Gynaecomastia surgery : Everything you must know

Gynaecomastia is a condition in men, characterized by the excessive enlargement of breast tissue. Many men who suffer from gynaecomastia often feel embarrassed and self-conscious about their condition as it affects their appearance. Fortunately, gynaecomastia surgery can help alleviate the symptoms of this condition and restore a man's confidence in his appearance.

Here are some frequently asked questions about gynaecomastia surgery:

Q: What is gynecomastia?

A: Gynecomastia is a medical condition that causes enlargement of breast tissue in males. It can occur at any age but is most common during puberty and in older men.

Q: What causes gynecomastia?

A: The exact cause of gynecomastia is not always clear, but it is often related to hormonal imbalances. Certain medications, medical conditions, and lifestyle factors can also contribute to the development of gynecomastia.

Q: What is gynecomastia surgery?

A: Gynecomastia surgery is a cosmetic surgical procedure that removes excess breast tissue in men. The procedure can be performed using various techniques, including liposuction, excision, or a combination of the two.

Q: Who is a good candidate for gynecomastia surgery?

A: Men who are in good overall health and have excess breast tissue that does not respond to diet and exercise may be good candidates for gynecomastia surgery. However, each case is unique and should be evaluated by a qualified plastic surgeon.

Q: Is gynecomastia surgery painful?

A: Pain and discomfort after gynecomastia surgery is normal and can be managed with medication. However, the level of pain and discomfort can vary depending on the extent of the procedure.

Q: What blood tests are required prior to gynecomastia surgery?

A: Prior to gynecomastia surgery, your plastic surgeon will likely recommend that you undergo some routine blood tests to evaluate your overall health and ensure that you are a good candidate for surgery. The specific blood tests required may vary depending on your individual case and medical history, but they may include:

1. Complete blood count (CBC): This test measures the number of red and white blood cells in your blood and can help to detect any abnormalities or signs of infection.

   
   

2. Comprehensive metabolic panel (CMP): This test evaluates your liver and kidney function, as well as your blood sugar levels.

   
   

3. Coagulation studies: These tests assess your blood's ability to clot properly and can help to identify any bleeding disorders or other issues that may increase the risk of bleeding during surgery.

   
   

4. Hormone levels: Gynecomastia is often caused by hormonal imbalances, so your plastic surgeon may recommend that you undergo hormone testing to evaluate your testosterone and estrogen levels.

   
   

5. Human chorionic gonadotropin (HCG) test: This test may be recommended for men who have elevated estrogen levels to rule out the presence of testicular or adrenal tumors.

   
   

Your plastic surgeon will review the results of these tests with you and determine whether any additional testing or evaluation is necessary prior to surgery. It is important to follow all preoperative instructions provided by your surgeon to ensure a safe and successful surgery

Q: What anaesthesia is given for Gynaecomastia surgery? Will I be awake during the procedure?

A: Gynecomastia surgery is typically performed under general anesthesia, which means that you will be asleep during the procedure and will not feel any pain or discomfort. General anesthesia is administered by an anesthesiologist who will monitor your vital signs and adjust the anesthesia as needed to ensure your comfort and safety throughout the procedure.
While it is possible to perform some types of gynecomastia surgery under local anesthesia with sedation, this approach is generally reserved for cases involving only minor tissue removal or liposuction.
Your plastic surgeon and anesthesia team will determine the most appropriate anesthesia approach for your individual case based on factors such as the extent of the surgery, your medical history, and your personal preferences. They will also explain the risks and benefits of the chosen anesthesia approach and provide you with instructions for preparing for the procedure.

Q: How is gynecomastia surgery performed?

A: Gynecomastia surgery can be performed using various techniques, depending on the individual case. The most common techniques used include:

1. Liposuction: This technique involves making small incisions in the chest area and inserting a thin tube called a cannula to remove excess fat. It is commonly used for cases where the gynecomastia is primarily due to excess fatty tissue.

   
   

2. Excision: This technique involves making an incision around the areola (the dark skin surrounding the nipple) and removing the excess breast tissue. This technique is typically used for cases where the gynecomastia is caused by excess glandular tissue or a combination of glandular and fatty tissue.

   
   

3. Combination technique: This technique combines both liposuction and excision to remove excess fat and breast tissue. It is often used for cases where the gynecomastia is caused by a combination of glandular and fatty tissue.

   
   

The technique used will depend on the individual case and the recommendations of the plastic surgeon. The surgery is typically performed under general anesthesia, and the duration of the procedure can vary depending on the extent of the surgery. After the procedure is complete, the incisions will be closed with sutures, and the patient will be placed in a compression garment to help with swelling and support the healing process.

Q: How long do i need to be admitted after gynaecomastia surgery?

A: The length of the hospital stay or admission after gynecomastia surgery varies depending on the individual case and the surgical technique used. In most cases, gynecomastia surgery is performed on an outpatient basis, which means that the patient can typically go home on the same day as the surgery.

However, in some cases, a short hospital stay may be necessary. For example, if the surgery is particularly extensive or involves significant tissue removal, the patient may need to stay in the hospital for observation and pain management for a day or two.

Your plastic surgeon will provide specific instructions regarding your postoperative care, including how long you should stay in the hospital or clinic after the surgery. It is important to follow all postoperative instructions closely to ensure a safe and successful recovery. This may include wearing a compression garment, taking medication for pain and swelling, avoiding strenuous activity, and attending follow-up appointments with your surgeon to monitor your progress.

Q: What is the recovery like after gynecomastia surgery?

A: The recovery period after gynecomastia surgery can vary depending on the extent of the procedure. Patients may experience swelling, bruising, and discomfort for several weeks after surgery. They will need to wear a compression garment to help minimize swelling and support the healing process. Most patients can return to work within a week or two, but more strenuous activities should be avoided for several weeks.

Q: Are there any risks associated with gynecomastia surgery?

A: As with any surgical procedure, there are risks associated with gynecomastia surgery. These may include bleeding, infection, scarring, and changes in nipple sensation. Your plastic surgeon will discuss the risks and benefits of the procedure with you during your consultation.

Q: How long do the results of gynecomastia surgery last?

A: The results of gynecomastia surgery are typically long-lasting. However, the procedure does not prevent future weight gain or hormonal changes that may cause the condition to recur. Maintaining a healthy lifestyle can help to minimize the risk of recurrence.