- Gluteal Prosthesis
- Calf Prosthesis
- Post-Weight Loss
GYNECOMASTIA (MALE BREAST REDUCTION)
Gynecomastia is the medical term used for the increase of breasts in men, and it’s more common than people think. It is estimated that the gynecomastia affects up to 40% of men, in one or both breasts.
The female breast format, produced by the gynecomastia, is an important cause of shame and inhibition; and it usually embarrasses the men who suffer from it, potentially leading to psychologic trauma, especially among young men and teenagers, who avoid going to the beach or to the pool, because takin of their shirts reveals the increased breasts.
Gynecomastia can be related to a hormonal imbalance, in which there is an increase in the estrogen production and the testosterone production is lowered. Although certain drugs (anabolic steroids, excessive alcohol, corticoid, spironolactone, among others) and medical conditions (liver cirrhosis, hormonal disorders) can contribute to the appearance of male gynecomastia, in most cases there is no identifiable cause (“idiopathic gynecomastia”). It can also be caused by the accumulation of fat in the region.
There are three types of gynecomastia: the “true” one, the “mixed” one, and the “false” one. The “true” one is caused by a benign hypertrophy of the mammary gland. The “false” one, is caused by the excess of accumulated fat. And the “mixed” one, is a result of the association of two factors.
• Men whose condition can’t be corrected through alternative medical treatments;
• Healthy men who don’t have any life-risking diseases or medical conditions that might interfere with the scarring;
• Non-smokers and non-drug users;
• Men with a positive outlook and specific goals to improve the physical symptoms of gynecomastia.
• If you are physically healthy and in your ideal weight;
• If you have realistic expectations;
• If the breast growth has stabilized;
• If you feel bothered by the feelings that your breasts are too big.
Teenagers can benefit from the surgery, although secondary procedures might be necessary, in the future, due to the continuity of the breast development.
The treatment for gynecomastia can be made with liposuction and/or drying the gland tissue through an incision around the areola. The procedure is made with general anesthesia or local anesthesia with sedation, and the patient can return home on the same day.
The resulting scar usually has a great esthetic aspect, due to the naturally dark color of the areola region, which will “conceal” the scar. In most cases, the gynecomastia is mixed, and there is a need to combine liposuction and the surgical removal of the gland tissue.
It is normal to feel some discomfort a few days after the gynecomastia surgery. These symptoms are temporary and easily controlled by painkillers, described by the surgeon.
Most patients go back to their daily activities and work between 14-48h, as long as that activity doesn’t demand intense physical effort. The removal of the stiches, if necessary, is made 7 to 14 days after the surgery. It is recommended to use thoracic girdles for 1 month.
The result is permanent and produces a flat, firm thorax, with a male aspect. The recovery time is fast, and the patient can return to his activities in one week. Exercising is allowed after 1 month.