Male breast reduction (gynecomastia)
Male
breast reduction (so called gynecomastia) is a procedure during which
over-developed, enlarged male breast are being corrected.
Gynecomastia is necessary if male breasts size is too big, areola are
stretched, breasts are saggy and have visible excess of skin. The
situation is caused by significant excess of fat tissue, glandular
tissue or both excess fat and glandular tissue. It can occur
unilaterally (on one breast) or bilaterally (on both breasts).
Before the direct assessment it is good when a patients goes to a
specialist to do a ultrasound graph in order to be sure what is the
amount of fat and glandular tissue.
During direct assessment a plastic surgeon chooses a method of
performing gynecomastia. In case of fat tissue excess gynecomastia will
be performed with the use of liposuction. In case of glandular tissue
excess surgical cut will be used, so called excision. During the
surgery the position and the size of the areola can be surgically
improved and excess skin may be reduced. If necessary gynecomastia is
treated with both liposuction and excision.
Gynecomastia
is performed under general anaesthesia and involves at
least 1 day of stay in the clinic. After the procedure a patient is
left with a drains (after 1-2 days drains are removed) and a special
elastic dressing / garment has to be worn permanently for 6 weeks.
For
the first few days breasts will probably be swollen and bruised, a
patient feels some pain and discomfort which can be controlled by
painkillers. But it will take a while until a patient will feel like
himself again. For sure recovery is quicker for those patients who were
in good shape / exercised their body before the surgery. In a clinic
patient should get instructions how to treat the incision during first
few weeks. There can be soluble or dissoluble stitches (removal after 7
days). About a week after removal of stitches it is good to start
treating the incision with ointments that help the scar to flatten out
and lighten in color.
As each surgery also gynecomastia caries some risk. It includes:
bleeding (hematoma), blood clots, infection, temporary changes in
nipple sensation etc. During direct assessment a patient should be
informed about all risks connected with undergoing the surgery.
Gynecomastia results in improvement of look of the male breasts,
enhancement of self-image and confidence.







