The type of surgery depends on the form of gynecomastia. The problem may be caused by an increase in the size of the mammary gland, called true gynecomastia. The other type is caused by an increase in fatty tissue, called pseudogynecomastia. A combination of both types may also occur. The mammary gland can also become enlarged in adulthood and is usually associated with the use of steroid anabolic steroids.
It depends on how the procedure is performed. In the case of local anesthesia, a blood clotting test is required. In the case of general anesthesia, internal preoperative testing is required. The patient should not smoke or drink alcohol for 48 hours prior to either procedure.
True gynecomastia requires complete anaesthesia. The incision is small, about 3-4 cm. The extra gland is removed. In pseudogynecomastia, the fatty tissue is suctioned similar to liposuction. Both methods can be combined. In case of severe gynecomastia, the excess skin is removed and the incision is aesthetically sutured so that the scar is not so visible.
We usually remove the drains the next day when we apply the first dressing. The sutures do not lie on the skin surface and are absorbable. It is necessary to wear a special compression sleeve on the chest for 6-8 weeks. Major physical activities are not recommended for the first four weeks. Return to work is possible after 2 - 4 days. Full physical activity is possible after 6 - 8 weeks.