Gynecomastia

Gynecomastia (Male breast reduction) is the medical term derived from the Greek word used to define “breasts similar to those of a woman”. Even though it is not a frequent issue, nowadays it is quite common, approximately 40 to 60% of men are affected by it. This condition can be found in one or both breasts. Even though there are certain drugs and medical conditions that can cause the breasts to grow more than usual, in most of the cases, there is no known cause.

For those men who are concerned with their appearance, breast reduction can be a great help. The surgery involves removing fat and glandular tissue from the breasts; in extreme cases, it may also involve removing skin, which results in a flat, firm and contoured chest.

If you are considering to get done a gynecomastia surgery, this text will provide basic knowledge on the procedure – how can it help you, how it is done and which are the results to be expected. This text cannot answer all of your doubts, since many of them depend on your individual conditions. Please ask any doubt you have regarding the procedure.

The best candidate

The surgery to correct gynecomastia may be performed on healthy men, who must be emotionally stable of any age. The best result can be achieved when the skin is elastic and firm and can be adapted to the new body contour.

It may not be recommended for obese or over-weighted men who have not attempted to lose weight on their own. Some anabolic steroids may cause gynecomastia; therefore, those habits must be stopped to verify if the size of the breast is reduced in a natural way.

The procedure may leave visible scars, pigment changes in the breast area, or asymmetric breasts and nipples. If the asymmetry is very evident, it may be necessary to remove additional tissue.

There are temporary secondary effects which include a reduced sensitivity in the breast, this sensitivity may take a year to be recovered.

Surgery planning

During the first consult, a full medical history will be done, your breasts will be examined to search for the causes of gynecomastia, such as impaired hepatic function, use of estrogen-containing medicine, or anabolic steroids.

Getting ready for the surgery

You will be given specific instructions about how to get ready for this surgery as well as the cautions you must have after the surgery.

Smokers must halt the habit at least one or two weeks before the surgery as well as during recovery. Smoking reduces circulation of the blood and interferes with healing. It is extremely important to follow all the instructions given by the doctor to be able to obtain optimal results.

Where is the surgery performed?

This procedure is done in the Clinic, the patient enters the clinic at 8, and the patient will be able to leave the clinic at 20. The patient must always be accompanied by a family member or friend to assist him during the first days.

Type of anesthesia

The correction of overgrown male breasts uses local anesthesia, which means it is a light sedation, or neuroleptoanalgesia. The patient is awake but relaxed and will not feel pain.

The surgery

If the primary cause of the enlarged breast is an excess of glandular tissue, it must be removed surgically. The procedure can be done alone, or paired with a liposuction. Regularly, the incision is done in a low visibility area – the edge of the areola. Through this incision, the excessive glandular tissue, fat and skin are removed. Severe cases may require larger incisions and scars, though this is not very frequent. If a liposuction is done to remove excessive fat, the cannula is inserted through the same incisions.

Glandular tissue must be extracted through a small incision on the edge of the areola.

If the gynecomastia (male breast reduction surgery) is caused mainly by an excess of fat tissue, a liposuction will be used to remove it. A small incision is made (of less than 1 cm) in non visible areas, through a hollow cannula connected to a vacuum pump, fat is broken and suctioned. You may feel a small vibration or friction during the procedure, though not pain.

When a large amount of fat must be removed, skin may not easily adapt to the new body shape. In those cases, the excess of skin may have to be removed to allow the body to adapt to the new breasts.

Sometimes, a little drain is put so that the excessive fluids can be eliminated. Afterwards, the thorax is bandaged so that the skin can adapt correctly.

After the surgery

No matter if the surgery has been done with scalpel o through liposuction, you will feel discomfort, which will be controlled with medication. In any case, you must be accompanied by an adult for a day or two, who would assist you if you need it.

You will have a temporary swelling, to reduce that swelling, you will need to wear elastic clothing for some time. Though most of the swelling wears off in a couple weeks, the final results may not be seen for about 3 months.

In the meantime, it is very important that you go back to your everyday activities. Your recovery must be progressive, and you should be able to go back to do everything two or three days after the surgery. If stitches were necessary, these will be removed one or two weeks after the procedure.

We strongly advise you to limit your physical activities, avoiding heavy tasks for three weeks, generally, you will have to wait for a month to return to your regular physical activities.

Sun exposure of the scars must be avoided at least for 6 months. Sunlight may permanently change the skin pigmentation, causing the scars to go darker. If you must be exposed to sunlight, use sunblock at all times.

Your new look

The results of this procedure are very important and permanent; as long as you have realistic expectations, changes will be good and you will be satisfied with you new looks.