Gynaecomastia surgery

What is a gynaecomastia surgery

A gynaecomastia surgery is used to change the size and the shape of an enlarged mammary gland. The size and the shape of the mammary gland change during puberty – a period of hormonal imbalance, ageing – because of the decline in testosterone and as a result of the use of certain medications. It may also be a part of other concurrent diseases.

Who is a good candidate for the procedure

A removal of the enlarged mammary gland may be aesthetic but also serves as a means of preventing any development of cancer of the mammary gland.

Before the procedure

If you consider gynaecomastia, it is always necessary to undergo a non-binding initial consultation with a plastic surgeon, who will assess whether the procedure is right for you, explain the technique and the scope of the surgery, the type of anaesthesia, as well as the possible risks associated with the surgery. During the consultation you can ask any questions, in particular those related to the course of the surgery, as well as your expectations and concerns about the surgery results.

When making a binding appointment, you will be given and explained instructions on how to prepare for the procedure, as well as information regarding eating, drinking, smoking and taking or withdrawing from certain medications. Compliance with all these instructions is necessary and will facilitate a smooth procedure and seamless healing.

How is gynaecomastia performed

The surgery takes place under local or general anaesthesia, depending on the scope of the procedure. The surgery is used to remove an enlarged mammary gland in men. If the subcutaneous layer is large, the surrounding area can be reduced and corrected by liposuction and, in big and flabby breasts, excess sagging skin and stretched areola may be reduced at the cost of scars around the areola and under it. The length, shape and placement of scars may vary individually. In the surgical wound, drains are placed; they are most often removed within 48 hours after the surgery.

After the procedure

The period of incapacity for work depends on the scope of the procedure and the occupation of the client and varies between 2 and 4 weeks. After the surgery, it is necessary to wear special elastic underwear for at least 4 – 6 weeks according to the recommendations of the plastic surgeon; during that period, it is recommended to avoid physical activity. Full physical activity is mostly possible 6 weeks after the surgery.