Gynecomasty - Male Breast

Indication

The term gynecomastia, from the Greek "female breast", defines the benign increase of the male mammary region. The increase in breast volume due exclusively to the accumulation of fat (not the gland) is called pseudoginecomastia. Gynecomastia presents as an enlargement of the breasts, usually rounded under the areola. The smaller the presence of fat, the more evident the demarcation of the mammary gland becomes. This presentation is more common in adolescents and has several causes, from disease to drug induced.

With the increase of fat volume in the breasts, the gland becomes less evident, the breast being enlarged diffusely. This type of clinical presentation is more common in adult patients and in the elderly.

Type of anesthesia

Local anesthesia with sedation is usually used.
Length of hospital stay and length of surgery
The surgery usually takes one to two hours and then the patient is released three hours after the procedure.

Postoperative

The patient should be kept away for 21 days. A compressive mesh should be used for about a month and a half. It is not common to have important pain, only a slight discomfort, contornable with analgesics and common anti-inflammatories.

It is common for swelling and redness in the operated area, which lasts around 14 to 21 days. There may be change in the sensitivity of the areola, usually transient.

Definitive result

In the first few months, the scar that is made by the lower border of the areola is reddish, becoming generally whitish over time, depending on the genetics of the patient, and tending to become imperceptible. The biggest swelling occurs in 21 days, but some remnant may remain for a few months.

The final result of correction of gynecomastia is reached between six months and one year, with the maturation of the scar; However, with two months, 80% of the final form is already obtained.