ginecomastia     Gynecomastia is plastic surgery for the correction of excess breast tissue in men. It is one of the most sought after surgeries for them. All men have breast tissue behind the areola; however, in most cases this tissue does not develop. There are several causes of gynecomastia such as drug, senile, hereditary, pubertal and even idiopathic causes (when, despite the diagnostic investigation, a cause is not found).



1. What type of anesthesia is used for gynecomastia?
     We can opt for local anesthesia with sedation for small to moderate sizes. A medication is applied so the patient can sleep quietly. Subsequently, we perform local anesthesia. In cases of larger volumes of gynecomastia, we opt for general anesthesia for the patient’s safety.

ginecomastia-marla-de-aguiar2. What are the scars?
     There are some scars options:
• Infra-areal (only around the lower limits of the areolas; it is the choice made in most cases)
• Periareolar (when it is also necessary to reduce the size of the areolas)
• Webster Incision (in the form of a “Ω” for cases of large amounts of gland)
• Only small incisions of 1cm when liposuction is exclusively indicated We performed Micropore adhesive dressings throughout the scar so that it becomes as discreet as possible.

3. When will the stitches be removed?
     For this type of surgery we use absorbable sutures, that is, wires that are degraded by the body after a few weeks. Thus, the stitches do not need to be removed, they will disappear by themselves.

4. Is the surgery very painful?
     Usually there is no pain, and when it is present, it is quite tolerable and resolved simply with common painkillers.

5. Does the incision get very swollen and purple?
     In the first 2 to 3 days, edema (swelling) and ecchymosis (purple) may be present. But, this will depend on how each patient responds to surgery.

6. How long does the surgery last?
     Usually from 2 to 3 hours.

7. How long will I need to stay in hospital?
     From 8 to 24 hours after surgery. Depending on the type of anesthesia and patient recovery.

8. Is lymphatic massage necessary?
     The massages are very important. The first massage is performed about 4 days after surgery. They help in the early reduction of swelling and scar remodeling.

9. Do I have to use compression garments after surgery?
     Yes, the use of compression garments should be carried out for 30 days. The garment is fully covered by ordinary clothes.