The Gynaecomastia It is the presence of a breast with a feminine appearance in men.
Types of gynaecomastia
Gynaecomastia can be:
- True ginecomastia: a consequence of hormonal imbalances, and therefore characterised almost exclusively by excessive development of the mammary gland. It always appears in the prepubertal period.
- Lipomastia (Pseudo-gynaecomastia): breast exclusively characterised by excessive adipose tissue
- Mixed shapes glandular and adipose.
Correct pre-operative assessment of the type of gynaecomastia is fundamental for surgical planning, as for true gynaecomastia a traditional hemi-periareolar surgical approach is indicated to remove the gland; in lipomastia, however, the ideal treatment is Liposuction; in mixed forms the two interventions are often combined.
Post-operative recovery in gynecomastia
The patient's recovery is always very rapid (within 48-72 hours they can return almost to their normal daily routine, which is fully achieved within the first week). Scars will be unnoticeable in the case of liposuction or inferior hemi-areolar access, whereas they may be visible in the case of areolar scars, which are necessary if skin resection is also required due to ptosis. This procedure Cosmetic surgery it can be performed under local anaesthesia + sedation as day-case surgery or under general anaesthesia with a one-day stay, depending on age and the specific problem, and it may also involve the use of Conscious sedation to maximise comfort.
Day surgery (inpatient care without overnight stay in clinic) or 1-day admission (1 night's stay in clinic)
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