Male Breast Reduction (Gynecomastia)
Some men have more than normal mammary gland. It may be physiological (or idiopathic), pathological or pharmacological. Even a quick weight loss can cause skin breakdown on the breast and make the breasts more pronounced appearance and in these cases we speak of “pseudo-gynecomastia”. In 45% of cases it is unilateral, mostly to the right.
Before undergoing surgery it would be advisable to run some checks at the breast, thyroid, liver and testes to rule out a more important pathology secondary gynecomastia.
We are aware that the development of breasts in men can be embarrassing and can make you feel uncomfortable, not only discovered the chest, but also under clothing. The operation has the purpose to reduce its size by removing excess fat, glandular tissue and skin of the call area in question.
Preparing to intervention
Before the intervention will be required to perform a Ultrasound of the mammary region to obtain more precise information on the nature of the deformity and to exclude the presence of tumors.
Two weeks before is avoided l ‘intake of acetylsalicylic acid based drugs (aspirin).
The night before must be done carefully cleaning shower, with fully depilated chest region razor and underarms. Observe fasting for eight hours before the intervention.
The surgery is performed under general or local anesthesia with sedation and may need to stay in the hospital one or two nights.
Dr. Grassetti impact around the dark skin surrounding the nipple (areola) and the excess fat, skin and breast tissue will be removed. In the same action you can be associated with liposuction if it is necessary to remove the excess fat in the area. The removed gland tissue is sent to ‘histological examination.
Only in special cases it is appropriate the removal of a greater amount of skin with consequent scarring also at the level of the inframammary fold.
If they were placed drainage, they are removed after 12-48 hours, so before discharge.
You may feel a slight pain in the pectoral region, it will regress in any case within a few days.
After surgery you will need to wear for a day and night, month, a elastocompressiva type tank top band, to help reduce the swelling and to facilitate the healing process.
A fever is often reported in the first days post-op: is a normal reaction of the immune system, but it must be reported to the surgeon.
The nipple sensitivity will be temporarily diminished.
For the first 4 days after the ‘intervention is recommended resting the chest muscles: do not force the arms to get out of bed, do not lift weights, do not make large movements with his arms. In bed it is good to rest with raised bust.
For the first week it will be forbidden to drive a car. In case some cutaneous points have been positioned, these will be removed after a week. At this point it will be possible to perform the first shower (not the bathroom!)
For the first 10 days it will be recommended instead a home resting, always avoiding efforts to pectoral muscles, performing instead walks also to ‘open air. And ‘advisable to wear shirts and open mesh before, that avoid making sweeping movements with his arms during the’ act of wearing them.
The work can be resumed after 10 days, except in case of major manual effort.
For about a month will have to be avoided any kind of sports activity and exposure to the sun or heat (sauna, sun lamps, etc.).
All operations involve risks and benefits. The possibility of complications after a gynecomastia surgery depends on the type of operation and other factors, such as your overall health.
They can be general, as in any surgical procedure, such as bleeding and hematoma which if severe can also result in the return to the operating room, collected serum, infection that can lead to the reopening of the wound and although rarely thrombophlebitis.
Furthermore, specific complications of this type of intervention are the possibility of irregular thickness of the subcutaneous tissues with undulations, depressions and modest cutaneous asymmetries; scar retractions improvable with massage; necrosis of ‘areola which can also lead to its reconstruction after a long time; the persistence of the excess skin in case of reduced skin retraction, which can be corrected at a distance of time.
Scarring and results
The operation produces cicatricigeneralmente limited to less emiareolare region. They may extend to the whole areola circumferentially only in case Cuisia necessary to reduce its diameter. Sometimes, as mentioned, in cases where the excess skin is conspicuous, the scars extend vertically from the bottom edge of the areola to the groove and along the inframammary fold (inverted T).
The quality of the scars and improves over time, especially those periareolar, are visible with great difficulty. Unfortunately, some patients may develop reddened scars and detected because of a hyper-unpredictable individual reactivity. They can still be corrected with medical treatment or surgical revision after one year.
After ‘intervention may remain small breast asymmetries in the shape and volume of the breasts or in the’ orientation of the nipples. The latter could even rin some procedures also permanently lose sensitivity.
The final result is noticeable already one month after ‘intervention and can be considered final after six months or so. The results are always very satisfactory and are permanent: the excised tissue is not more reform, unless they intervene hormonal variations, or significant increases in the weight acting on the glandular tissue and adipose residue