Plasticsurgeoncyprus: 2017

Thursday, January 12, 2017

Gynecomastia Treatment

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What is gynecomastia?

Gynecomastia is a common disorder and involves the development of large breasts in males. This can cause problems concerning their appearance and may affect their self-esteem.

What causes gynecomastia?

The most common form is the so-called pubertal gynecomastia and it is caused by an imbalance of the hormones testosterone and estrogen. It occurs in about 40% of the adolescents between the ages of 13 and 17 and it is bilateral (enlargement of both breasts). In the majority, however, the problem disappears after 12-24 months.

Taking anabolic steroids can also lead to breast enlargement and usually it remains even if the patient stops taking them. Other rarer causes are hepatic and renal failure, medications such as diuretics, alcohol and drugs abuse.

Do I need any investigations?

In cases of pubertal gynecomastia, you do not need any special investigations. An experienced plastic surgeon can identify if it is a non-pathological or a hormonal problem. In such cases you will need a hormonal control.

Classification:

The classification of gynecomastia is very important for the choice of treatment. There are four stages.


I-minor but visible breast enlargement without skin redundancy;
IIa-moderate breast enlargement without skin redundancy;
IIb-moderate breast enlargement with minor skin redundancy;
III-gross breast enlargement with skin redundancy so as to simulate a pendulous female breast.

What is the most appropriate treatment?

Treatment depends on the extent of the problem:
In the stage I, IIA and sometimes IIB, large breasts can be treated with a simple liposuction. Fat and breast gland can be removed with this technique. In more advanced stages where there is excess skin, incisions should be done for skin removal.

The technique of Liposuction:

We use the so named tumescent-liposuction. The technique involves the injection of large volumes of salt solution with local anesthetic and epinephrine into the subcutaneous fat. After 30-60 minutes of acting, the fluid provides such complete local anesthesia, which eliminates the need for general anesthesia, or IV sedation. The whole procedure will last about 2-3 hours. After the infusion of the fluid and after achieving complete numbness of the areas, a thin hollow tube, or cannula, is inserted through small incisions to loosen excess fat, and suction it out of the body.

Note that during the liposuction you will be awake and there is no pain. Once the procedure is completed, a special gynecomastia compression garment will cover the chest and you will be able to return home after 1-2 hours.

The recovery:

The first few days you will have some pain but this can be controlled easily with pain killers. There is no restriction of movements, but in contrary you will be recommended to take frequent walks. There will be some bruising for a few days. Recovery is very fast and in simple cases you will be able to return to your daily activities within few days.

Price:

The cost for gynecomastia treatment with liposuction is 2000 euros.

For more information and pictures:

www.plasticsurgerycyprus.com
info@plasticsurgerycyprus.com
Τηλ: 95107711