Responsável Técnico

Dr. Denis Valente | Cirurgião plástico

CREMERS 24617 | RQE 18465

Gynecomastia

The excessive increase in volume of the male breast is called gynecomastia. The degree of increase varies with the problem and can be formed mainly by fatty tissue or glandular. Clinical evaluation of the patient is of vital importance for proper patient care, since there are some medications that cause gynecomastia and the situation can be resolved simply by suspending them.

Candidates

Adolescents and men with enlarged breasts.

Total duration of surgery

30 minutes.

Inpatient /Clinic,

Outpatient 4-8 hours after surgery

Recovery

Compressive garment used for two or three weeks, light physical exercises can be performed 5-7 days after the procedure and heavier exercises about 3-4 weeks after surgery. Patients usually complain of tenderness to the touch on the first day, this question is subject to wide variation, since the threshold of pain can vary significantly from one person to another. If there is any greater discomfort the conventional medications will be sufficient to solve the problem, always with the appropriate knowledge and doctor’s prescription. The swelling is usually intense during the first 2 weeks, when rest is essential. Red or purple stains usually settle around the operated areas, usually persisting for one to two weeks. The stitches are removed between the fifth and eighth days after the procedure. Edema improvement should occur within the first month, after which there will be a residual swelling with areas of rigity and irregularity, which may persist for some months, without preventing the patient to carry out its daily social activities. Techniques of lymphatic drainage and massage therapy as well as external ultrasound may be useful in this post-operative recovery.

Objectives

to decrease the breast size. Harmonize the body contour.

Anesthesia

Epidural with sedation.

Incisions and technique

Incisions are often placed in locations not easily visible. All care will be taken that these incisions are placed in less visible area, and become discrete lines and virtually imperceptible over time. When liposuction is performed only two small incisions are made ​​in the lower nipple. When it is necessary to remove the skin there is a dialogue between patient and doctor to determine the best positioning of the scars.

Undesirable effects

There is a rare possibility of asymmetry, dimpling, skin pigmentation and bleeding. Temporary numbness of the skin and hematoma (accumulation of blood). Irregularities of the skin may occur in some patients and can be treated if necessary. Local edema that usually give up to three months is what occurs in almost all patients.