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Gynecomastia
What is Gynecomastia?
Gynecomastia is a clinical condition characterised by abnormal development of the male breast.
Children during puberty tend to develop a slight hypertrophy of the glandular component, which tends to regress spontaneously at the end of puberty. In some patients this condition persists even at the end of puberty, causing psychological distress.
This clinical condition can frequently be confused with an increase in the fatty component of the mammary region (pseudo-gynaecomastia) caused by an obvious or congenital weight gain.
Therefore, the following clinical pictures can be distinguished:
- True gynaecomastia (hypertrophy of the glandular component of the breast)
- Mixed gynaecomastia (hypertrophy of the glandular and adipose component of the breast)
- Pseudo-gynaecomastia (hypertrophy of the adipose component of the breast)
- Who and when to operate?
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Patients who come to the doctors at Studio Romano Fuhr for this type of problem must have passed puberty and achieved full body development. In some cases this form can regress or diminish considerably if the adolescent or adult carries out constant physical activity and follows a correct diet.
The operation is recommended in cases of true gynaecomastia or in cases where the excess skin or exclusively adipose component fails to regress either with therapy (tamoxifen) or with diets and constant physical activity.
The operation can be performed all year round, but the best time of year is certainly the cooler months, as it is necessary to wear an elastic corset for 1 month.
- How does the pre-operative examination take place and what are the examinations prior to surgery?
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The preoperative examination with the medical staff at Studio Romano Fuhr is aimed at assessing the patient's general clinical situation and agreeing on the desired result in an absolutely informal but professional atmosphere.
In order to rule out pre-existing pathologies, patients are advised to perform, in addition to the routine examinations for all surgical procedures (blood count, coagulation balance and ECG), the following examinations- ultrasound of the breast region
- andrological examination with dosage of male and female hormones
- What does male breast reduction surgery consist of?
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The methods adopted for male breasts differ from those for women in that they are minimally aggressive. Generally, liposuction of excess fatty tissue is performed, and if glandular tissue is present, it is removed through a small periareolar incision (along the lower margin of the mammary areola).
The operation is performed under local anaesthesia or sedation, although in some cases general anaesthesia is necessary. Operating times are variable depending on the clinical condition and vary between 60 and 90 minutes.
Post-operation generally involves a day hospital stay and the results are stable and long-lasting.
- What will be the postoperative course?
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The post-surgery of liposuction is usually characterised by slight haematoma and oedema associated with mild discomfort easily controlled with oral analgesics over 12 hours.
Bed rest is recommended for 6 hours then progressive resumption of activities in the 2-3 days after surgery. The patient will be checked and dressed after 24 hours, one week and two weeks.
Stitches do not usually have to be removed as these will reabsorb spontaneously. In order to accelerate the resolution of oedemas, wearing an elastic corset for a month is recommended.
