LOGO-MARC-ILLA

Gynecomastia

It consists of the abnormal enlargement of the mammary glands in men. It is the specific male problem that most affects social relations as well as self-esteem and personal self-confidence.
It may be related to poor diet, altered lifestyle (prolonged stress and lack of sleep…), medications (taking steroids is the most common), hereditary factors… It is important to assess your case carefully during consultations.

We always request an ultrasound study of the pectoral areas to determine what percentage of the affected area is fat and what part is mammary gland in order to plan the intervention properly.

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B/A Case 1

B/A Case 2

B/A Case 3

Do you need a Gynecomastia?

Shaping the male breast. Why do some people do better with liposuction alone and others need to have an incision?
Each patient must always be examined. We will do this with a thorough physical examination during the consultation. We will then order an ultrasound to determine the exact type of tissue affected and the amount of tissue affected. We will meet again in the consultation after this ultrasound to analyse the results and to indicate the correct treatment.

We always request an ultrasound study of the pectoral areas to determine what percentage of the affected area is fat and what part is mammary gland in order to plan the intervention properly.

  • Fat accumulations
  • Abnormal growth of the mammary gland
  • Deformity of the chest (bones or muscles)
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The factors described above may occur in isolation or in combination with each other.

How is each of them treated?

To achieve an ideal result, it is often necessary to make modifications to the skin to make it tighter and more adapted to the body (use happy face emoticons).

Growth of the pectoral area in men is not normal. It must be assessed by a specialist doctor because it may hide a real pathology behind it. For this reason, the treatment must be coordinated by a well-trained professional who works as a team with other medical professionals who know and work with this pathology on a regular basis. The most important thing is to carry out a correct comprehensive approach, with safety, adapted to each patient and specialized.

Do you want to reshape your thighs?

Frequently Asked Questions

The answer is: IT DEPENDS on each case

  • When to decide “NOT to wait to be a mother”: This is the preferred option for patients who do not feel comfortable or identified with the shape and irregularities of their body at the present time. For many patients, for example at 20 years of age, it is not worth spending another 10-15 years (until the age at which they want to be mothers) with a body that they do not feel comfortable with. It is true that the body changes over the years, with sudden weight changes or pregnancies. For this reason, many patients decide not to wait and to intervene on their body at the moment when they do not feel comfortable with it.
  • When to decide to “Waiting to be a mother”: This option is recommended for women who only want to undergo surgery once. In this case, it is best to wait until you have had all the children you want before undergoing body surgery. The price to pay will be spending several more years accepting the shape and irregularities present in the body that you are not completely comfortable with.

This type of surgery involves remodelling the fat and, usually, the skin of the body. For this reason, it is common to have alterations in sensitivity that usually last at least for the first 6 months, then they usually recover within 12-18 months.

Good candidates for body surgery may include people who:

  • They have specific areas of localized fat that do not respond to diet and exercise.
  • They have experienced significant weight loss and have excess sagging skin.
  • They have areas of sagging or loose skin due to aging, pregnancy, or loss of skin elasticity.
  • They have realistic expectations about the results of the procedure and are motivated to maintain a healthy lifestyle after surgery.
  • They are close to their ideal weight and have a stable body mass index (BMI) within a healthy range.
  • Do not smoke or are willing to quit smoking before and after surgery, as smoking can negatively affect the healing process.

Postoperative

The first postoperative hours The patient is then taken to the hospital's recovery area, where all vital signs are closely monitored. When the patient has fully recovered from the anaesthetic, the pain and dizziness are under control and she is therefore in optimal condition, she is taken to her room with her family and friends. This is where recovery begins in preparation for returning home.

In your room on the ward, the nursing staff will diligently ensure that the patient is comfortable and with minimal discomfort, using the medication prescribed by our anesthesiology team when necessary. The nursing team will help the patient tolerate the intake of liquids and solids, and walking, thus ensuring a safe return home.

The next day we will come to the hospital to check that the patient is in good general condition and that there are no complications of any kind in the areas that were operated on. We will consider the possibility of removing the drains and bandages. If everything is in good condition, we will proceed to deliver the discharge report, which details all the postoperative instructions that the patient must follow and the prescriptions that she will need to give to the pharmacy in order to receive the medication that we recommend.

In the first week after surgery, pain and dizziness are rare, but there are specific times when they can occur and you have to be prepared.

We have to consider them our allies, since they remove the liquid that causes a lot of inflammation if it stays inside and can even increase the risk of complications. They are a nuisance, but there is nothing worse than that. In many of our interventions we leave them, at least until discharge from the hospital. We always leave them longer in abdominal and back surgery than in breast surgery.

It depends on the type of job. Normally, we allow you to start computer work (secretarial work, IT, telecommunications, etc.) two weeks after surgery. Jobs that involve driving or a lot of movement usually start after three weeks.

We usually allow driving from three weeks postoperatively.

We recommend spending the first five to seven days postoperatively at home, and from then on we allow going out for a coffee or visiting family or friends. Driving or taking long walks from three weeks postoperatively. Sports such as going to the gym or running from four weeks postoperatively. Intense sports such as climbing, swimming, triathlon… from six weeks postoperatively.

Most stitches are subcutaneous or intradermal, that is, they are under the skin, they go inside. We do not normally leave external stitches (only those at the ends of the intradermal suture). If there is a need to leave an external stitch, we normally remove it after 7-15 days.

After liposuction or abdominoplasty, the superficial tissues (skin and fat) are separated from the deep tissues (muscle and fascia). Due to the movement during the postoperative period, these two layers of tissue rub against each other, making healing difficult or causing inadequate healing. To avoid this, we always recommend performing a liposuction.

  • Rest for 7-10 days to reduce the amount of tissue friction.
  • Orthopedic compression girdle adjusted to the size of each patient for 30-45 days.

The girdle compresses the tissues, preventing friction and movement, facilitating healing in the area of interest. It also reduces edema (inflammation) and postoperative pain, greatly improving patient comfort.

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