chest size. They are pre-filled with a more cohesive (firmer) silicone gel than those used for breast implants. The casing is also stronger. Finally, their shape is especially designed for this situation.
This is the method of choice for patients who do not have fat reserves for a lipomodelling but who nevertheless wish to benefit from a permanent enlargement of the pectorals.
Guidelines for the procedure
It is performed under general anesthesia and lasts 1 and a half hours. The patient is positioned on the back with the arms crossed. The axillary incision is similar to the one used to insert breast implants via the armpit for women and measures between 5 to 7 cm. Each implant is placed under the pectoral muscle. No drain are inserted. Hospitalisation lasts 24 hours.
The result is visible straight after the procedure. The vertical scar is hidden in the armpit.
The after effects are a feeling of painful pressure for the first few days (no strong pain). In all cases, analgesic treatment adapted to the intensity of the pain will be prescribed.
Edema (swelling), ecchymosis (bruises) and a hindrance to elevate the arms are frequent in the early stages. Returning to work is possible between 5 days and 2 weeks after surgery depending on the job. The patient can resume sporting activities after 1 or 2 months.
Complete healing is achieved within 2 to 3 weeks. The stitches are dissolvable and are concealed. The patient will need to wear a compression garment (bolero) 24 hours a day for 1 month.
Risk of complications
As with anysurgery, a number of complications can occur. But the likelihood of these complications is reduced in the hands of a qualified plastic surgeon and in the presence of a competent anesthesist. The patient’s compliance to instructions given by the surgeon is also essential and include :
- stopping smoking 1 month before and after the procedure (reduction of all risks) ;
- not taking aspirin for 10 days before and after the procedure (reduced risk of hematoma).
Rare complications that could occur include, but not limited to risk of hematoma, infection, seroma and scarring.
In the event of a complication, appropriate measures will be taken.
Health insurance coverage
As this procedure is considered purely for aesthetic purposes, no coverage is provided by health insurance. In case of chest malformation or Poland syndrome, a partial reimbursement of the cost of the procedure may be considered.