GYNECOMASTIA is the development of enlarged male breasts.
These may be quite small, causing a pointed protrusion of the nipple-areolar complex or massive, involving the subcutaneous fat and glandular tissue.
Male breast enlargement can occur in up to 75% of adolescent boys and is persistent in 7% of cases.
Other pathologic states that may be associated with gynecomastia are testicular tumors, cirrhosis of the liver, lung cancer, hyperthyroidism, carcinoma of the prostate.
Induced gynecomastia with therapy with either estrogen or androgen.
Other pharmacologic agents may also cause gynecomastia.
INDICATIONS:
Liposuction or / and direct surgical excision removing excess glandular tissue will benefit those with the following conditions:
- persistent gynecomastia in a patient older than age 17 years.
- cases of steroid-induced gynecomastias in athletes who self-administer anabolic steroids
- patients with other patologic states depend
- liposuction is indicated when gynecomastia is quite small (50% of cases).
- for massive gynecomastia direct surgical excision and mastectomy may be indicated.
CONTRAINDICATIONS:
- We will not operate if we believe that your objective is not realistic. IT IS IMPOSSIBLE TO OPERATE ON PEOPLE WITH EXAGERATED OR FANTASY EXPECTATIONS. I recommend you read the chapter “Psychological Aspects of Plastic Surgery” of this website.
- If you have poor health, above all cardiovascular and mental disorders we cannot operate.
- Those patients who smoke should stop completely at least one month before the operation because this operation may produce the loss of tissues.
- Patients who are addicted to drugs or alcohol.
- Patients who worry too much about small defects that in reality are very minute.
PLANNING:
Before the operation and after the first consultation, we will be able to propose in writing the possible modifications.
We always do a photo session as a fundamental part of evaluating your case.
WITHOUT PHOTOS WE DO NOT OPERATE. IT IS ALSO VERY IMPORTANT THAT YOU REMEMBER THAT ALL THE INFORMATION YOU RECEIVE IN WRITING, SHOW AN ESTIMATION OF THE FINAL RESULT.
Between you, the patient and me the Plastic Surgeon, we should agree on the results that we are able to achieve.
- We ask for blood tests regularly.
- Do not drink alcohol at least 24 hours before operating.
- Do not take ASPIRIN 15 days before operating.
- Organize your activities so that you are able to rest after the operation.
- This is an outpatient procedure.
ANESTHESIA:
Local Anesthesia without or with sedation is used.
RECOVERY: see LIPOSUCTION
FINAL RESULTS:
Generally the planned results are obtained. It is to obtain a well proportioned figure.
THE FINAL RESULTS WILL NOT BE SEEN 6 MONTHS AFTER THE OPERATION.
The effect is permanent.
Lymphatic drainage 3 times a week for at least two months.
POSSIBLE COMPLICATIONS: see LIPOSUCTION
