These male patients present one or both breasts similar to the female mammary glands.
First we must distinguish between the false and true gynecomastia:
False gynecomastia: An accumulation of fat. It is resolved by liposuction, which usually can be performed under local anesthesia, with an operation time of about 45 minutes. It does not require hospitalization.
True gynecomastia: There is glandular hypertrophy (overgrowth) which requires removal with the use of general anesthesia. It involves a lower periareolar scar (in the lower nipple areola complex).
The operating time is about 60 minutes and requires hospitalization during 24 hours.
The postoperative evolution is very similar in both processes and it is necessary to carry a compression garment during two weeks. In the first case, the sutures are removed after a week and in the second case after 10 days. Physical activity is gradually restored after the 3rd postoperative day.
Large mammary hypertrophy in men is treated with breast reduction surgery techniques, similar to the techniques that we employ in the female patients.
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