Gynecomastia: plastic surgery reduces breasts in men
Gynecomastia is the benign increase of the breasts in men, there are two causes for this growth:
- The accumulation of fat in the breasts, a consequence of weight gain, is also called a lipoma or pseudoginecomastia;
- The enlargement of the mammary gland, called gynecomastia.
In this case, the causes may be related to hormonal imbalances caused by medication, such as spironolactone (used in the treatment of arterial hypertension) and benzodiazepines (psychoactive drugs), liver and thyroid problems. Drugs such as marijuana and heroin can also cause breast augmentation. Plastic surgeon Patrick Kovac of the Brazilian Society of Plastic Surgery explains that this change is also very common in men who use anabolic steroids.
There are still individuals who have both changes.
In all three cases it is possible to perform the treatment However, boys who are going through puberty should wait until at least 18 years old. "Waiting for this time ensures that the patient does not have to undergo another surgical procedure later," says plastic surgeon Patrick.
There is also a need for the patient to go through the endocrinologist before opting for the operation, since it is necessary to treat also the causes of breast enlargement.
Gynecomastia and lipomastia do not cause immediate harm to human health. However, the plastic surgeon André Colaneri, also a member of the Brazilian Society of Plastic Surgery, explains that if the patient feels constrained and avoids social contact, which damages the emotional, it is true to say that his health is compromised. gynecomastia surgery
In cases of lipomastia, the recommendation is for a common liposuction.
In case of enlargement of the glandular tissue it is necessary to remove the entire mammary gland. "If the surgeon leaves any remnants of this tissue, the gland will grow again," says plastic surgeon Patrick.
The incision will depend on the amount of tissue to be removed, larger breasts will also require a greater removal of the skin, which may leave larger scars. In general, a half-moon shaped cut is made around the nipple, with the opening facing up. "Both surgeries are done with local anesthesia and sedation, with discharge on the same day and return to work in three days, "explains plastic surgeon André Colaneri, a member of the Brazilian Society of Plastic Surgery. In rare cases, general surgery is used, in this case, the length of hospital stay should be longer (at least 24 hours).
The plastic surgeon is the professional fit to perform
Indications for gynecomastia surgery
Gynecomastia surgery is indicated for men over the age of 18 who did not obtain the expected response to the clinical treatment and / or presented psychic discomfort due to gynecomastia.
Exams necessary before surgery
In general, laboratory tests are requested, such as a complete blood count. The presence of anemia, infections, changes in platelet counts will be evaluated. It is considered prudent to request sodium, potassium, urea and creatinine dosages in order to assess renal function. A complete coagulation test is also required to check for blood clotting disorders. After a certain age it is advisable to order fasting blood glucose to assess whether the patient has diabetes. In some cases it may be necessary to request a common urine examination with uroculture, with which it is possible to diagnose a urinary infection. For older patients, other tests become necessary, such as the electrocardiogram and chest X-ray to assess cardiac and pulmonary function.Specific exams
The doctor should request a breast ultrasound, even to evaluate the composition of the patient's breast enlargement.
Time of surgery
Both lipomastia and gynecomastia last around one hour. If there are both, the surgery lasts for about 1.5 hours.
The patient should fast for eight hours before surgery and not take medicines that interfere with coagulation, such as acetylsalicylic acid , for example. You will need a tricotomy - removal of the hairs between the neck and the navel and the hair of the armpits. If the man chooses, he can perform this procedure at home before surgery.
Recovery after surgery
The patient can be discharged the same day, six hours after the end of surgery. It is necessary to use incision drains at the surgical site for three days, on average.
After a gynecomastia surgery, it takes an average of two weeks to return to normal movement. The patient should also wear an elastic waistcoat in the postoperative period, for about 30 to 45 days, in order to improve the adherence of the skin to the thorax. The vest should only be removed for the bath, which should be done one day after surgery. Physical exercises should be resumed within 30 days after removal of the surgical vest. Smoking should be avoided for at least 15 days after surgery. The plastic surgeon should also prescribe an antibiotic with the purpose of avoiding infections and analgesic and anti-inflammatory medication, especially if the liposuction is performed, surgery that tends to have a more painful postoperative period The risks of gynecomastia surgery are the formation of bruises (which the use of elastic waistcoat helps prevent), ecchymoses (purplish spots), opening of the incision (the surgical wound, before of becoming scarred), infection, necrosis of the skin and unsightly scars. According to surgeon André Colaneri, the results of gynecomastia surgery depend on many individual factors, however, it is common for breasts to look good and with discreet scars. The final result is between six months and one year after the surgery.
Check before consultation
The doctor that you will consult must be registered with the Federal Council of Medicine (CFM), it is possible to do this check on the institution
-Professional must be a member of the Brazilian Society of Plastic Surgery. Other institutions do not evaluate the training and experience of the professional of this area
-The surgery must be done in a hospital that has accreditation to perform medium-sized surgeries. Contact the hospital to check
-Contact someone who has had surgery with the same doctor and find out about the procedure and the results
-If the choice is local anesthesia and there are no complications in the procedure. postoperative, it is possible to return home the same day. It is recommended that the patient stay at least six hours in observation after surgery.
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