Gynecomastia is the excessive growth of the male mammary gland, it is caused by various factors mainly the low production of testosterone or overweight.
Changes in the breasts can be observed from early ages such as between 14-16 years old and in adults from 24-45 years old.
Gynecomastia grade I: breast enlargement, but no excess skin.
Gynecomastia grade II: moderate breast enlargement and may or may not have excess skin.
Gynecomastia grade III: there is a large increase of the breast and there is excess skin.
It can be detected in a simple way with a light palpation to locate a mass under the nipple, which will indicate if the gynecomastia is fat (if the consistency is soft) or if it is rather a glandular growth (the consistency will be hard). Occasionally, during palpation the patient may experience tenderness.
Gynecomastia does not cause health problems, but it can affect the self-esteem of men. There are several techniques that can help us to obtain very good results but it is important to go to a certified plastic surgeon who will give us a diagnosis and apply the appropriate technique according to each case.
Simple surgical removal: It is indicated for cases with breast augmentation due to glandular growth.
Simple liposuction: Indicated for cases of breast growth caused by excess fatty tissue.
Surgical removal plus liposuction: Indicated for cases in which glandular growth is present only in the retro or peri-areolar area, while the rest of the breast augmentation is due to excess fatty tissue.
Surgical removal plus skin resection: Indicated for cases with excess skin, and may require removal of the nipple-areola complex.
Gynecomastia surgery can last between 1 hour and a half to 2 hours and a half, depending on the case. It is an outpatient surgery, no hospitalization is required.
Recovery from this surgery is simple and fast. It does not require absolute rest, the patient is placed in a specialized girdle to stop the inflammatory process, specific medications are given to control pain, inflammation and prevent infections.
The effects of this surgery are permanent.
Patients who have excessively large breasts in relation to the rest of the torso and want to improve their image and self-esteem.
The type of anesthesia depends on the surgical method chosen for the intervention. It can be performed under local anesthesia, local anesthesia plus sedation or general anesthesia, following the recommendations provided by your plastic surgeon.
Hospitalization: Not necessary
Anesthesia: Local with sedation
Surgery Time: 2 hours
Rest Time: No absolute rest is required