Gynecomastia

Gynecomastia surgery corrects the size of male breasts. Gynecomastia is a hormonal disorder that occurs in men characterized by breast enlargement (unilaterally or bilaterally) due to excess mammary glands in areas where there should be only a thin layer of fat. Among the causes are hormonal changes or the use of certain medications with female hormones.

What is the indication for gynecomastia?

The enlargement of male breasts is usually temporary during puberty, but when it does not disappear spontaneously, it can be eliminated through plastic surgery when it becomes unpleasant for the man. Unlike pseudogynecomastia, which presents excess fat under the nipple, gynecomastia presents an increase in glandular tissue that is an alteration in the balance between testosterone and estrogen.

What is the surgery like?

Under local or general anesthesia, incisions are made around the nipple to reach the breast tissue to be removed. This tissue will be sent for analysis to rule out the possibility of breast cancer. Liposuction may be performed in cases where there is excess fat in the breasts. When there is significant sagging, the areola is repositioned.

What is the post-operative period like?

With discharge from the hospital on the same day, the patient has a quick recovery. There may be swelling and changes in sensitivity in the region that can last up to a year. A chest compression belt should be used for a period of 30 to 45 days to facilitate skin adhesion and reduce the chances of bleeding.

When will normal activities be resumed?

Physical exertion should be avoided in the first two weeks, and sun exposure should be avoided for three months. Physical exercise may be resumed three months after surgery at the discretion of the Plastic Surgeon.