Surgery for gynecomastia is indicated for men who have both breasts augmented by sagging skin, from excess fat or breast tissue. The procedure can be associated with liposuction, is not painful and recovery is relatively quick.
Surgery for gynecomastia is indicated for men who have enlarged breasts.
Local anesthesia with sedation or general anesthesia.
Length of surgery:
The surgery lasts about 2 hours.
Length of stay:
The hospitalization is about 12 hours.
The patient should rest for 3 days, which doesn’t need to be an absolute rest. Exercise can be resumed within 15 days. No need for removal of daily activities and work, provided the patient does not use force in his arms during that activities. It indicates lymphatic drainage and postoperative use of elastic chest straps for 30 to 45 days.
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According to plastic surgeon Guilherme Miranda, which serves the neighborhoods of Ipanema and Barra da Tijuca, in Rio de Janeiro, both the man and the woman have mammary glands. The difference is that during puberty, there is a hormonal stimulus for the development of the breasts in women and hormonal stimulation in men contrary to its atrophy.
In some cases, there may be a change in the hormonal balance during puberty in boys for a short time, but sufficient to generate an inadequate increase of the size of the glands, a condition known as gynecomastia. Gynecomastia is usually transient and may recede. But if it does not, surgery to remove the breast is indicated.
There is no consensus on the ideal age for this surgery, but it is not recommended to do the procedure before the age of 15 or 16 years, there might be a spontaneous regression of the shape. However, we must evaluate each case well in a personalized way, because there are other causes of male breast enlargement that can provide early indication for surgery.
According to Dr. Guilherme Miranda there are other causes of gynecomastia as chronic use of certain medications, trauma and localized tumors. So, if you suspect you have gynecomastia, see your doctor, he will guide you through a diagnosis and treatment.
Usually, laboratory tests are required to assess hormonal and imaging tests, such as ultrasound to assess the increased region. This is often accompanied by increased gland growth of fat deposit around. In other cases, there may be a condition called lipomastia, where the size is normal, but the increased volumen takes place at the expense of fat accumulation.
In the case of gynaecomastia or not there is a need for removing the accumulated fat in the thorax so that the contour becomes more suitable. This can be done through the same incision used for plastic gynecomastia or by liposuction. It is a common combination with a liposuction of the chest with the removal of the gland.
The resulting scar will depend on the size and type of gynecomastia. In most cases, it is located only at the bottom of the areola, half-moon, following its periphery and, over time, tends to be unnoticeable. In cases of larger volume, requiring the removal of skin incisions may be required involving the entire periphery of the areola, and the extension of the other sideways. But the latter is rarely needed.
One common question is about the “excess skin” that exists after the removal of the gland and fat. It is precisely this valuation which will be made by the surgeon to choose the type of technique to be used. One must consider a contraction of the skin, which is stimulated by the surgery itself.