Gynecomastia is the increased size of the mammary gland in men, which might be caused by excess fat or by fat combined with glandular tissue. Gynecomastia can be easily treated by a surgical procedure.
First of all, an ultrasound will be done in order to diagnose the reason for this excessive volume. If it is composed only of fat, a Liposuction will be performed. In case of being composed of fat and glandular tissue, a surgery will be performed and the excess skin, fat and glandular tissue will be removed.
If the Gynecomastia consists primarily of excessive fatty tissue, your surgeon may use liposuction. If excess glandular tissue is the primary cause, the tissue may be cut out with a scalpel. This excision may be performed alone or in conjunction with liposuction.
During the Gynecomastia procedure, the incision is made either on the edge of the nipple (areola) or in the underarm area. The surgeon cuts away the excess glandular tissue, fat and skin from around the pigmented area surrounding the areola and from the sides and bottom of the breast by working through the incision. Major gynecomastia breast reductions that involve the removal of a significant amount of tissue and skin may require larger incisions and more visible scars.
If liposuction is also used for the Gynecomastia procedure to remove excess fat, a slim, hollow tube (cannula), is inserted directly through the existing incisions. The cannula is attached to a vacuum pump to suction out the fat.
For liposuction-only Gynecomastia breast reduction, your surgeon will likely make a small incision of less than a half-inch in length around the edge of the areola. He or she may make the incision in the underarm area. You may feel a vibration or some friction during the gynecomastia breast reduction procedure, but generally no pain.
Sometimes a small drain is inserted through a separate incision to remove excess fluids. Once closed, the incisions are covered with a dressing. The chest may be wrapped to keep the skin firmly in place aftere the Gynecomastia breast reduction surgery.
Breast reduction surgery for gynecomastia is most often performed on an outpatient basis, in an office-based or ambulatory surgical facility or in the hospital. Sometimes an overnight hospital stay is recommended for the gynecomastia breast reduction. Time of the gynecomastia breast reduction surgery is typically an hour and a half, but a more extensive male breast reduction may take longer.
The procedure may be performed under general anesthesia or local anesthesia with sedation. Your surgeon will discuss your anesthesia options with you once you have decided on surgery.
In both cases, the hospital stay takes from 12 to 24 hours, and the patient can go back to work in about 2 weeks.
In order to reduce the chances of bruising and seroma, the patient should wear a medium compression garment during the postoperative.