Gynecomastia is the term for the presence and growth of the mammary gland in men.

The cause of gynecomastia may be hormonal changes, genetics, the use of certain medication, or some diseases. It usually appears in early childhood or adolescence and may disappear in a year. In case that does not occur, the condition can be corrected by plastic surgery.

If the breasts are asymmetric, the surgery is intended to correct only one breast. In addition to gland augmentation, an increase of fat tissue can also occur. In this case, it is possible to associate liposuction in the same procedure and better reshape the region.

The surgical technique aims at removing the excess of affected mammary glands through a slight incision in the edge of the areola.

The procedure can be performed under local anesthesia and sedation or general anesthesia. It takes in average 1-2 hours and hospitalization time ranges from 12-24 hours, depending on the type of anesthesia. Recovery takes about a week. The use of a post-surgical vest is required for about a month.

Plastic surgeon André Nery M.D. states that the ideal age for surgery is 18 when the growth of male breast tissue is already complete. However, nothing prevents the surgery of being performed in children if the gynecomastia affects the emotional and psychosocial development.

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