How preoperative preparation for the elimination of gynecomastia? How is the operation going? How is the postoperative period? Answers to these questions you will find in the article.
Content
From the history...
The history of breast decrease operations began with a decrease in male
breast, which reminded her female copy in 1846, t.E. With treatment
Gynecomastia. Term «Gynecomastia» was introduced by Galen in the second
Century N.NS. Galen defined gynecomastia as unnatural
Grease accumulation in the breast area in men.
Currently, gynecomastia is called an increase in breast tissue
Men. Gynecomastia can be true when breast augmentation
occurs due to an increase in the tissues of the chest or
false when breasts are increased by fatty fiber. Most often
Mixed option is found - when the chest is enlarged at the expense of
glands and subcutaneous fatty fiber.
In most cases, the cause of gynecomastia is increased
Estrogen products (female sex hormones) and level decrease
Androgen (men's sex hormones).
Gynecomastia in youthful age can manifest in the period of sex
ripening due to hormonal imbalance and often spontaneously passes into
For 3 years after the first manifestations. Adult gynecomastia can
be related to age-related changes or with a decrease in the function of the testicles,
As a result, the amount of subcutaneous fatty fiber increases
And the estrogens / androgens ratio increases. True gynecomastia
Almost always related to the lack of androgen and excess
Estrogen. In some cases, the causes of the development of gynecomastia can be
Medicines, tumors, chromosomal disorders, endocrinological
Diseases and D.R. Factors.
Gynecomastia causes discomfort, leads to emotional experiences and violation of social adaptation.
- Gynecomastia I degree. A slight increase in breast, without excess skin.
- Gynecomastia II degree. Average breast increase, without excess skin.
- Gynecomastia III degree. Average breast magnification, with leather excess.
- Gynecomastia IV degree. Pronounced breast increase with leather excess.
Before surgery
In the presence of gynecomastia, the patient needs to receive a consultation
endocrinologist, it is possible to pass tests to hormones and go through
Ultrasound examination of the chest glands. On consultation
Gynecomastia patient should get objective information about what
can be expected from the operation. For consultation about gynecomastia
The surgeon usually studies the condition of the tissue, analyzing what proportion
Makes a ferrous fabric, and what - fat. When surgery
Gynecomastia these two types of fabric sometimes require different approach. So W
patients with false gynecomastia to achieve optimal results
It is usually enough to perform a chest liposuction. In patients with true
gynecomastia need to remove chest tissues through a small
Paraaareolar section.
Before the surgery about gynecomastia, it is advisable to accept
Vitamins, fully feed, eating enough
Meat, fruits and vegetables. An unfavorable factor for healing after
Gynecomastics operations is smoking. T.Oh at least for
Two weeks before surgery for gynecomastics, smokers recommend
at all refuse smoking.
Before the operation to eliminate gynecomastia must be stopped
Reception of drugs that reduce blood coagulation, such as
Acetylsalicylic acid (aspirin) - standard ingredient
Package preparations. Avoid reception of such drugs
14 days before and within a week after surgery about gynecomastia.
After the operation to eliminate gynecomastia is necessary for as
at least three weeks, wearing special compression linen, which
fits tight and tightened the operated zones. Usually pick it up and
You can buy in the clinic.
Since the operation to eliminate gynecomastia is carried out under anesthesia
For the patient, it is important that there are no food or liquid in the stomach, for
this on the day of operation is preferably nothing and not drinking.
On the day of operations about gynecomastia, at home, before admission to
It is desirable to wash the clinic using antibacterial soap.
When entering the clinic on the day of the operation to eliminate gynecomastia,
The chest is measured and photographed, after that the surgeon is inflicted on it
The required drawing with a marker and patient is discharged into operational.
During the operation
Operation to eliminate gynecomastia is usually performed under the general
Anesthesia and lasts 1-1.5 hours. The operating field is sterilized by alcohol and
Cover sterile surgical linen. Then the surgeon makes one of
possible cuts, namely the one that they agreed with the patient
For consultation.
There are several different breast reducing methods
Gynecomastia. In some of them, enough implementation only
liposuction that is performed through small punctures (2-3 mm) and in
Some - reduction of skin excess and nipple movement
up, and therefore, there is a unauthorized scar around the nipple.
In one of the applicable breast reduction methods for gynecomastia
A small incision is performed under the nipple - on the border of the pigmented
parts of the arole and skin chest, t.N. Paraaareolar section.
Through this incision with the help of special tools are removed as a cloth
Breast itself and body fatty chest. After cut
Eat. Sometimes a drainage tube for blood removal is installed,
which can slightly leak from the cut. Method of sewing section
varies, but usually the seams are imposed on the thread that herself is absorbed
in body. At the same time, the scar is only under the Areol. Absence
horizontal scar under the breast or vertical scar on the side
chest surfaces after surgery about gynecomastia is
The great advantage of this breast reduction method during gynecomastia.
After cuts are closed, they are imposed on the dressing, and dress
Patient Special compression linen.
After operation
After surgery about the gynecomastia of the operation zone for
several hours will be sensitive and painful. However, pain after
breast decrease operations for gynecomastia usually weak. Many
Patients after the elimination of gynecomastia costs light analgesics,
and usually go home the next day.
Operated sections can be swollen, but the edema is usually not heavy,
and hurts and pulls only at certain moves. The first days after
surgery about gynecomastia should not raise hands high above
head because it causes excessive tension in the seams. Seams after
Gynecomastia elimination operations are usually not removed, and they themselves
Spass. After breast decrease in gynecomastia patients
Recommend to wear supporting compression lingerie day and night
The first three weeks. Within three weeks after surgery
Gynecomastia should avoid exercises and exercise, and then
gradually resume them.
On the result of a breast decrease in gynecomastia can be judged at about six months after the operation.
Postoperative complications
The risk of complications during the healing period after surgery
Gynecomastia more when decreasing is really big in size
chest, especially in older and full patients, and especially if they
smoke. The worst of these complications is the insufficiency of blood supply to
Possible necrosis of the nipple. When removing a large amount of iron
tissue with breast decrease with gynecomastia nipple sensitivity and
surrounding skin can drop. Many patients talk about
Reducing the sensitivity of nipples after surgery about gynecomastia,
But they rarely bother them.
After surgery about gynecomastia, breasts may be somewhat
Asymmetric. Small deviations in size and form after surgery
The occasion of gynecomastia should be considered as normal, but large
deviations should not. Planning, measurement and markup before
reduced chest at gynecomastia - these are the most important stages of achievement
the most symmetric, naturally looking result.
