Laserplast
Gynecomastia
True beauty lies in the beholder’s eyes

Gynecomastia is defined as the presence of mammary glands in males. It is further classified as true if the breasts are composed predominantly or exclusively of glandular tissue, false (or pseudogynecomastia) if the increase in size is due predominantly or exclusively to adipose tissue, and combined when both types of tissue are present. Under general anaesthetic or local anaesthetic with medical sedation, the excess tissue can be removed by liposuction (false gynecomastia), through a periareolar or hemiperiareolar incision and surgical excision of the excess glandular tissue (true gynecomastia), or by a combination of both techniques. The use of a liposuction cannula with a carefully designed cutting tip allows removal of both glandular tissue and adipose tissue, so combined gynecomastia can be corrected with incisions of just a few millimetres in length. When necessary, excess skin can be surgically removed after the volume of adipose or glandular tissue has been reduced (usually in the case of severe gynecomastia). In all cases, the procedure is preceded by  ultrasonography and hormonal tests in order to clarify the nature and cause of the problem.

TYPE OF TREATMENT
Surgical procedure
INFORMED CONSENT REQUIRED
Yes
LENGTH OF EACH TREATMENT
40 mins – 1,5 Hrs
NUMBER OF TREATMENTS
1
SIDE-EFFECTS (ALSO TEMPORARY)
Pain and swelling for several days, controllable with medication. At the end of the procedure drainage tubes can be left in place, and removed 24-48 hours later. Possible risks are haematoma (accumulation of blood that very rarely requires surgical drainage) and seroma (accumulation of serous fluid that rarely requires surgical drainage). Necrosis, sometimes partial, of the nipple/areola complex can occur, although extremely rarely, and usually linked to the major surgery required in the most severe cases. This leads to poor-quality scars which often require a second surgery. Insensitivity of the nipple/areola complex: during surgery it is possible to damage, even only partially, the sensitive innervations of the nipple/areola complex. A temporary reduction in sensitivity is considered normal, but sometimes it may be permanent. Infections are very rare and controllable with medication. Pathological or keloidal scarring.
TYPE OF ANAESTHETIC
General anaesthesia /local anaesthesia with intravenous sedation
PRECAUTIONS AFTER TREATMENT
Avoid intense physical activity (including sexual) for 2-4 weeks after the procedure, avoid sunlight exposure, wear a supportive bra for 2-6 weeks after the procedure.
PRECAUTIONS BEFORE TREATMENT
No anticoagulant or antiaggregant medications for at least 4 days before the procedure; stop smoking
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