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General Description

Today, many men are looking for a solution that can solve a problem that until a few years ago was considered almost a taboo, male breast hypertrophy. Currently, this imperfection, which can cause serious discomfort and embarrassment, affects more than 40% of the world's male population, but it can be corrected with a surgical operation to remove the mammary gland and reduce the gynecomastia disorder.

What is gynecomastia?

The term indicates an overdevelopment of the male breasts caused by excessive development of the mammary glands (called true gynecomastia) or by an excess of adipose tissue (also called pseudogynecomastia, false gynecomastia, or lipomastia). It can be classified into 3 degrees, defined according to the volume of the mammary gland and excess skin, and can occur in one breast or both. To make a correct diagnosis, it is necessary to undergo an ultrasound or mammography examination to verify the development of the gland. Most of the treated cases present a mixed gynecomastia, that is, with the presence of fat and mammary gland. Gynecomastia may be normal during puberty, but only 7% of men continue to experience this problem for life. The causes of this hyperactive development of the male breast can be due to several factors, including: hormonal problems, being overweight or losing weight. Among the agents that can cause hormonal imbalances at the base of this imperfection are negative habits such as the abuse of antidepressant drugs or doping substances and food supplements. It can be caused or increased by exogenous hormonal inputs such as testosterone or anabolic steroids, but also by an increase in body fat caused by weight gain.

How can I know if I am a candidate?

As in any other surgical procedure, the procedure can be performed on patients in good health (physical and psychological) who underwent evaluation by a specialist who could indicate the degree of gynecomastia and the best surgical or non-surgical procedure to treat the problem. . A better result will be obtained if the patient's skin is elastic and firm, since in this way, it will better adapt to the new body contour. Usually during the puberty phase, normal breast enlargement can occur even in children, so for very young patients it is necessary to assess with an endocrinologist whether, once growth is complete, the breasts will return. their normal size or they will keep their pointed shape. For this reason, it is always advisable to consult a specialist doctor who can accurately assess the patient's hormone levels and formulate the correct diagnosis. “The man's chest loses its masculine aspect and this causes great discomfort for men when it comes to showing their chest in the gym, the pool, etc. In addition, it can even condition your intimate life or the way you dress”.

Can diet help eliminate gynecomastia?

As we have seen, it is associated with abnormal development of the mammary gland and various agents that can contribute to its development, such as drugs, steroids, tumors, liver cirrhosis, kidney failure, and many other factors. Despite the numerous causes known and recognizable by specialists, the vast majority of cases are considered idiopathic, that is, without an identifiable cause. When a treatable factor is found, the patient is referred to a specialist for joint management and treatment. However, if these identifiable causes are excluded, treatment will be with surgery followed by resection of the mammary gland. Diet alone has no direct influence on this specific area of ​​the body. Being overweight can generate fat accumulation in this region and, consequently, cause the so-called false gynecomastia or pseudo gynecomastia, but in case of hypertrophy of the gland (true gynecomastia), a diet cannot eliminate the defect.

The gynecomastia correction procedure

The operation consists of an incision of a few centimeters made at the level of the mammary areola. Specialists often prefer to combine the procedure with liposuction, both to remove excess fat and to soften the subcutaneous tissue around the extraction area and recreate the natural curve of the chest. The correction is often done in conjunction with liposuction to remove part of the chest fat and isolate the gland. In the same surgery, after liposuction, a cut is made around the lower edge of the areolas through which the gland is removed. The operation is performed in the operating room and lasts between 1 and 2 hours, it can be performed with local anesthesia and sedation in a day hospital with the patient being discharged the same day. In the most severe cases with a large volume of gynecomastia, the surgeon uses techniques that involve the removal of the gland associated with the resection of excess skin, with a procedure very similar to that used in female breast reduction surgery.

Does gynecomastia surgery hurt?

Because it is a treatment that requires plastic surgery, the patient may feel uncomfortable for the first few days after the procedure. The surgeon may suggest the use of appropriate medications to relieve postoperative discomfort. According to Dr. Giorgio Maggiulli, the pains are not excessive and can be easily controlled with painkillers. In any case, it is not common to experience very sharp pain and also the discomfort will gradually change over time. If the symptoms persist, do not hesitate to contact your doctor to verify the situation and help you with whatever you need.

How is the postoperative period of gynecomastia surgery?

The postoperative period is not particularly complicated, but care must be taken in following the care and instructions of the surgeon to achieve the expected result and facilitate healing. After the operation, a compression band or girdle should be worn for about 1 month and no physical effort should be made. This band will help drain and maintain circulation in the operated area. It will be necessary to avoid physical exertion and the practice of sports during the first few days and cures with local antiseptics must be carried out on the surgical wounds until the stitches are removed. In addition, the doctor may recommend the use of certain medications to relieve pain and promote a faster recovery of the body. In some cases, it may also be necessary to use the drain, but the recovery process is different for each person and for each need, the doctor is the only one who can evaluate and decide on a case-by-case basis. As a general rule, you will be able to return to your normal activities after 4 days, while you must wait at least 1 month and a half before being able to exert yourself and do physical activity, such as lifting weights or playing sports, always following your doctor's instructions .

Results

As a result, patients can look forward to a more harmonious and masculine chest. The results are immediate and permanent, but as bruising and swelling may still appear, the final effect will be noticeable after 6 months of the intervention. Surgical removal of the mammary gland usually resolves the problem permanently without the need for further adjustments, but it is always recommended that the patient exercise and control their diet to prevent weight gain from affecting the result obtained. If the breast tissue is removed, it does not regenerate. Recurrence of gynecomastia is extremely rare, as long as the risk factors are kept under control and the surgery is performed correctly. Therefore, it is important for the patient to ensure that they have chosen a qualified plastic surgeon and member of recognized associations. Gynecomastia surgery could also be combined with abdominal liposuction to give a "more aesthetic and harmonious" appearance in both the chest and abdomen, or also a high-definition surgery for abdominal structures.

Frequently asked questions

  • Can Social Security cover gynecomastia? In general, no, because it is an aesthetic intervention.
  • Does gynecomastia leave scars? In the case of true gynecomastia (excess gland) there will be a small scar along the edge of the areola and sometimes a small ripple due to scar traction. In case of excess fat, micro scars remain due to the passage of the cannulas.
  • How can I tell if mine is true or false gynecomastia? Gynecomastia is defined only during the visit, but above all with the help of ultrasound that establishes the size of the glandular and adipose component.
  • Can gynecomastia return after the operation? Gynecomastia as such does not, but with considerable weight gain you can gain weight by creating a similar framework.
  • In case of lipomastia, can you intervene without surgery? The best treatment is surgery, but for those who do not want to do it, an alternative could be, for example, cryolipolysis, even if obviously the results obtained are not the same as surgery.

Price:

El costo es de $2,200 dlls.

Do you need more information or schedule an appointment?

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