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Gynecomastia

direct excision or lipossuction

Gynecomastia (Direct excision or lipossuction)

Gynecomastia is characterized by breast augmentation in men, and is due an increase in ductal tissue, stroma, and/or fat. It can be unilateral or bilateral. It is the most common breast problem in men. Most males experience some degree of gynecomastia during their lives. Overall incidence is up to 40%. Up to 65% of adolescent boys are affected and Up to 75% of cases are bilateral.

Gynecomastia is most commonly idiopathic (of unknown cause), but in some cases, it can be associated with hereditary, hormonal or pathological disorders. Decreased testosterone levels in the neonatal period, adolescence or old age; some tumours; liver or kidney changes may be the origin for gynecomastia. Some drugs are also associated with breast augmentation in men.

There is no increased cancer risk for patients with gynecomastia.

Surgery

Underlying causes of gynecomastia must be investigated. If underlying causes are not found, and if there is no resolution of the condition in 12 months, surgery may be proposed.

Liposuction: used when gynecomastia is caused mostly by fat. Only two small incisions are made.

Direct excision
Open technique, direct resection of the gland through a periareolar incision. Mainly used when gynecomastia is caused by an excess of mammary gland or skin.

Each case is different.The best technique for your case will only be determined after careful evaluation in an outpatient appointment.

Technical points

The surgical procedure duration varies according to the volume and type of tissue to be removed (fat or breast tissue) and type of surgery performed (direct excision or liposuction). Both procedures can be performed under general anesthesia or sedation and local anesthesia. It can be performed on outpatient or inpatient basis (1 night), according to your preference.

Postoperative care

Medication

  • Acetaminophen or ibuprofen for routine pain control.
  • Prophylactic antibiotics (short course)

Compression vest

4 weeks

Liposuction
Serohematic drainage through surgical incisions is common during the first 3 days

Direct excision

  • May be used and will be removed after drainage reduction
  • Usually this happens 1 to 2 days after surgery

Activity

  • Light aerobic exercise or professional activity after 4 days
  • Heavy lifting after 4 weeks

Complications and surgical risks

Both techniques used for gynecomastia treatment, direct excision or liposuction, are associated with their own complications. Some are more frequent:

  • Hematoma
  • Seroma
  • Infection
  • Wound-healing complications
  • Overresection or underresection

Breast
Augmentation

Breast augmentation involves the introduction of an implant (made of silicone gel or saline) to increase the breast size. It is indicated in women that have an inadequate breast volume or that you have the desire to restore the natural volume after weight loss, pregnancy or aging (...)

Liposuction/
Lipoplasty

Liposuction, sometimes referred to as “lipo” by patients, slims and reshapes specific areas of the body by removing excess fat deposits and improving your body contours and proportion. It is done to remove fat from this area, through minimal incisions. One treatment may be all you need to reshape problem areas and the results are more consistent and predictable than non-invasive treatments (...)

Tummy tuck (Abdominoplasty)

Tummy tuck surgery, also known as abdominoplasty, removes excess fat and skin and, in most cases, restores weakened or separated muscles creating an abdominal profile that is smoother and firmer. Abdominoplasty is the procedure of choice to improve abdomen contour (...)

Face lift and neck lift

A facelift, or rhytidectomy, is a surgical procedure that improves visible signs of aging in the face and neck.

It will improve skin sagging on face and neck, reduce the fold lines between the nose and corner of the mouth, reduce loose skin and excess fat of the neck that can appear as a double chin, (...)

Hyaluronic
Acid

Hyaluronic acid is the substance of choice for patients who wish to fill wrinkles or furrows or increase the volume of facial areas (eg lips). It is a normal component of the ground substance responsible for dermal hydration (...)