Surgery Gynecomastia

The benign proliferation of male glandular tissue is called gynecomastia, and surgery is the most important method of solving this health problem. Ms Carmen Giuglea doctor of the Mayor and Chief of Section of the Department of Plastic Surgery and Reconstructive Microsurgery of the Emergency Clinical Hospital. Ioan Bucharest, Doctor of Medical Sciences, Head of papers at Carol Davila University of Medicine and Pharmacy Bucharest. What is gynecomastia Does the definition of benign proliferation of the glandular tissue of the chan across a man. It must be differentiated from pseudogycomastia (lipomastia), which signifies the abnormal development of sub-male fat in the male without glandular proliferation. It may be idiopathic, with a cause (most frequently), physiological (neonatal, due to the passage of maternal estrogens in placental, pubertal uterus, by excess of extradiol versus testosterone or by age, due to the drop of testosterone ulcer), pathological or pharmacological .

Summarizing, it generally occurs in young patients. Carrying out surgery For proper treatment, it is necessary to evaluate the patient from an endocrine and then local (ultrasound, MRI) situation, to choose the most appropriate surgical treatment method. This may consist of liposuction when the increase in breast volume is primarily due to subaralar adipose tissue hypertrophy, abnormally developed glandular excision or, most commonly, lipoaspiration association with glandular excision. If the unsightly appearance of a man's chin is determined by a significant weight loss, then removal of excess skin, removal of the areole's position, and obviously the scars inherent in these changes. The intervention is performed under general anesthesia and takes an average of one hour, often requiring the aspiration drainage for a few days.

The recovery period is about 2 weeks in which the patient will have to wear a resilient corset to help apply the skin to the underlying muscles. Approximately 4 weeks after the intervention, a local massage can be started to help the skin become stiff. Intervention Risks Surgical risks are strictly local, closely related to surgical technique, or related to the risks of any general anesthesia. Potential arous sensitivity disorders generally improve within a few months, and possible aortic sufferings (caused by under-excision of the gland, possible paralysis or total arousal necrosis) can cause depigmented scars. If it was necessary to move the areolo-nipple complex in the form of a free graft, for example, healing delays may also occur, with visible scars associated in this case and the loss of isolar sensitivity.

Irregularities in the liposuction area may occur when liposuction has been made too superficial. All of these possible complications are rare, and in general the aesthetic effect is beneficial, resolving aesthetic discomfort to men who have had an effeminate appearance through the abnormal development of the mammary gland. .