GINECOMASTY

Ginecomasty refers to the increase of volume of the breasts in men. During the puberty it is normal that the mammary gland increases of size due to hormonal changes. These changes disappear as soon as this "hormonal storm" disappear. Nevertheless in some cases the gland is increased causing an evident aesthetic alteration with its psychosocial affection. In pubertal ginecomasty it is advisable to wait and if it is not solved spontaneously, surgery is required.

Another type of ginecomasty is secondary to drugs (corticoids, anabolizants, diuretics, antiacids...) or due to disease (the adipogenital dystrophy, cirrhosis).

Pseudoginecomastia displays a mainly fatty component, and it occurs associated to obesity.

ANAESTHESIA

Usually general anaesthesia.

TECHNIQUE

Through a small incision in the areola the gland is removed. A small button underneath the areola is left to avoid postoperative adhesion of the areola to the pectoral muscle, causing quite an anaesthetic concavity.

In some patients, who do not wish to have a scar in the areola, the gland can be
extirpated through the armpit, with the assistance of endoscopy, leaving a short scar hidden within an axillary fold.

In pseudoginecomasties, liposuction is very useful to reduce the volume.

POSTOPERATIVE CARE

A drainage is left the night after surgery in order to avoid the formation of hematoma and a compressive bandage is left 7-10 days. After removing the stitches it is recommended to begin with massages. Physical exercise has to be avoided during a month.

PHOTOS