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General information on medical treatment

Overview of Gynecomastia

Gynecomastia is a condition characterized by enlarged male breast tissue, affecting up to 65% of men at some point in life. Surgical treatment shows a high success rate, with over 90% of patients reporting satisfaction with results. This condition can significantly impact patients' self-esteem and quality of life.

Evaluation and Decision Process

Proper diagnosis is crucial, as gynecomastia can be caused by various factors, including hormonal changes, medications, or underlying medical conditions. Initial evaluation must identify the specific cause and determine if surgical treatment is the best option. In some cases, treating the underlying cause may resolve the problem without surgery.

Procedure Preparation

Preparation involves several tests, including complete hormonal evaluation, imaging, and laboratory tests. It's essential to suspend medications that may affect blood clotting and follow specific guidelines about diet and physical activity in the weeks leading up to surgery.

The Surgical Procedure

Surgery may involve different techniques, depending on the type and extent of gynecomastia. Options include liposuction, direct excision of glandular tissue, or a combination of both. The procedure typically lasts between 1 to 3 hours and can be performed under local anesthesia with sedation or general anesthesia.

Recovery Process

Initial recovery requires approximately two weeks of specific care. Wearing a compression garment is essential to reduce swelling and assist in skin retraction. Warning signs include high fever, intense pain, or pronounced asymmetry, which should be immediately reported to the doctor.

Professional Selection

To ensure the best results, it's crucial to consult plastic surgery specialists. The AvaliaMed platform facilitates access to experienced doctors, allowing you to analyze previous patient evaluations.

Frequently Asked Questions

Can gynecomastia return after surgery?
If the underlying cause is treated and the patient maintains a healthy weight, the risk of recurrence is low. However, hormonal changes or significant weight gain can cause new enlargement.
What is the recovery time?
Initial recovery takes about 2 weeks, with return to normal activities in 4-6 weeks. Final results are visible after 3-6 months.
Are the scars very visible?
Incisions are usually small and strategically positioned, becoming discreet after complete healing.
When can I return to exercising?
Light exercises can be resumed after 2-3 weeks, and more intense activities after 6 weeks, always with medical approval.
Is the surgery performed under general anesthesia?
It can be performed under local anesthesia with sedation or general anesthesia, depending on the procedure's extent and surgeon's preference.
Is there a minimum age for surgery?
It's recommended to wait until after puberty, usually after 18 years old, to ensure hormonal development is stable.
Does surgery affect nipple sensitivity?
There may be temporary changes in sensitivity, but permanent loss is rare with modern techniques.
How to maintain long-term results?
Maintain stable weight, exercise regularly, and avoid medications that may affect hormonal balance.
Is the procedure covered by health insurance?
In some cases, when there is clear and documented medical indication, the procedure may be covered by health insurance.
What are the risks of surgery?
Risks include bleeding, infection, asymmetry, sensitivity changes, and possible anesthetic complications.
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