Gynaecomastia

Who Is It For?

Some men face the problem of the augmentation of mammary glands caused by changed hormone levels. This can also be connected with considerable fat deposits in the area, all of which creates the effect of female breasts. The problem has a rather simple solution which involves abstracting the mammary glands and sometimes even performing small liposuction of the area (and thus eliminating the fat deposit). Gynaecomastia may be caused by prescription drugs such as anabolic steroids, over-the-counter medicines, illegal drugs, tumours or disease. Men who are self-conscious because they have over-developed or enlarged breast tissue (usually caused by being overweight, or having lost weight), or men who suffer from back and neck ache because their “breasts” are too heavy can benefit from male breast reduction surgery.

Get Prepared

Make sure you will get time off work (depending on the operation and the nature of your job). You will need support and help from the family and friends in the recovery period (avoiding physically demanding jobs, important social events etc.).  

No acute illnesses should occur in the period of at least 3 weeks prior to the planned male breast reduction surgery (a viral illness, a cold etc.). If so, it is necessary to inform us.

One week before the male breast operation, do not take any medications containing acetylsalicyclic acid (such as Acylpyrin, Aspirin, Alnagon, Mironal etc.). It might increase bleeding during and after the male breast reduction procedure.

Consult your GP or your surgeon in Prague regarding other medications you take regularly. Bring your usual medicine and pills, if possible in the original packaging.

It is recommended to stop or considerably reduce smoking two weeks before the operation. If you are a smoker don’t forget to bring nicotine patches with you.

Male breast reduction surgery requires the use of elastic garment after the procedure. You can either bring your own or you can buy them at the clinic. We recommend buying them after the consultation with your surgeon who will try the elastic garments on and decide which size and type is suitable for you.

How Is It Done?

An ultrasound is used to scan the area prior to the operation. Incisions are made around the areolae and the mammary glands are excised. If the surgery is combined with liposuction, a cannula (small tube) is inserted into short incisions in the area and the excess fat is drained. During suturing, non-dissolvable or dissolvable stitches can be used; non-dissolvable stitches must be extracted, while dissolvable stitches are absorbed by the body naturally, leaving a fainter scar.

Surgery

The surgery is performed under general anaesthetic and takes less than an hour.

After Surgery

Male breast reduction surgery requires an overnight stay. Immediately after the operation, elastic belts are placed over the operated area and these are worn for about one month. Bed rest is recommended for the first few days after the operation. No heavy lifting for 4-6 weeks (this is determined by your surgeon).

Post-operative Instructions

Possible Reactions

Normally your temperature may slightly rise for a period of two to three days. An analgesic can easily ease the discomfort connected to any possible pain in the area operated upon.

You might experience pain in the area of the scars. This is quite common but analgesic can ease it.

Minimal to moderate postoperative pain (depending on how extensive the procedure is).

Temporary loss of breast sensation or numbness, which may last up to a year.

Possible Complications

Post-operative bleeding, or bleeding caused by insufficient post-operative care at home

Swelling, Prolonged healing (especially if you smoke)

Haematomas, Infection of the wound

Imperfect effect resulting from non-observance of the post-operative instructions

Back To Normal

Following uneventful recovery, it is normally possible to return to work and resume customary activities (excluding exercise) within one week of the operation. Normal physical activity, including exercise, can be resumed two weeks after the operation.

Result

The result is long-lasting or even permanent.


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