Gynecomastia is a hypertrophy of the breast in men. Gynecomastia liposuction (or “gynecomastia cure”) consists of liposuction of excess fat cells and removal of the mammary gland. Discover the indications, the techniques, the suites and the cost of this operation.
What is Gynecomastia Liposuction?
Male gynecomastia corresponds to a large breast on one side (unilateral) or both (bilateral). We distinguish :
• True gynecomastia linked to abnormal development of the mammary gland. The abnormal development of the mammary gland in humans is identifiable by a firm consistency on palpation. Denser, it develops around the areola. Corrective liposuction then consists of removing the mammary gland.
• False gynecomastia that contains only fat (adipomastia), more common in overweight men. In this case, the corrective liposuction involves sucking up the excess fat.
• Because we often see gynecomastia associated with adipomasties, we talk about adipo-gynecomastia. The corrective liposuction then consists of liposuction of the excess fat cells and removal of the mammary gland.
A report will make it possible to precisely research the cause of this problem (hormonal imbalance, taking medication). If this is identified, appropriate treatment will be initiated. But sometimes, the origin remains mysterious, we speak of idiopathic gynecomastia.
Corrective liposuction can be performed for the correction of gynecomastia if the cause remains unidentified or the medical treatment has not allowed a total regression of the volume of the chest.
Consultation Before Liposuction For Gynecomastia
Often benign and frequent, the increase of the volume of the breasts is however badly lived, because it affects the image of the male body. Physical discomfort is associated with significant psychological distress, sometimes a retreat especially during adolescence: impossibility to get shirtless, to go to the beach, to the pool, in the sports locker room, to wear clothes close to the body … Finally, gynecomastia can sometimes be painful.
Its correction is based on medical treatment if the cause is identified, on a surgical procedure if the object has not been found (idiopathic gynecomastia). The plastic liposuction makes a final correction of breast enlargement and finds a harmonious torso.
During the first consultation of at least 30 minutes, the surgeon will proceed to a question and a clinical examination to know when the phenomenon appeared, whether it is unilateral or bilateral, if the chest is dense or soft (glandular or fat), if it is accompanied by a ptosis (fall with excess skin), if drugs may have induced this gynecomastia (neuroleptics, digitalis, chemotherapy, anti-dopaminergic, amphetamine, estrogen …). The palpation of the testicles will eliminate the presence of a nodule … Its examination must ensure that gynecomastia is not related to a hormonal pathology ( thyroid disorder, pituitary or adrenal adenoma, testicular cancer …).
A hormonal assessment ( dosage of prolactin, HCG, FSH, oestradiol, LH, testosterone, TeBG …), a renal and hepatic assessment will be necessary. Further examinations may be requested: chest x-ray, breast ultrasound, testes, brain MRI …
After a complete endocrine assessment, ensuring income, the surgeon can then explain the most appropriate correction technique and give all the information needed to understand the procedure of the intervention. This is the time to ask all your questions. The intervention will be prepared through photographs.
Intervention For Gynecomastia Liposuction
Before Gynecomastia Liposuction
One to two visits with the plastic surgeon is necessary for the plastic surgeon to best answer all the patient’s questions after a thorough examination. The surgeon may request a consultation with an endocrinologist so that a complete assessment can be carried out in search of a cause.
liposuction will be considered only after the failure of the treatment of the cause or impossibility to identify the cause. The surgeon will have to send a detailed estimate of the intervention.
If it is not a repair intervention, a period of 15 days between the first consultation and the operation must be respected (this is a mandatory reflection period for all acts intended to aesthetic). Before the liposuction, a visit to the anesthesiologist at least 48 hours before the operation is necessary.
Process Of The Breast Liposuction
As we have seen, depending on the type of gynecomastia, the operation will initially have to either liposuction of excess fat, remove the mammary gland, or both. In a second step, the excess skin will be decreased if necessary. A bandage is placed on the chest after the operation to limit the appearance of oedema.
The operation lasts from 20 minutes to two hours depending on the gynecomastia.
liposuction is most often performed on an outpatient basis: on a day without hospitalization.
Postoperative Liposuction For Gynecomastia
If it is simple liposuction, the postoperative pain is minimal, comparable to aches. If the mammary gland has been removed, analgesics are required during the first 24 hours. Bruising and edema will be visible in the operated area. They will slowly resorb.
The compression bandage applied at the end of the operation can be removed the next day. It will be replaced by a lighter dressing or even a vest to wear continuously for several days (to promote skin retraction and healing). Daily disinfection is necessary.
A stoppage of work for ten days is recommended. The resumption of the sport should not be done before 3 to 4 weeks. Exposure to the sun in the operated area should be avoided in the months following the operation (protection of the scar may however be performed by a total screen index 50 in case of exposure). The shower is possible with a mild soap the day after the operation.
Scars depend on the technique used and the quality of the patient’s skin. The ultimate result is apparent after several weeks, after the resorption of edema, the retraction of the excess skin on the contours of the pectoral muscle.
Complications & Risk With Gynecomastia Liposuction
The cure of gynecomastia is well mastered today, and the complications related to the anaesthetic risk and to the surgical gesture are rare. The use of a surgeon qualified for this type of procedure, enrolled in the Council of the Order of Physicians and practising in a genuinely surgical context, makes it possible to limit complications and, where appropriate, ensure effective and personalized follow-up. The rare risks are: hematomas (if they are too large, they may require evacuation), phlebitis (very rare in young men), infection (very rare, it may justify reopening and antibiotic treatment), cutaneous lesions (exceptional, skin necroses may leave visible marks, they are favoured by smoking).
Benefits Of Gynecomastia Liposuction Procedure
The results of a gynecomastia cure are radical and definitive, whether it is glandular gynecomastia (removal of the gland solves the problem) or fat gynecomastia (adipocytes without the ability to multiply). Be careful. However, this operation does not save a healthy lifestyle with monitoring of weight gain for the result of the process continues. The aesthetic benefit is visible and the psychological benefit also: the patient finds a “male chest”.
The benefits are visible quickly. In rare cases, defects may be visible: pits or nodules under the skin following liposuction of excess fat. Massages and hydration of the skin will reduce this phenomenon; a temporary insensibility of the nipples; poor healing with the appearance of a keloid scar may require specific treatment; a concavity of the areola (hollow areola) or a cutaneous surplus: a surgical correction may in rare cases be necessary to correct it.
Contraindications of Gynecomastia Liposuction
There are some significant contraindications to this liposuction:
• If the cause of gynecomastia is identified and can be managed by medical treatment, liposuction is not indicated;
• A history of phlebitis or pulmonary embolism may be contraindications to this operation;
• Smoking increases the risk of cutaneous necrosis, which can delay healing and delay healing. It is therefore recommended to stop smoking one to two months before the operation and afterwards.
Cost Of Male Breast Liposuction
Social Security’s management of true gynecomastia (therefore glandular or mixed gynecomastia) is possible under certain conditions: when it is “accused” gynecomastia after puberty, diagnosed after performing an endocrine assessment when it causes psychological or sexual discomfort (more easily recognised in case of unilateral gynecomastia, pain …).
The price for such an operation can vary from 2500 to 5000 euros. If it is supported, the expenses of your remaining costs may nevertheless be reimbursed by the mutual. Ask your surgeon and ask for a quote.
Opinion By The Expert
Overall, the surgical treatment of gynecomastia and adipomastia is joined, it is just the proportions of excess fat and glandular to remove that change …
Indeed, even when it comes to adipomastia, there will always be a glandular component to treat. In this case, the only correction of the fat part may leave a glandular residue (hardcore behind the areola) may leave a nipple still prominent, and thus embarrassing during the summer dressing.
In the context of gynecomastia, the removal of the gland alone without liposuction associated with the risk of causing an unsightly result with a hollow areola …
Each time, the treatment should be based on the same principle: the complete correction of any excess fat and glandular, so that the result is optimal and definitive.
Finally, the excess skin component that exists in some cases will need to be managed. The surgeon will take care to avoid any scar that would not be hidden around the areola, trusting the retraction capabilities of the skin. In this case, the wearing of a compression garment (bolero type compression vest) will have an important role to give the best chance of skin retraction. Also, you can use gynecomastia creams to get faster results. Checkout ohmymoobs.com review page, to find out complete information about gynecomastia creams.
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