Surgical treatment of gynecomastia is concluded in plastic Gynecomastia surgery for breast reduction, liposuction, or a combination of both methods.
Most often people resort to plastic Gynecomastia surgery, for two reasons: first, the goal of surgery – removal of excess breast tissue and the formation of its normal form, and secondly – a study of excised tissue for possible cancerous changes. Typically, breast augmentation with gynecomastia appears on both sides. If you find a seal in the enlarged breasts, immediately, consult a physician (surgeon or oncologist) to as soon as possible to exclude neoplastic disease.
The first step in treatment is to consult a plastic surgeon to figure out, but if you need surgery, and how you fit for surgery. Candidate for surgery for gynecomastia should have a relatively normal weight, do not have chronic diseases of the heart, lungs or kidneys. Go for an operation needed if breast augmentation is really bothering you. Ideally, you should be firm and elastic skin that can change the shape of the breast and reconstruct its normal appearance.
Gynecomastia surgery in adolescents is applied if the gynecomastia is strongly expressed, or if it persists for more than two years. In some cases, may require the secondary operation, if the breast continues to evolve.
The operation is not recommended for obesity, or if unsuccessful attempts to surgery for obesity. In addition, it is necessary to consult with your doctor about medications you are taking because they can also cause gynecomastia. But do not independently stop taking drugs!
Preparation for Gynecomastia Surgery
Before surgery, a doctor conducts a complete examination. To do so, made common blood and urine tests, biochemical blood tests, blood clotting. The doctor will ask you about whether you are allergic to something, as well as to previous illnesses and surgical interventions, especially in the chest. Necessarily carried out X-ray chest cage, and if necessary, and ultrasound.
Blood tests for hormones, to determine the level of sex hormones. Before surgery, your doctor will make pictures of your chest, so that after surgery you can evaluate the treatment outcome. Before the surgery is strongly recommended to stop smoking, as it negatively affects the healing of surgical wounds. It is generally recommended to stop smoking for a month before surgery and within a month after that.
Methods of Surgery for Gynecomastia
If the increased breast is composed primarily from adipose tissue, the doctor may offer you liposuction – a procedure in which using a special apparatus is sucked excess fat. When the excess glandular tissue is excised with a scalpel. Excision of glandular tissue can also be combined with liposuction.
Incision during surgery is usually done either on the edge of the areola or in the underarm area. After skin incision the surgeon excised the excess breast tissue, fat and skin around the areola and the lower chest. After this, the skin incisions are stitched. In the case of a combination of surgery with liposuction, a tube system, through which adipose tissue is suctioned, injected directly through the incision. Further, this tube is connected to the apparatus and the fat is suctioned.
If only liposuction, the doctor makes a small incision (about 1 cm) through which the chest tube is introduced. In addition, the incision for the tube may be held in the armpit area. You can feel with some vibration, but the pain does not happen. In place of the cuts are set rubber drains to the tissues not accumulate fluid. Once the wounds are sewn, glued them to a sterile dressing.
Usually the operation takes about half an hour of gynecomastia. The operation is performed under general anesthesia, but may under local anesthesia.