¿What is the Gynecomastia?
Gynecomastia is the swelling of the breast tissue in children or men, producing a masculine breast appearance too developed or enlarged, which can occur at any age, as a consequence or result of hormonal changes that alter the hormonal relationship, producing an imbalance between estrogen and testosterone Other causes that can cause gynecomastia are genetic inheritance, obesity or certain drugs.
Gynecomastia can appear in one or both breasts. Young infants, adolescents, and adults over 50 may develop gynecomastia as a result of hormonal changes.
Although gynecomastia is not a medically serious problem, teens and adults may feel embarrassed by the shape and size of their breasts. Gynecomastia can cause emotional discomfort and affect your self-confidence.
Gynecomastia is characterized by:
- Fat located in excess.
- Excess development of glandular tissue.
- Sometimes excess skin on the chest.
What is the aesthetic operation of breast reduction in men?
The intervention of male aesthetic surgery of gynecomastia, reduces the size of the breasts in men, smoothing and improving the contours of the chest.
In some cases of gynecomastia, the excess weight of breast tissue can cause the breasts to tighten and stretch the areola. In these cases, the position and size of the areola can be improved, and the excess skin reduced. Plastic surgery to correct gynecomastia is technically called reduction mammoplasty.
Candidates for gynecomastia intervention.
The suitable candidates for gynecomastia cosmetic surgery meet the following requirements:
- Men whose gynecomastia cannot be corrected through alternative medical treatments.
- Physically healthy individuals, with a normal weight, who do not have a disease or medical conditions that can affect surgery and recovery.
- Men with a positive attitude and specific goals in mind to improve the physical symptoms of gynecomastia.
- Men who have realistic expectations.
- Men whose breast development has stabilized.
- Men who are upset by the feeling that their breasts are too big.
Teens can benefit from surgery, although secondary procedures may be needed in the future if breast development continues.
The first consultation
In the first consultation with Dr. Puig, a specialist in gynecomastia intervention, you will talk with him about the following aspects: your surgical objectives, medical conditions, allergies to medications and medical treatments that you are currently doing. This includes all types of medications, vitamins, herbal supplements, alcohol, tobacco and recreational use of drugs (including steroids).
We will also talk about possible previous surgeries, evaluate your general health status, risk factors, ask for diagnostic tests to determine the underlying cause of gynecomastia.
We will also perform an examination of your breasts and take detailed measurements of their size and shape, the quality of the skin and the location of your nipples and areolas, in addition to taking photographs for medical records. We will see the possible surgical options as well as the results to obtain, risks and complications, anesthesia.
The decision to undergo plastic surgery is extremely personal, and you will have to decide if the benefits will reach your goals and if the risks and possible complications of gynecomastia surgery are acceptable.
You will be asked to sign the informed consent forms to ensure that you fully understand the procedure and the possible risks and most frequent complications such as reactions to suture materials, anesthesia risks, bleeding and bruising, accumulations of fluid or seromas, breast asymmetry, changes temporary in the sensitivity of the nipple or chest, scars ..
These risks and others will be fully discussed before your consent. The consultation is the time to ask all those questions about the operation that concern you or that you want to know. It is very important to understand all aspects of the surgical procedure. In any case it is convenient that you express your doubts and fears to the surgeon in the first consultation.
Likewise, it is natural to feel some anxiety, either because of its new anticipated appearance or because of some preoperative stress.
The preoperative of male breast reduction surgery.
In preparation for gynecomastia surgery, you may be asked to: laboratory tests or a medical evaluation, take certain medications or adjust the doses of your current medications. You will also be asked to stop smoking, as well as taking aspirin or other anti-inflammatory medications and herbal supplements as they can increase bleeding.
The success and safety of your gynecomastia procedure depend to a large extent on your sincerity during the consultation, as well as following at all times the indications of your plastic surgeon.
Male breast reduction surgery is performed in the private hospital October 9, Valencia. Make sure you arrange for someone to take you to the hospital to your home and stay with you the first night after surgery.
Characteristics of the operation for the reduction of the breasts.
The main characteristics of this surgical procedure are the following:
- It is an operation of aesthetic surgery whose purpose is the elimination of excess fat, breast tissue or both in the breasts of men affected by gynecomastia.
- It is aimed at men whose development has ended and who have a shape and/or size in their breasts too large, which makes them feel uncomfortable.
- Anesthesia: options for intravenous sedation and general anesthesia. In the consultation, we will determine the best option for your particular case.
- There are several possible techniques: the liposuction technique, for those cases in which gynecomastia is mainly the result of an excess of fatty tissue. This requires the insertion of a cannula, a thin hollow tube, through several small incisions.
The excision technique is recommended when the glandular breast tissue or excess skin should be removed to correct the gynecomastia condition. It is also necessary the excision if the areola is reduced or the nipple placed in a more natural male position. The incision patterns vary according to the specific conditions and surgical preference.
- This surgery to reduce fat and tissue in men, requires admission to the hospital, with discharge on a regular basis the day after the intervention.
- The recovery time is about 2 weeks.
The postoperative and recovery of the intervention.
During the recovery period of gynecomastia surgery, bandages will be applied to your incisions and a support garment may be used to minimize swelling and support your new chest contour as it heals after surgery. A thin tube may be temporarily needed under the skin to drain any excess blood or fluid that may accumulate.
You will be given specific instructions that may include how to care for wounds and scars, medications to apply or take orally to aid healing and reduce the potential for infection. It is very important to follow the instructions of your plastic surgeon and attend follow-up visits as scheduled.
It is important that the surgical incisions are not subject to excessive force, swelling, abrasion or movement during the healing time. We will give you specific instructions about the necessary rest period.
While each patient’s healing process is unique, most patients feel ready to return to work a few days after male breast reduction, depending on the nature of their work. Some men experience a loss of sensation in the treated areas after a male breast reduction, but this is almost always temporary. Any loss of sensitivity should return gradually during the months after your procedure.
The results of gynecomastia surgery are immediately visible. The final results of your gynecomastia surgery can take between 3 and 6 months. Over time, the postsurgical swelling will resolve and the scars will fade. The satisfaction with your new image should continue to grow as you recover from the surgery.
The results of male breast reduction are permanent: excess fat, glandular tissue and removed skin disappear forever. However, it is important to maintain a healthy lifestyle. However, if gynecomastia is the result of the use of certain medications (including steroids) or weight gain, you must be completely free of these substances and maintain a stable weight so that the results obtained remain stable.
Request an appointment for your consultation about gynecomastia surgery.
Remember that the first appointment is free and sometimes it is much more effective to speak personally with the doctor. Call us or make an appointment at our clinics in Valencia or Gandia and we will assist you with total confidence, without commitment and under the strictest confidentiality. And if you prefer, we’ll call you.