One gynecomastia is an increase in the volume of the mammary glands in humans. It may involve only one side (unilateral) or both (bilateral) or it may be asymmetrical.
So it's simply a breast hypertrophy in men.
There are mainly 2 types of interventions:
Gynecomastia of fatty origin (Adipomastia): in this case, it is an accumulation of fat that is the cause of hypertrophy. Liposuction is enough to correct the problem.
Glandular gynecomastia: in this case, it is the mammary glandular tissue that increases in volume. The intervention will therefore consist in removing glandular tissue.
After the procedure, in some cases, the breast skin may be loose and in excess, so it is necessary to perform a breast lift in these cases (at the same time as the operation).
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General or local with slight intravenous sedation.
1 hour approximately.
On an outpatient basis.
LTheir size depends on the surgical technique used, but they are generally well hidden at the areola, which is more pigmented than the rest of the skin.
Edema and bruises in the treated areas gradually resolve within a few weeks. The pains are minimal, easily relieved by usual painkillers.
A few days of work are needed to recover. Sport can be resumed after 3 to 4 weeks.
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The result is noticeable from the first change of dressing, especially if the edema is not very significant.
The final result and the final appearance of the scars are judged after 10 months to one year. The patient regains a flat, masculine chest and the skin retracts to conform to the shape of the pectoral muscles.
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See moreThe scar depends on the excess skin that needs to be re-draped. In general, a scar on the areolar region is sufficient.
Gynecomastia is an operation that is generally performed under general anesthesia.
The procedure generally lasts between one and two hours.
The patient leaves the clinic a few hours after having undergone outpatient surgery for gynecomastia or one night's hospitalization, depending on the case.
The results of the procedure are significant and permanent. Disappearance of the glandular button allowing the thorax to be properly flattened.
After the operation, it is normal for the area to be painful, which is why painkillers are prescribed to avoid discomfort.
As with all interventions, there are risks and complications can occur (bleeding, infection, disunity, scarring hazards, neurological disorders, etc.). These are infrequent and can be taken care of quickly by the surgeon during post-operative checks. An information sheet from the French Society of Plastic Surgery will be given to you before the procedure.
My approach is initially to listen to patients in order to determine if their expectations are realistic and achievable and if the risk-benefit ratio is in favor of an intervention.
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