Currently, men are increasingly looking for aesthetic and surgical procedures, which try to solve the “problems” that usually bother them when wearing clothes or going to the beach. One of them is GYNECOMASTIA, which is characterized by the increase in breast tissue in men. It can be caused by medications, an increase in fatty tissue in the breasts, or hormonal disturbances. This usually appears in 13- or 14-year-olds as a result of hormonal changes at puberty. In 5% of cases, gland hypertrophy persists into adulthood.

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WHAT IS GYNECOMASTIA?

It is the abnormal development of the breasts in men, the increase in breast volume appears by the manifestation of some glandular component, adipose tissue or mixed. When the component is adipose tissue, it is called lipomastia or pseudogynecomastia.

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RECOMMENDATION

Surgical treatment should be indicated after solving possible causes, such as weight loss, tumor treatments, consumption of hormonal substances, anabolic or other drugs, alcohol, etc. It is indicated in patients who have increased breast tissue, fat or both.

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HOW IS SURGERY PERFORMED?

It is made using a small crescent-shaped cut around the areola. Along with this, liposuction can be performed on breasts where the enlargement is caused by excess fat.

Gynecomastia surgery can be performed in patients over 18 years of age and without comorbidities.

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TYPE OF ANESTHESIA

It can be general or epidural anesthesia with sedation,

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ADMISSION TIME

The procedure takes approximately 1 hour and the patient stays in the hospital from 8 to 12 hours. if anesthesia is epidural with sedation. When general anesthesia is performed, the patient must remain hospitalized for 24 hours.

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POSTOPERATIVE

The patient must rest for 20 days, using a compression mesh for approximately 1.5 months. This technique is very well tolerated by patients, they report only mild discomfort. After surgery, it is common to have edema or ecchymosis (swelling and red skin) that will remain for 21 days. In addition, there may be a change in sensitivity that is usually reversible and transient.

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COMPLICATIONS

Although rare, we can mention: bruises, infection, opening of stitches, hypertrophic scar or keloid, skin suffering (necrosis), skin irregularities, retractions.

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DEFINITIVE RESULTS

In the first few months, the scar becomes red and then clears over time, depending on the skin phototype and the care taken with it. Lymphatic drainage improves fibrosis and edema during the first month. After 20 days, ultrasound completes the recovery process, and edema and inflammation subside after 21 days. The final result is observed between 6 months and the 1st year after surgery.