Surgery to remove gynecomastia in men. Price, is it complicated, how it goes, how long does it take

Operation to remove gynecomastia appointed by the surgeon when diagnosing pathological changes in the patient's mammary glands. The price of the procedure depends on the stage of development of the disease. In men, this pathology is characterized by an increase and thickening in the chest, which are accompanied by a feeling of heaviness.

When feeling, pain may appear. Gynecomastia grows and develops, usually very slowly. But self-medication or ineffective drug therapy leads to emergency surgery.

What is gynecomastia?

Translated from Greek, "gynecomastia" means "female breast". In men, the volume of the mammary glands is increased by fat or glandular tissue (alveolar tubules / milk ducts).

The first case of pathogenesis concerns overweight people, and the second occurs against the background of hormonal and metabolic disorders. The increase (up to 15 cm in diameter) can be uneven or symmetrical, both of one breast, and two at once.

The risk group includes:

• adolescents from 14 to 16 years old (30%);
• young men (40 to 50%);
• elderly people (make up the majority of the total number of patients with gynecomastia).

Since the appearance of men with such a specific disease changes according to the female type, this causes psychological discomfort. It is fraught with consequences of a more serious nature - the expanding glandular tissue sometimes develops into a malignant tumor.

There are several types of gynecomastia. Each of them implies different methods of correcting changes.

Classification	Peculiarities
True gynecomastia	The breast grows against the background of changes in the glandular tissue. A neoplasm that reaches the size of a walnut is probed under the nipple, and an ultrasound examination is prescribed to determine its contours.
False (lipomastia)	Changes do not occur in the mammary glands themselves, but in their surface tissues. Arise due to excessive fat accumulation. Therefore, obese men face this form.
Combined	Implies mixing the two previous types. Requires a more serious examination to understand the predominant factor of the disease - fat deposits or nodes in the milk ducts.

The surgeon prescribes an operation to remove gynecomastia after determining the cause of its occurrence. The cost of the procedure takes into account the size of the seal / suction assembly, the speed with which the disease progresses, and its stage at the time of surgery.

Indications and contraindications for surgery for gynecomastia

There are 2 main indications for surgery for breast augmentation in men - the ineffectiveness of drug treatment for more than 12 months and the suspicion of oncology.

Surgical intervention is also required if pain in the nipple area appears on palpation, and the cosmetic defect has become too noticeable.

Gynecomastia often occurs with an advanced form of endocrinopathy, accompanied by hormonal disruptions. Less often, it is diagnosed with a violation of the structure of the liver due to the proliferation of connective tissue (cirrhosis) and a syndrome of impaired renal function.

Pathologies for which it is strictly forbidden to carry out the operation include:

• hemophilia;
• intolerance to pain medications or allergies to the components of anesthesia;
• inability of the heart to function normally;
• the presence of inflammatory processes in the body;
• obesity, in which the increase in body weight exceeds 2-3 degrees.

Exacerbation of a chronic disease and overweight are non-critical contraindications. Surgical treatment is possible during remission and after the patient has normalized body weight.

What are the dangerous changes, except for a cosmetic defect?

If the type of pathology is physiological, it does not pose any danger. Moreover, it can independently regress. But a disease that progresses over a long period of time can become a catalyst for oncology.

Due to the lack of proper, timely treatment, spotting is released from the nipple. The axillary lymph nodes are also inflamed, and skin lesions appear.

The operation to remove gynecomastia, the price of which varies depending on individual factors, will be useless in the advanced stage of the pathology. Therefore, if solid seals and nodular neoplasms are found, it is necessary to immediately contact an oncologist or surgeon.

How to properly prepare for surgery?

Preparatory measures before the operation of a man with breast pathology are presented by taking anamnesis and taking tests. The doctor is obliged to ask the patient about all the illnesses and operations he has suffered, if any.

The fact of the presence of allergies to certain medications is established. In addition to donating blood and urine, a specialist can prescribe a referral for a coagulogram (coagulation).

After these mandatory steps, an X-ray and ultrasound of the mammary glands is done. To demonstrate the results before / after reproductive mammoplasty, the patient's chest is photographed.

Men who smoke are advised to give up their bad habit at least 14 days before surgery. Nicotine entering the body increases the time required for rehabilitation.

Psychological aspects

To combat the fear of a surgeon's scalpel or anesthesia, experts recommend contacting a psychologist. The desire of a man with gynecomastia to be like everyone else is the most important in solving psychological problems. This is especially true for adolescents who have entered the phase of puberty.

Such a pathology reduces internal self-esteem, a person manifests anxiety, hatred of his body, problems in interpersonal relationships.

The behavior of a representative of the strong half of humanity becomes antisocial, the first signs of gynecomastia force him to hide his chest in crowded places. And a teenager with lumps in the chest area requires tremendous willpower to discuss the problem with peers or tell the parents about everything.

Since the psychology of gynecomastia has not yet been thoroughly studied, there is no one hundred percent guarantee of getting rid of psychological trauma after the operation. But the appearance of complexes and the deterioration of the psychological state are faithful companions of every day of delay in treatment. An operation at an early stage can save a man from strong emotional and physical shocks.

Methods for surgical correction of pathology

The operation to remove gynecomastia, the price of which is determined by the surgeon after examination and testing, is performed in one of 3 surgical methods.

Areola-sparing subcutaneous mastectomy by para-areolar access

This type involves the complete removal of overgrown tissue in the affected area. If the lumps in the breast have already reached a large size, the surgeon excises the stretched skin and performs plastic surgery on the nipple. Subcutaneous mastectomy can last from 1 to 3 hours. Cost - from 30,000 to 60,000 rubles.

The doctor inserts a special tube to drain the fatty tissue and blood. The complexity depends on the number of seals and the degree of their growth. At the end of the procedure, the incision is closed with stitches.

Laser vaporization

Laser removal of gynecomastia is the least traumatic and painless method of treatment. During the operation, the surgeon makes a small puncture of the pigmented area around the nipple (areola).

A laser beam is directed into this incision, which travels along a thin fiber optic filament, melting the fat and tissue that surrounds it. The advantage of laser vaporization in high temperature, which has a cauterizing effect. Thanks to it, the risk of large bruises and bleeding is reduced.

The average cost of the procedure today is 38,000 rubles, and it lasts less than an hour. But laser treatment is permissible only with a mild form of bilateral true gynecomastia. If the volume of the lumps in the gland has already exceeded 10 cm, the surgeon will not operate using this technique.

Liposuction

Liposuction is a full-fledged operation, the indications for which are fatty deposits in the chest, putting pressure on the spine. A vacuum suction is used to pump out the fat.

It is injected through a skin puncture in the armpit. Sometimes doctors combine liposuction with mastectomy, or additionally excision of the skin to remove stretched areas.

The surgeon's work with liposuction usually lasts no more than 2 hours. But with additional mammoplasty, the operation time can be 3-4 hours. The average cost is 50,000 rubles.

How is the operation selected?

The key factor when choosing a method of surgery is the volume of the mammary glands. The surgeon also takes into account the amount of subcutaneous fat.

If gynecomastia is mixed / true and has reached a small size, a subcutaneous mastectomy is performed. Excessive growth of adipose tissue is an indication for liposuction. With an advanced stage of pathology, a combined method is effective, when the glands are removed along with liposuction.

Features and stages of the operation

Before the operation (2-3 days before) it is strictly forbidden to drink alcoholic beverages. On the day of the procedure, you should not eat, as the stomach must be completely emptied.

The operation to remove gynecomastia, the price of which is determined individually, is carried out according to the following algorithm:

• the patient is shaved off the hair on the chest, and the operating area is treated with antiseptic solutions;
• a drug is administered for local anesthesia or general anesthesia is given;
• a periareolar incision or puncture near the areola provides prompt access;
• a tube is inserted into the incision for pumping out fatty, glandular, stromal tissues;
• drainage is installed into the wound and cosmetic sutures are applied;
• the final stage consists in treating the skin with an antiseptic and the obligatory application of a sterile bandage.

After successful removal of the lumps in the chest, men undergo another mandatory procedure - histology. This is a test for cancer cells and malignant tumors. The further process of postoperative recovery and rehabilitation can take from 3 to 5 weeks. In rare cases, it stretches for six months.

Features of the postoperative period and possible complications

Depending on the condition of the patient, antibiotics and pain relievers are prescribed. To improve the healing process, it is recommended to treat the incision with Dermatiks or Clearvin cream. The stitches are removed no earlier than 1.5-2 weeks, and after that the man must wear a squeezing bandage for about a month.

At first after the operation, it is strongly discouraged to exercise and raise your arms above your head. This can cause the seams to come apart.

In order to normalize the amount of trace elements and vitamins, it is advisable to include fresh fruits and vegetables, sea fish, cereals in the postoperative diet. The doctor is responsible for supervising the operated patient.

If you ignore the recommendations of a specialist, the following complications may occur:

• the formation of blood clots inside the blood vessels;
• profuse bleeding, bruising, bruising;
• suppuration of the wound and the inflammatory process of the surrounding tissues;
• the formation of scars in places where the structure of the dermis has been disrupted;
• the skin around the incision becomes numb and takes on a greenish tint.

Complications also include breast asymmetry, fat necrosis and healing that lasts more than a month. In such situations, you need to immediately contact the surgeon who performed the operation.

Gynecomastia surgery is a minimally invasive procedure. Its cost depends on the individual characteristics of the patient. And, if the surgery goes without complications, the patient will be allowed to go home for 2-3 days. But only on condition that he visits the clinic every day for examination and dressings.

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