The Procedure
The choice of surgical method depends on the severity of the gynecomastia and the patient’s characteristics. Depending on the case, the surgery can be performed either using liposuction or with subcutaneous mastectomy.
Liposuction: It is used when fatty tissue is the main cause of the problem. Surgery takes approximately 1-1.5 hours and is performed under local anesthesia and sedation, with no need for hospitalization.
Subcutaneous Mastectomy: The mammary gland is removed through an incision around the areola. Surgery takes 1-2 hours and is performed under general anesthesia or sedation. Drainage tubes are often placed to avoid hematoma.
In some cases, the plastic surgeon may combine both techniques or proceed with a simultaneous reduction of the areola and excision of excess skin for a better aesthetic result.
Regarding Gynecomastia
Puffy Nipples
This is a mild form of gynecomastia in which a small amount of mammary gland tissue is located just beneath the nipple and areola. Although the problem is not objectively severe, it causes significant embarrassment and anxiety to the patient. In these cases, the treatment is surgical removal and involves the excision of the glandular tissue through a small crescent-shaped incision at the lower edge of the areola.
Recovery After Gynecomastia Surgery
After the operation, the patient wears a special compression garment for 4 weeks, which helps with proper healing and reduces swelling. Bruising and swelling gradually subside, while mild pain is controlled with simple painkillers.
- First days: Swelling and bruising, wearing compression garment
- 1 week: Return to daily activities
- 3-4 weeks: Exercise allowed
- 6 months: Final result
Surgical Technique
The incisions in gynecomastia surgery are small and strategically placed so that they become almost invisible.
Photos Before & After
DO YOU HAVE QUESTIONS?
What You Need to Know
Is the result of the surgery permanent?
Yes, the removal of the gland and fat is permanent. However, significant fluctuations in weight may affect the result.
When can I return to the gym?
Light activities are allowed after 1-2 weeks, while intense exercise can be resumed after 3-4 weeks.
Will there be scars after the surgery?
The incisions are small and strategically placed to avoid being visible. With proper care, the scars fade significantly within a few months.
What is the cost of the surgery?
The cost depends on the technique used and the individual needs of the patient. For an accurate estimate, an examination by a plastic surgeon is required.
Can gynecomastia be treated without surgery?
In mild cases, diet and exercise may help. However, when there is glandular tissue present, the only effective solution is surgery.
