Indications for gynecomastia surgery:
- Enlargement of the mammary gland or fatty enlargement of the male breast.
Before gynecomastia surgery:
A breast ultrasound must be performed. In addition, an endocrinological consultation is indicated for young patients. A consultation with a plastic surgeon is then necessary, during which the specialist answers all the patient's questions and discusses the details of the procedure. A series of tests must be performed, including the aforementioned breast ultrasound and ECG (for patients over 40 years of age). In addition, blood-thinning medications (e.g. aspirin) must not be taken for at least 10 days before the procedure.
General pre-procedure nutritional recommendations from a dietitian for gynecomastia:
To better prepare for the procedure, it is also worth following nutritional recommendations. The diet before the procedure must not be restrictive, as protein deficiency impairs the healing of postoperative wounds. However, some modifications are advisable. The diet should be easily digestible, and fatty and gas-forming foods should be eliminated. Smoking and drinking alcohol should be avoided. Pay attention to supplements that may cause excessive bleeding, e.g. vitamin E preparations, ginkofar, and medications containing acetylsalicylic acid (aspirin and its derivatives). Chili, cayenne, garlic, ginger, saffron, onion, celery and horseradish can also increase the risk of bleeding.
Type of anesthesia:
General anesthesia.
Duration of the gynecomastia surgery:
Approx. 60–90 min.
Course of the gynecomastia surgery:
Through an incision around the areola — more or less extended depending on the size of the breast — after liposuction, the remaining mammary gland is removed, or if there is none, only liposuction is performed. Finally, sutures are placed, most commonly dissolvable, self-absorbing ones.
Hospital stay:
1 day.
Postoperative recommendations / complications:
Drain removal takes place most commonly the following day (sometimes later). Wearing a compression garment for approx. 3–4 weeks. Possibility of fluid accumulation in the postoperative cavity. There may be loss of sensation in the areola-nipple area and the possibility of areola retraction or minor irregularities related to gland removal. Use of scar ointments is recommended.
Result of the gynecomastia procedure:
Recovery time after gynecomastia:
The result is generally visible after one month.
General post-procedure nutritional recommendations from a dietitian for gynecomastia:
Diet after surgery is extremely important, and its proper balance ensures the supply of nutrients necessary for correct wound healing. Meals should be prepared to be easily digestible, with nutrients that are well absorbed. The daily menu must include products that are a source of high-quality protein. Zinc, iron and vitamins also play an important role in the recovery process and adequate intake in the diet should be ensured. Consuming fibre-rich products prevents constipation, which may occur after surgery. Products such as chocolate, tea, coffee, sweets and flour-based dishes should also be avoided as they slow intestinal motility.
