Gynecomastia

Gynecomastia surgery is a procedure to reduce and improve the appearance of enlarged male breasts. It is often caused by hormonal imbalances, excessive fat deposits or enlargement of the glandular tissue. Below is some information about gynecomastia surgery and the techniques used in the process:

Evaluation and Planning:

During the initial consultation, a plastic surgeon who specializes in gynecomastia surgery will examine your breasts, discuss your concerns and goals, and evaluate your overall health and medical history. The surgeon will determine the most appropriate technique based on factors such as the extent of breast augmentation, the amount of excess fat or glandular tissue, and the presence of sagging skin.

Liposuction:

In cases where gynecomastia is primarily due to excess fatty tissue, liposuction alone may be sufficient. This involves making small incisions and suctioning out the excess fat with a thin tube (cannula). This technique can be used to reduce breast size and improve contour.

Excision:

If glandular tissue or excess skin is present, surgical removal may be necessary. In this technique, incisions are made around the areola or in the natural folds of the breast to remove the excess tissue. The surgeon may also reposition the nipple to a more esthetically pleasing position.

Combined technique:

In some cases, a combination of liposuction and excision may be used to achieve optimal results. This method removes both excess fat and glandular tissue while correcting sagging skin.

Closure of incisions:

Incisions are closed with sutures or surgical adhesive. The surgeon may use absorbable sutures that do not need to be removed. Dressings or compression garments may be applied to support the chest area and promote healing.

Recovery and outcomes:

Swelling, bruising and discomfort may occur after gynecomastia surgery. Pain medication, cold compresses, and wearing a compression garment as instructed can help relieve these postoperative effects. It is important to follow your surgeon's postoperative care instructions.

The initial results of gynecomastia surgery are visible after the swelling subsides, but it may take several weeks or months to see the final results as the breast heals and firms up. The procedure can result in a flatter, firmer and more masculine breast contour.

During the recovery period, you should avoid strenuous activity and heavy lifting for several weeks. Follow your surgeon's instructions for resuming normal activities, wearing compression garments and caring for the incisions.

It is important that you consult with a plastic surgeon who specializes in gynecomastia surgery to discuss your goals, understand the technique recommended for your situation, and receive personalized advice and guidance throughout the process. The surgeon will provide detailed pre- and post-operative instructions to optimize your recovery and help you achieve your desired results.

Preoperative instructions: Follow your surgeon's instructions about fasting before your procedure.

Consultation: schedule a consultation with a plastic surgeon who specializes in gynecomastia surgery. During the consultation, discuss your concerns, goals and medical history. The surgeon will examine your breasts, assess your overall health and determine if you are a suitable candidate for the procedure.

Medical Exam: You will undergo a comprehensive medical exam to ensure you are in good health for surgery. This may include blood tests, imaging tests, and other diagnostic tests as determined by your surgeon. Inform your surgeon of any pre-existing conditions, allergies or medications you are currently taking.

Smoking and Alcohol: If you smoke, it is important that you stop smoking well in advance of your surgery. Smoking can interfere with the healing process and increase the risk of complications. Also avoid drinking alcohol for a recommended period of time before surgery, as it can interfere with anesthesia and increase the risk of bleeding.

Medication review: provide your surgeon with a complete list of medications, supplements and herbal remedies you are taking. Some medications and supplements may increase the risk of bleeding or interact with anesthesia, so your surgeon may advise you to stop or adjust them before your procedure.

Postoperative Care after Gynecomastia Surgery​

You will usually be asked not to eat or drink anything for a certain amount of time before the procedure.

Postoperative care after gynecomastia surgery is critical for optimal healing and recovery. Here are some general guidelines:

Recovery facility: provide a comfortable and supportive recovery environment. This may include having someone available to assist you in the first few days after surgery and having necessary supplies and medications handy.

Rest and recovery: plan for plenty of rest and downtime after surgery. Avoid strenuous activities and lifting heavy objects during the initial recovery period. It is important to elevate your chest when sleeping to minimize swelling and promote healing.

Pain management: take pain medications as prescribed by your surgeon to relieve discomfort and pain during the initial recovery period. Use cold compresses as recommended to reduce swelling and bruising.

Compression garment: your surgeon may give you a compression garment to wear after surgery. This garment helps minimize swelling, supports the chest area, and aids in the healing process. Follow your surgeon's instructions regarding how long and how often to wear the garment.

Care of the wound: Follow your surgeon's instructions for caring for your incisions. Keep the incision areas clean and dry and apply any prescribed ointments or dressings. Avoid excessive sun exposure and protect your incisions from direct sunlight.

Follow-up appointments: Attend all scheduled follow-up appointments with your surgeon. At these appointments, your surgeon can monitor the healing progress, remove any sutures or staples, and address any concerns or complications.

It is important that you follow your surgeon's pre- and post-operative instructions carefully for a successful recovery and optimal results. Contact your surgeon if you have any questions or concerns during the recovery period. He or she will provide specific advice tailored to your individual needs and monitor your progress throughout the recovery process.