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BREAST

Male Breast Reduction (Gynecomastia)

WHAT IS IT FOR?

Reduces male breast and excessively broad areolas to provide a masculine breast appearance

HOW IT WORKS

There are several causes that lead to the appearance of an excessively bulky breast in man. However, in many cases the cause is unknown and this problem may arise during childhood, adolescence or adulthood. Known causes of enlargement of the glandular breast tissue include some types of tumours or hormonal and endocrine problems (which should be investigated), excessive consumption of anabolic steroids or alcohol and some medications, among others. Pseudogynecomastia is related to the increase of fat in the breast, usually in cases of obesity or post-obesity, in which the patient has a "sagging" breast. Surgical treatment usually requires liposuction, which can be complemented by direct excision of glandular tissue (usually more stiff and difficult to suction) and/or reduction of areolas. In extreme cases, there may also be a need to remove some skin, requiring a scar at the inframammary fold level

PROCEDURE DURATION

1h30 to 2h30

OPTIONAL ASSOCIATED PROCEDURES

Abdominoplasty, brachioplasty, liposuction, thigh lift (cruroplasty)

TYPE OF ANESTHESIA

General anaesthesia

SCARS

Usually the scar is periareolar, i.e., along the edge of the areola. In extreme cases, there may also be a need to remove some skin, requiring a scar at the inframammary fold level

HOSPITAL STAY

Outpatient or 1 day in hospital

RECOVERY

You can return to work in about 5-7 days as long as there is no weight lifting or exertion required. We recommend full arm lift to start only from week two onward. Sports activities can be performed after 6 weeks. You should also wear a compressive garment (recommended by our team) for 6 weeks. After a few months, the scars acquire a tone similar to the surrounding skin, becoming less noticeable

RISKS AND MOST FREQUENT PROBLEMS

Due to liposuction, there are usually bruises (bruising) that disappear in 1-2 weeks and discomfort that is easily tolerated and manageable with analgesia. There may be excessive fluid production a few days after surgery, which may need to be aspirated. Sometimes initially there is swelling or a change in nipple sensitivity (increased or decreased). Less frequent are excessive scarring or hyperpigmentation of the scars, hematoma and infection. There may be irregularities or adhesions of the skin and areola to the deeper planes, which may improve over time or need to be corrected in the future.

PROCEDURE LONGEVITY

The procedure is usually definitive