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Gynecomastia

What is gynecomastia?

Gynecomastia refers to an overdevelopment of the male breast. Although it is not frequent to hear about this problem, it currently affects 40-60% of men. And it can affect only one breast or both.

In the vast majority of cases there is no known cause for gynecomastia, although some drugs or medications and some medical problems may be linked to the overdevelopment of the male breast, gynecomastia involves removing fat and glandular tissue from the breasts, leading to to a flat, firm, and well-contoured chest.

 
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Who is a good candidate for gynecomastia?

If you are a healthy man, you have finished your hormonal development and you have elastic and firm skin, you will be a good candidate. If you have been overweight and after regaining your weight you still have fat in your breasts, you can also be a candidate for gynecomastia surgery.

If you are overweight, it is important to first try to correct the problem with exercise or weight loss, before going to the male breast reduction procedure. You will not meet the necessary conditions for the operation if you drink excess alcohol or smoke hashish. These drugs along with anabolic steroids can cause gynecomastia, so you should change your habits beforehand to see if the breast diminishes before considering surgery.

 

Male Breast Overdevelopment Correction Surgery

Correction of augmented breasts in men can be done under general anesthesia, or in some cases under local anesthesia and sedation. The patient can remain hospitalized for 6 to 24 hours.

If glandular excess is the primary cause of breast augmentation, it should be removed with a scalpel. This procedure can be performed alone or with liposuction. In normal treatment, the incision is made in an inconspicuous area: on the edge of the areola. Working through this incision removes excess glandular tissue, fat, and excess skin. If liposuction is performed to remove excess fat, the cannula is usually inserted through the existing incisions.

If gynecomastia basically consists of excess fatty tissue, we perform liposuction to remove it. A small incision is made – less than 1 cm – in non-visible areas, and with the help of a hollow cannula attached to a vacuum pump, the fat is broken and aspirated. You may feel vibration or friction during the procedure, but it does not cause pain.

When large amounts of fat are removed, the skin may not fit well with the new body contour. In these cases, the excess skin may need to be removed to allow the remaining skin to properly readjust to the new breast contour.

 

After surgery

After gynecomastia, whether the excision was with a scalpel or liposuction, you will feel some discomfort for a few days. However, the discomfort can be controlled with the appropriate medication.

For some time you will be bloated, and to help reduce inflammation you will wear an elastic garment. Although much of the inflammation will go away in a few weeks, it can take up to three months or more before the final result of the surgery is really visible.

Meanwhile, it is important to return to normal. You should gradually recover and return to your usual activity when you feel well – which could be in one to two days after surgery. If sutures are present, they are removed within one to two weeks after the procedure.

At first it is best to avoid heavy exercise for three weeks. Generally, it will be about a month before you can return to your normal physical activity.

You should avoid exposing scars to the sun for at least six months. Sunlight can cause permanent pigmentation changes on the skin, causing scarring to darken.

 

The results

The final result of a male breast reduction or gynecomastia intervention is completely satisfactory and permanent.

Complications are infrequent and generally minor after gynecomastia. The intervention can cause visible scars, pigment changes in the breast area, or slightly asymmetric breasts and nipples.

Temporary side effects of male breast reduction include decreased skin sensitivity in the breast, which can take up to a year to recover.

 

Techniques

Many men have gynecomastia (enlarged feminoid breasts) caused by excess glandular or fatty tissue (or both)

The glandular tissue must be removed through a small incision at the edge of the areola.

Excess fat tissue can be removed with liposuction. A small hollow cannula is inserted through an incision, which leaves an undetectable scar

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