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Gynecomastia is enlargement of the male gland in the breast or might be related with an overgrowth of fat of breasts in men that is not the result of obesity. In many cases there are combined two of these reasons same time. Men of all ages may struggle with gynecomastia but most often this condition affects men during puberty period or andropause. The problem of gynecomastia may affect a single breast but may also occur on both sides.
CAUSES OF GYNECOMASTICS
The causes of gynecomastia may vary – most often they are caused by hormonal disorders. They can also be the result of taking medicine or supplements containing anabolic steroids. There are three basic types of gynecomastia: glandular, fat, mixed. The most common type of gynecomastia is the mixed type: fat-glandular. One effective treatment for gynecomastia in men is surgery.
PREPARING FOR THE TREATMENT
METHODOLOGY OF THE TREATMENT
POST-OPERATIVE RECOMMENDATIONS
POSSIBLE COMPLICATIONS
CONTRAINDICATIONS FOR THE TREATMENT
PRICES
DOCUMENTS
PREPARING FOR THE TREATMENT
Surgery must not be given to patients who are obese, take anabolic drugs, or abuse alcohol. Good test results and good health are also important when qualifying for surgery. Therefore, before the planned procedure, the necessary blood tests are performed:
- morphology,
- blood coagulation factors (APTT / INR),
- creatinine,
- electrolyte levels (Na-sodium, K-potassium),
- blood group (standard for procedures under general anesthesia).
An anesthesiological interview is conducted immediately before the procedure and an interview with an anesthesiologist during which the patient can learn all aspects of general anesthesia. About two weeks before surgery, smoking should be stopped – it has a significant impact on the wound healing process. You should also avoid taking medicines that thin the blood, e.g. aspirin. On the day of the operation, do not eat or drink beverages (including water) for a minimum of 6 hours before surgery.
METHODOLOGY OF THE TREATMENT
Surgical treatment for gynecomastia varies depending on its type and size. In the case of small gynecomastia, liposuction is usually limited, which leaves two small incisions under the mammary gland. Most of cases require liposuction with excision of gland. In the case of large (enormous) gynecomastia, a classical procedure is required. It involves subcutaneous excision of excess gland, possible liposuction and excision of excess skin. This type of surgery requires access to the gland through an incision of the nipple areola and additional incision to the direction or armpit reduce an excess of skin. All methods are performed under general anesthesia.
POST-OPERATIVE RECOMMENDATIONS
After performing a gynecomastia procedure, the patient may experience unpleasant effects of the surgery, such as swelling, discomfort when moving, pain. There may also be bruising in the treatment area, which is the body’s physiological response to the treatment. The final effect of the procedure appears a few months after the surgery and is determined by an individual healing process. It is important to follow the doctor’s instructions during recovery:
- limit physical activity for a minimum of 4 weeks after the procedure,
- wear a compression vest for about 6-8 weeks,
- properly treat the surgical wound with an antiseptic preparation until healing,
- if necessary, the attending physician recommends additional antibiotic therapy and/or taking painkillers if necessary.
POSSIBLE COMPLICATIONS
- hematomas,
- bruising and swelling
- complications associated with postoperative wound healing
- seroma
- scarring
- asymmetry
CONTRAINDICATIONS FOR THE TREATMENT
- poor blood test results
- coagulation disorders
- unregulated blood pressure
- unregulated diabetes
- purulent skin infections
- body infections
