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Male Breast Surgery, Gynecomasty

The last few years have seen a dramatic increase in the number of men opting for plastic surgeries. Several factors seem to be contributing to this growing interest in aesthetic enhancement.

Confidence: Technological advances have made it possible for plastic surgeons to create completely natural looking results with relative ease. The use of lasers and advanced techniques are decreasing both procedure time and healing time. The growing numbers of both men and women choosing to undergo cosmetic procedures reflects a high level of confidence in surgeons and doctors.

Career moves: Perhaps more than ever before, an individual’s professional success can depend on his/her outward appearance. Older men frequently choose plastic surgery in order to maintain a healthy, vigorous look.

A Boost: Men are realizing that feeling good about oneself can improve self-confidence. As cosmetic surgery is becoming more widely accepted, men are choosing both minor and major procedures in order to enhance their looks and boost their body image.

Gynaecomasty

About the procedure

Genetic or acquired, gynaecomasty means an abnormally large size of male mammary gland. It is usually present on both sides, rarely it is unilateral. Without being a health problem, it can have a negative influence on a man’s self respect. Gynaecomasty (Ginecomasty) cure can be cured surgically and consists in removing the mammary gland, the adipose tissue and by need skin excess.

Consultation

Consultations offered prior to the operation are an essential for the plastic surgeon and for the patient to be.

During the consultation the basis for the future therapeutic plan is set, taking into consideration your wishes, with the assistance and help provided by a specialist’s advice and experience, in order for the final result to totally comply with what your expectations.

The surgical plan is customized for each individual so that it would address personal needs and objectives.

What to expect:

The first consultation will be a discussion during which the plastic surgeon informs you on the characteristics of the aesthetic surgery procedure you requested, and also on possible existing alternatives or associations with therapeutic procedures. You will receive detailed answers to all problemsconcerning you, and you will receive all the information about the therapeutic algorithm from the beginning to the full recovery.

Afterwards, you will inform the plastic surgeon upon possible health problems and you will be submitted to a general exam and one of the parts to which you want to bring a change.

You will be presented similar before and after cases, which should help you get a correct image on the result.

In the case of gynaecomasty, the plastic surgeon will present to you the methods of treatment and the position of future scars. Also liposuction and liposculpture (most frequently necessary to men) will be considered.

The surgical procedure is performed under general anaesthesia

Gynaecomasty can be solved through liposuction or surgical excision. Surgical excision is indicated if the glands are excessively developed and consists in extirpation of the mammary gland, removal of tegument excess and reposition of mamelon areolas. The resulting scar will be semicircular or linear and sometimes vacuuming drainage may be necessary for 1-2 days.

Possible complications

If the plastic surgery procedure is performed in adequate operatory conditions and by an experienced plastic surgeon, complications are usually rare and minimized.

Hematoma, seroma, infections are rare complications. Hypertrophic healing, the appearance of cheloids and the means to prevent or treat them will be discussed with your plastic surgeon.

Coming back to the normal

After the intervention you will wear a special garment, chosen together with your plastic surgeon. Moving is allowed starting with the next day, when usual activities can be resumed. Hospitalization lasts for 1-2 days and threads are extracted after 12-14 days. Office activities can be resumed after 4-5 days, but activities involving greater physical efforts are not recommended for two weeks.

For you:

Gynaecomasty operation is an aesthetic surgery procedure, performed on basis of schedule.
If it helps, you have the possibility of being accompanied by someone close, before and after the intervention.

Do not eat or drink anything the day preceding the operation, starting with 12:00 A.M.

Give up taking medication based on aspirin and vitamin E.

Vitamin C supplement is recommended with 2-3 weeks before the operation, to support healing.

Reduce number of smoked cigarettes 2 weeks before the intervention.

Sun exposure is forbidden until the scar has healed completely.

You will be allowed to take a shower starting with the second or third day.

Practice Guidelines and Position Statements

The American Society of Plastic Surgeons (ASPS) issued practice criteria for third-party payers. (3) In this document, the ASPS classifies gynecomastia with the following scale which was “adapted from the McKinney and Simon, Hoffman and Kohn scales.”

  • Grade I Small breast enlargement with localized button of tissue that is concentrated around the areola.
  • Grade II Moderate breast enlargement exceeding areola boundaries with edges that are indistinct from the chest.
  • Grade III Moderate breast enlargement exceeding areola boundaries with edges that are distinct from the chest with skin redundancy present.
  • Grade IV Marked breast enlargement with skin redundancy and feminization of the breast

According to the ASPS, in adolescents, surgical treatment for unilateral or bilateral grade II or grade III gynecomastia may be appropriate if the gynecomastia persists for more than 1 year after pathological causation is ruled out (or 6 months if grade IV) and continues after 6 months of medical treatment is unsuccessful. In adults, surgical treatment for unilateral or bilateral grade III or grade IV gynecomastia may be appropriate if the gynecomastia persists for more than 3-4 months after pathological causation is ruled out and continues after 3-4 months of medical treatment is unsuccessful. The ASPS also indicates surgical treatment of gynecomastia may be appropriate when distention and tightness cause pain and discomfort.

 


Breast Surgery Info

Complex information page with a description of the breast surgery procedures, a unique glossary - an explanation of the most important terms - and essential knowledge on the pre-and post-operative period.


Ask the plastic surgeon!

Good morning, I was wondering what is the price range for Gynecomastia Surgery.

I'm looking for the best price here in Budapest where i live.

Sigurvin

Click here to see the answer 2016-03-15

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