The gynecomastia is known as the abnormal growth of one or both mammary glands in the male, accompanied by an increase of fatty deposits at that level, which is impossible to correct with exercise or diet, being the only therapeutic option indicated is the surgery and whose main objective is to create a natural breast and especially, very masculine.
In general, this is a benign (non-cancerous) condition that arises when the number of female hormones increases or male hormones (testosterone) decreases, which usually occurs in the teenage years in which the man has hormonal changes, and that in 75% of the cases disappears in a period of months once the sexual maturity is reached.
It is considered a good candidate if you are a healthy man, of good weight and that once reached the sexual maturity, presents / displays development of its mammary glands, and therefore must consider to undergo this procedure.
The best results are obtained when the skin is elastic and firm, and adapts to the new body contour. On the other hand, it is not advisable to think of surgical intervention as a first-choice method if the affected person owes his problem to obesity and has not tried to correct his overweight with exercise and change of eating habits, nor will he be a good candidate. A person who consumes marijuana or drinks alcohol in excess, as it is known that these drugs, along with anabolic steroids, can cause gynecomastia.
It is usually performed with local anesthesia plus sedation for the patient’s tranquility and relaxation, being managed as average time 2 hours approximately.
By mean of minimum wounds (0.5 cm.) located at strategic points, the liposuction of the pectoral area is first performed in order to remove excess fat. Later, through a lower periareolar incision, the resection of the Hyperplastic glandular tissue, and finally, before completion of the procedure, a drainage is placed.
In relation to this it is important to know that these scars are practically invisible and imperceptible, passing unnoticed even when the patient is with his chest completely uncovered.
It is a procedure that is managed on an outpatient basis, and can be discharged once the residual effects of anesthesia have passed, typically 3-6 hours later.
The person should rest relative, take the prescribed drugs as directed, eat normally according to tolerance and drink plenty of fluids.
You should perform daily clean on operative wounds, maintain proper dressing and drainage care, and it is recommended not to be exposed to the sun for at least the first 8 weeks.
This period implies that the patient must maintain a bandage that will keep his chest covered, which is removed between the 4th and 5th day after surgery along with the drainage, from which time he will have to wear a special medical vest 24 hours a Day for 8 weeks, and because of the potential for inflammation of this procedure the patient is subjected to ultrasound and post-operative lymphatic drainage therapies.
Usually the sutures are removed at 8 days, which also corresponds to the average recovery time, returning the patient to his daily activities one week after the procedure, as long as he is not exposed to physical exertion.
In relation to these we remember that however minimal they may be, there is always the possibility that they may present themselves, being able to mention within the probable complications: infection, excessive bleeding, tissue necrosis, seromas (accumulation of fluid) and even scar.