Gynecomastia is characterised by the presence of visible breasts in men The male breast is normally characterised as an insignificantly sized bud.
The mammary gland can develop and lead to the formation of a relatively large breast in men, called gynecomastia. Gynecomastia can be unilateral or bilateral. It forms a firm mass, tender to touch and centered on the areola.
An adipomastie (accumulation of fat in the breast) may be associated, this is called gynecomastia adipocytes.
The presence of breasts in men, particularly during adolescence, is distressing and leads to lower self-esteem with an impact on the social, emotional and sexual life.
Gynecomastia can be caused by several diseases or hormonal imbalances. Therefore an assessment is always done to try to identify the origin of the disorder, so that its treatment can achieve a more or less complete regression of the gynecomastia.
It should be noted that transient gynecomastia is common in puberty and disappears within a few months. In practice, in most cases, no cause is found. This is called idiopathic gynecomastia which is corrected surgically.
In the case of gynecomastia the surgeon must reduce the breast size by liposuction, whereas for glandular gynecomastia the glandular tissue is removed through an incision located around the areola (subcutaneous mastectomy). Often, the surgeon combines these two methods.
For a moderate excess of skin that is of good quality, natural tightening will allow the skin to disappear over a few months.
In uncommon cases where tightening is not enough, the surgeon will remove excess skin leaving a larger scar. This resection of the skin can be performed at the same time as the procedure to decrease the volume or during a separate procedure.
Either general anaesthesia (rarely) or assisted local anaesthesia (diazepine-induced analgesia) is used depending on the severity of the gynecomastia.
The duration of the procedure varies from 45 minutes for an isolated liposuction to a maximum of 2 hours in case of a more complex intervention.
Similarly, the hospital stay varies from several hours (outpatient) to 24 hours.
The intensity of the pain varies and is similar to muscle aches. It is relieved by appropriate analgesics. Pain decreases rapidly after the first day.
Edema (swelling), ecchymosis (bruises) and a hindrance to elevate the arms are frequent in the early stages.
Complete healing is achieved within 2 to 3 weeks.
The dressings are semipermeable, therefore showers are allowed.
Special adhesive dressings will be applied to the scars for 2-3 months in order to improve their appearance.
Wearing a compression garment (bolero) is recommended 24 hours a day for 1 month to facilitate the tightening of the skin.
Returning to work is possible between 5 days and 3 weeks after surgery depending on the job.
The patient can resume sporting activities after 1 or 2 months.
Visible improvement is often immediate. 3 to 6 months areis required to obtain the final result (reduction of edema, skin retraction).
In some cases, if the excess skin has been removed immediately and if the spontaneous skin tightening is deemed insufficient, excision of excess skin can be performed at least 6 months after initial surgery.
The scars are almost non-existent in the cases of isolated liposuction, and subcutaneous mastectomy around the areola. They are more visible with the removal of excess skin. You need to wait for about one year before the scars are fully developed and become more discreet.
As with any surgery, a number of complications can occur. But the likelihood of these complications is reduced in the hands of a qualified plastic surgeon and in the presence of a competent anaesthetist.
The patient’s compliance to instructions given by the surgeon is also essential and include :
In the vast majority of cases, side effects are minimal after a Gynecomastia treatment.
Rare complications that could occur include, but are not limited to risk of hematoma, infection and scarring complications.
In the event of a complication, appropriate measures will be taken.
As this procedure is considered purely for aesthetic purposes, no coverage is provided by health insurance.
In some cases, a partial reimbursement of the cost of the procedure may be considered.