Gynecomasty
Mammary Prosthesis 
For whom this is prescribed
Gynecomasty is the term used to denominate the growth of mamma in men, having as its causes the hormones during the puberty or the excess of fat located in the region of the mamma.
It is not an uncommon occurrence, affecting up to 40% of men, and affecting one or both mammas. It is more frequent in adolescence, occurring, mainly, from the age of 13. However, it can last into adult life, often causing discomfort to the exposure of the body, such as taking the shirt off in public, or wearing tight clothes.
The plastic surgery can be done from the age of thirteen, depending on the evaluation of each case, being strongly advised when the is excess of located fat, for example. If puberty is the cause, it is advisable to wait until the end of adolescence for spontaneous regression to occur.
Causes of Gynecomasty in Men
The increase of the male mamma can be caused by two distinct factors: the growth in size of the mamma glands or the excess of located fat, or the association of both may occur.
Surgical Techniques
Mamma reduction, in this kind of situation, is done through the removal of the gland or fatty tissue. When there is excess in the skin, the removal is prescribed on behalf of the aesthetic result.
It is a simple plastic surgery. If the excess of mamma is caused by the increase of glands, an incision must be made and this gland removed. If it is dueto excess of fat, the surgery may be carried out though lipoaspiration.
Liposaspiration is done through an incision on the outer lateral part of the chest, or between both mammas. If there is excess of mamma glands this is removed by the periareolar, which is hardly noticeable.
Hospitalisation Length
The period of hospitalisation for gynecomasty is 1 day and the surgery takes about 2 hours.
Anaesthesia
Plastic surgery is done with local anaesthesia and sedation or with epidural sedation and sedation.
Scar
Scars are of the inferior periareolar type(around the areola), they are very small and after some time they become imperceptible, also because after some time they are covered by hair from this region.
Only one stitch is used in lipoaspiration, in the incision of the areola case, 5-6 stitches are used, which are removed after 1 week.
Surgical Complications
There are rarely complications in gynecomasty surgery. The commonest are hematomas and seromas.
Post - Operatory cares
Wearing a compression band over the thorax during the first week, and taking relative rest.
It is recommended that massages and lymphatic drainage be made in this area to reduce residual edema and thereby improve patient's recovery.
It is necessary to rest after the surgery for some days, wear elastic knitted fabric and avoid practicing sports for some weeks.
Sun must be avoided until cicatrization is complete.
© Hospital Anália Franco - Rua Fernandes Pinheiro, 268 - Tatuapé - São Paulo - SP - Tel. 11 2295-1942
