Dr. De Fazio Plastic Surgeon :: Procedures :: Breast :: Gynecomastia - for men

Gynecomastia

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The chest is very important for the male body image. Sometimes, an abnormal development of male breast (gynecomastia), both in young and adult men, makes this part of the body less attractive, and, as a consequence, creates embarrassment in showing it, for example, at the seaside in the summer.

ANESTHESIA:
local + sedation or general
TREATMENT LENGTH:
1 hour
STAY IN HOSPITAL:
1 day / day surgery
RECOVERY TIME (BACK TO SOCIAL LIFE):
2 weeks


The procedure

The trigger could be hormonal imbalance or an excessive weight gain.
The surgeon will suggest an ultrasound to assess the proportion between the mammary gland and the excess fatty tissue of the breast. Then, he will show you the most suitable procedure to solve the problem and, at the same time, he will explain where the scars will be, even though they will be very small and located in not very visible areas.
With the correction of gynecomastia, the male breast will return to its natural proportion, giving a more virile and harmonic look.
Depending on whether the breast enlargement is caused only by an abnormal development of the mammary gland (true gynecomastia), or by excessive fatty tissue (lipomastia) or by a combination of both causes (mixed gynecomastia), the procedure chosen will be different. In the first case, the procedure consists of removing the mammary gland with a small incision around the areolar edge; in the second case, it implies the use of liposuction; in the third case, it will be a combination of the techniques used in the first two cases.
Anyhow, the procedure will be performed as day hospital, being thus dismissed the same day of surgery. Anesthesia can be either local with sedation or general, according to the dimensions of the problem to be treated.
Functional consequences after surgery never occur, since in men the mammary gland has no function.

Preoperative Preparation

The preoperative preparation implies blood tests and an ultrasound of the mammary area. 
Two weeks prior to surgery, as well as two weeks after, drugs that can promote bleeding should be avoided. This is the case of aspirin, which has an anticoagulant effect and can cause hematoma.

Post-operative care

An elastic bandage must be used for a week after surgery and, a week later, the wounds will be checked by the surgeon, but no sutures need to be removed since only absorbable stiches are used for this procedure. Only in some cases, drains could be necessary for 24 hours after surgery and will be removed in the consulting room.
When necessary, antibiotics and painkillers will be prescribed.  
The dressing cannot be removed or soaked for 7 days.

After the procedure

Already from the first day after surgery, a course of Tecar® Therapy is recommended to facilitate the absorption of edema (swelling) and ecchymosis (bruises). The surgeon, together with the physiotherapist performing the therapy, will decide the number of sessions.

Possible complications

Infections: they are extremely rare and can be prevented by antibiotics.
Bleeding: it is very rare, but it can occur only within 24 hours. In some cases, when the mammary gland has a significant volume, it can be necessary to use drains which will be removed the day after surgery.
Scars: normally there will be a scar along the lower areolar edge that is not visible; yet, in some rare cases, depending on the individual healing process, the scar can become hypertrophic. 
In these cases, the surgeon will prescribe a Tecar® therapy and, if necessary, infiltrate specific fillers in the scar.

Recovery time (back to social life)

Work and social life should be reduced for at least 1 week after surgery.
If the patient's job implies physical activity such as lifting heavy objects, pushing, etc... the recovery time has to be longer.
20 to 30 days after surgery all physical activity, including sports, can be resumed. Driving must be avoided for 4-7 days after surgery.

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