Men as well as women have bulk tissue under their nipples, which can grow under conditions and in conjunction with the fatty tissue that surrounds them – which can also in turn become hyperplasia – form a large breast, without this being due to any particular cause in most cases, so we are talking about idiopathic gynecomastia. Gynecomastia can also arise either from a hormonal disorder or after taking some medication, alcohol or even advanced aging. The build up of breast enlargement may be mainly due to fat or mass tissue or a combination of both. The plastic surgeon who specializes in gynecomastia correction techniques has to recognize preoperatively the cause that may have caused gynecomastia and to advise the patient on diagnosis and treatment. Gynaecomastia may occur at any age, but it is more common in adolescent boys in the form of idiopathic gynecomastia, and although in some cases there may be automatic improvement to cure, it often remains lifelong if it remains for more than a year without signs subversion.
Gynaecomastia can be caused by the combination of the glandular mass hyperplasia and the fatty tissue of the male breast. The size of the breast can vary from a small and very rough toe to a fully developed and shaped “female-shaped” breast. When breast enlargement is due to a small piece of tissue, it is best to correct it through a small incision under the nipple, and in the case of a fat consisting mainly of liposuction.
The procedure involves the use of 1-2 small holes in the skin of 3-4 mm in places that are not directly visible from where you draw fat from the breast. In cases where the problem of mass gland hyperplasia is greater, removal of a larger area of the mammary tissue is often required. This surgical procedure evolves practically in a subcutaneous mastectomy (removal of the gland by maintaining the skin and the nipple) and is usually performed through a semicellinoid incision beneath the nipple. In very rare cases, where there is a lot of excess skin and a fall of the breast, the incisions need to be larger and extend circularly around the nipple.
The scars will depend on the technique of intervention applied (as mentioned above). The incisions along the nipple over time become almost invisible. At first they will be quite pink / red for the first 6 weeks, purple in the next 3 months, and then they will weaken and get the white of normal skin. The process of full maturation of the scars reaches up to 12-14 months. Generally, the quality of scars in most patients over time will be extremely good. Some patients arrive at this point relatively quickly, but others take longer. In rare cases, hypertrophic scars or even scarring may occur. The way other wounds have healed in the past, can be an indication of the course of healing scars.
A complete medical history should be taken before each surgery. As a precautionary measure, doctors without prescription or herbal products / drugs should not be taken before surgery and for 3 days afterwards. Also, strict non-steroidal anti-inflammatory drugs such as salopir ibuprofen (Nurofen) diclofenac (Voltaren) and any other anticoagulant or antiplatelet therapy should be avoided in consultation with the treating physician. It would also be very helpful to bring a list of any prescription medicines you receive for your preoperative control.
If you are a smoker, try to quit smoking at least two weeks before and after surgery, as this will dramatically reduce the chance of post-operative complications.
The procedure lasts from 45 minutes to 2.5 hours, depending on the type of technique of surgery applied and of course the size of the breast.
Depending on the type of surgery, the duration of hospitalization varies from a few hours in the hospital (daily hospitalization) – as is the case for liposuction only – until one night in the clinic – as is the case with subcutaneous mastectomy.
At the end of surgery, you will wake up and have a small gauze on each incision, as well as a rubber corset covering the entire chest area; the corset should be worn continuously for 4 weeks and will be removed only when you are bathing for two extra weeks only in the evening.
Only in case of surgical removal of the mass gland it is necessary to place a small drainage inside the breast to remove any unwanted blood / fluid that will remain for 24 to 48 hours.
People differ in recovery time, but as a general consensus, however, a time span of at least three to two weeks should be given, depending on the extent of the surgery. Patients who do manual work and require intense movement in their work may take longer.
Patients undergoing gynecomastia surgery are usually able to walk within 5-7 days and swim in 10-14 days (if they have fully recovered). However, intense exercise (aerobics, etc.) should be avoided for 3-4 weeks.
Patients who have undergone surgical restoration of gynecomastia should avoid driving until they are totally relieved of any inconvenience and limitation so they are perfectly able to make a sudden movement, such as direct braking, without hindrance and without pain. This is proposed so that patients can obtain cover from their insurance company in the event of an accident. It may take up to two weeks to fully recover. Of course there are patients who feel able to drive after 1-2 days, always with their own responsibility.
Your incisions will be checked and the third and seventh postoperative days will be changed, and then, after complete healing, you will have a meeting with Mr. Constantine Benetato after three months. There will be no extra charge for any postoperative monitoring associated with your surgery.
It is expected that there will be bruises and a slight swelling in your chest that will last from one to two weeks. In addition, it is quite common during the first few days to feel a little secretion of fluid from the wounds as they begin to heal. You should have a satisfactory flat breast shape that will continue to improve (especially after longer interventions) within the next four to six weeks. After that time the skin and nipple will be much softer.
Men’s Breast Reduction / gynecomastia correction is a routine surgery and crowns with absolute success for the overwhelming majority of patients. However, as with any surgery, it is very important to understand that there is a possibility of complications. Any complications that may arise are listed below.
It is extremely uncommon (less than 0.5%) and occurs when blood flow to the nipple is interrupted. In this case, the nipple will be lost and replaced by a scar. Although extremely rare, the factors that increase the risk for each patient are smoking, obesity and advanced age. Also, the possibility of nipple necrosis is increased if the reduction is for very large breasts. If you belong to any of these categories, Mr. Konstantinos Benetatos will discuss with you during your preoperative session the possible alternative surgical techniques to avoid this risk.
Although most patients can expect an extremely satisfactory result on both sides of the breast, there is nevertheless a possibility of minimal small differences between the two sides.
It is very rare to have this type of surgery.
There is little chance of post-operative bleeding which sometimes is likely to create a hematoma under the skin of the chest, which will result in the patient returning to the surgery to remove it. This will usually take place within the first post-operative 24-hour period. The hematoma is present in about 1% of patients.
The onset of inflammation is very unusual, but if it occurs, it will need to be treated with antibiotics.
Chest infections and Thrombosis in the leg or lungs (deep vein thrombosis-pulmonary embolism). Although rare to appear, it is important to avoid smoking, not being too overweight and mobilizing as soon as possible after surgery.
If you feel any symptom that may be of concern to you, please do not hesitate to contact us .