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Cirugía de Mamas - GYNECOMASTIA GYNECOMASTIA

Cosmetic Surgery / Breast Surgery /

GYNECOMASTIA

Gynecomastia refers to over-development of male breasts. Although it is a problem that is not often talked about, it currently affects 40-60% of men. It can affect one or both breasts.
 
In most cases there is no known cause for gynecomastia, although certain drugs or medicines, and certain medical problems can be linked to the over-development of male breasts. Gynecomastia consists of eliminating fat and glandular tissue from the breasts, giving rise to a flat, firm and well contoured thorax.

Would you be a good candidate for gynecomastia?

If you are a healthy male, you have finished your hormonal development, and you have elastic and firm skin, you are a good candidate. If you were overweight and after returning to your proper weight you still have fat in the breast area, you could also be a candidate for gynecomastia surgery.
 
If you have been overweight, it is important to first treat your problem with exercise or weight loss, before resorting to male breast reduction surgery. You will not meet the necessary conditions for the operation if you drink excessive alcohol or you smoke hashish derivatives. These drugs, together with anabolic steroids can cause gynecomastia, so you will have to change your habits to see if your breasts are reduced before considering surgery.

  • Surgery to correct enlarged breasts in men

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    The procedure for correcting enlarged breasts in men can be performed under general anesthesia, or in some cases, under local anesthesia and sedation. The patient will have to stay in the hospital for 6 to 24 hours.
     
    If the excess of glandular tissue is the main cause, it must be removed with a scalpel. This procedure can be performed alone, or together with liposuction. The incision is normally made in a barely visible area at the edge of the areola. Working through this incision, the excess of glandular tissue, fat and excess skin are removed. If liposuction is performed to remove an excess of fat, the cannula is usually inserted through the existing incisions.
     
    If the gynecomastia consists mainly of excess fat tissue, liposuction will be performed to remove it. A small incision is made – less than 1 cm- in non-visible areas, and, with the help of a hollow cannula, together with a vacuum pump, the fat is broken up and vacuumed. You may notice vibrations or friction during the procedure, but it does not cause pain.
     
    When large quantities of fat are removed, the skin may not adjust to the new contour of the body. In these cases, the excess skin may be removed so that the remaining skin can adjust itself properly to the new breast contour.

  • After surgery

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    After gynecomastia, whether the incision was performed with a scalpel or with liposuction, you will notice some discomfort for a few days. However, this discomfort can be controlled with the proper medication.
     
    You will feel swollen for a while, and in order to help reduce the swelling, you will need to wear an elastic garment. Although the swelling will disappear to a large degree in a few weeks, it can take up to three months or more for the final results of the operation to be visible.
     
    In the meantime, it is important to get back to normal. You should recover progressively and go back to your normal activities when you feel well, which could be one or two days after surgery. If there are stitches, they will be removed in one or two weeks after the procedure.
     
    It is best to avoid strenuous exercise for three weeks. In general about one month will go by before you can go back to your normal physical activity. You should avoid exposing the scars to the sun for at least six months.
     
    Sunlight can produce permanent changes in skin pigmentation, making the scars darken.

  • Results

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    The final results of surgery to correct enlarged breasts in men, or gynecomastia, are completely satisfactory and permanent.
     
    Complications are infrequent and generally minor after gynecomastia. The procedure can cause visible scars, changes in the pigment of the breast area, or slightly asymmetrical breasts or nipples.
     
    Temporary side effects include reduced sensitivity of the breast skin, that can take a year to go back to normal.