polskiniemieckiangielski

GYNAECOMASTIA SURGERY
SYN. MALE BREAST REDUCTION, GYNAECOMASTIA, PSEUDOGYNAECOMASTIA

Preparing for surgery


  • Required laboratory tests: blood cell count, clotting profile (coagulogram), blood group, erythrocyte sedimentation rate, fasting blood glucose, blood ion levels, urea, creatinine, ECG, chest X – ray, hepatitis B vaccination, breast ultrasonography.
  • For one week prior to the surgery aspirin, other acetylsalicylic acid products and other blood thinning products should be avoided. Drugs that enhance coagulation and decrease blood vessel wall permeability such as vitamin C and Rutinoscorbin (rutin and ascorbic acid tablets) are recommended.
  • No smoking is recommended for 14 days before the surgery. Food, drinks, chewing gum, chewing sweets (including Tic Tac) are forbidden for six hours before the surgery.
  • Recommended: good health.

    • Description of procedure

    Anaesthesia: general.

    Length: 1 – 1,5 hours.

    Discharge from clinic: one day after procedure.

    The procedure removes enlarged glandular tissue and/or excess fat from the breasts. The appearance typical of „male breast” can be achieved by excision of the glandular tissue, liposuction combined with resection of the glandular tissue or liposuction alone. Usually the incision is made at the lower semi – circumference of the areola (for surgical removal) or a tiny incision 2 – 3 mm in length can be made just below the breast (for liposuction).

    Recovery

    1. Drains are removed one day after the surgery.
    2. A special pressure garment will have to be worn for 30 days after the surgery.
    3. Stitches are removed 7 days after the surgery.
    4. A series of massages is sometimes recommended.
    5. Usually there are:pain alleviated by pain – killer medications, swelling and bruising.
    6. Possible complications: haematoma requiring repeat surgery, infection, persistent swelling, irregularities on the skin.

    Duration of results

    The result is permanent. However significant body weight fluctuations may diminish the effects. Stable body weight
    is recommended (+/-5 kg) to maintain the result.

    Frequently asked questions

    When can I go back to work after breast reduction?

    1 – 2 weeks after the surgery. Duration of recovery depends on the extent of the procedure.