Gynecomastia is the development of large mammary glands in males. It can occur any time from adolescence to old age and in young men especially, gynecomastia is associated with pronounced psychological changes. Surgery needs to be recommended by an endocrinologist, sexologist or by another specialist. Gynecomastia surgery is covered by health insurance.
The surgery needs no special preparation. Do not take drugs containing acetylsalicylic acid (Acylpirin, Aspirin, Anopyrin etc.) three weeks before surgery. It is necessary to have a mammogram before the procedure. Do not eat, drink or smoke from midnight on the day of surgery. Do not put any lotion on the skin. Shave the armpits. Surgery must be postponed in the case of acne, eczema and skin fungus in the inframammary folds or poor general health.
The surgical procedure is chosen according to the size of the enlarged mammary gland. We can successfully remove the mammary gland in smaller size breasts through a small incision on the border of the areola. The final scar is invisible. This procedure can also be performed in the case of larger breasts, although sometimes it is necessary to lengthen the scar with a vertical incision to the side of the breast. Only in the case of exceptionally large gynecomastia must complete breast reduction surgery with the removal of the entire gland and shift of the areolae be performed, which will leave a reverse T- shaped scar.
The duration of hospitalisation is one day. We remove the sutures 2 weeks after surgery. It is recommended that an elastic band be worn around the chest for 2 to 3 weeks depending on the extent of the surgical procedure.
Complications after gynecomastia in men can be similar to all other breast surgeries. One possible complication can be the occurrence of breast asymmetry after surgery due to the uneven removal of the gland and subcutaneous tissue of both breasts.
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