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Plastic Surgery

Male breast reduction

The term gynecomastia comes from the Greek word "gyne" which means "breasts like a woman". Gynecomastia is a benign enlargement of the male breasts that occurs as a result of hypertrophy or enlargement of the glandular parenchyma of the breast and the accumulation of subcutaneous fatty tissue. Gynecomastia can sometimes manifest itself as the secretion of small amounts of milk or a similar discharge. Statistically, one in three men under the age of 40 suffers from some degree of gynecomastia, and over the age of fifty, almost half of men have enlarged male breasts.


Description of the procedure

Gynecomastia can be caused by excess fat or glandular tissue, or a combination of both. Gynecomastia cannot be prevented, but it can be corrected with corrective procedures such as male breast reduction, mastectomy, or liposuction. However, it is very important to have an endocrinologist perform the examination when diagnosing gynecomastia to rule out other more serious causes of breast enlargement.

Candidates

Candidates for breast reduction surgery are healthy patients, over 18 years of age, who have developed a self-esteem problem due to their physical appearance.

It is important to emphasize that it is necessary for the patient to have objective expectations of the results of the procedure, with an understanding of all the advantages and disadvantages that the surgeon will inform them about during the consultation.

Preparation

The first step is a preoperative examination of the patient, which determines the type of gynecomastia. The approach to each patient is strictly individual. A thorough family and personal history is taken to try to isolate the possible cause of gynecomastia. Come to the interview and consultation at the Bagatin Polyclinic prepared to talk about your health. You must talk about illnesses you have had, your current health condition, drug allergies, breast biopsies, and medications you are taking. It is important to provide complete information.

You should stop smoking four to six weeks before the procedure. Two weeks before, stop taking aspirin, herbal preparations or any other supplements and certain medications that prevent inflammation, as their content can cause significant bleeding.

12 to 24 hours before the procedure: Be sure to use antibacterial soap and leave the antibacterial soap lather on the area of ​​the body that will undergo the procedure for about 10 minutes the evening before, the day before the procedure, and the morning after. Scrub your breasts and underarms well with antibacterial soap

Eight hours before surgery: do not eat or drink and remove all jewelry.

Procedure progress

Male breast reduction surgery takes two to four hours, after which you are placed in a recovery room until the next morning. The surgery is performed under general anesthesia, which means you are asleep during the procedure. You can find out more about the anesthesiology examination at our Polyclinic and the differences between general and local anesthesia here . After the operation, you will be given a strong painkiller intravenously. Patients who are more sensitive to painkillers may experience nausea, so please inform the nurse immediately when you wake up from the anesthesia.

An incision is made on the periphery of the areola and the glandular tissue is surgically removed. When there is a larger volume of gland, fat, and excess skin, sometimes an incision around the areola is not enough, but it needs to be extended beyond the periareolar region to the right, left, both sides, or below. Less complex cases with a predominance of fat tissue can be completely corrected with liposuction, which is usually the first choice method in the treatment of gynecomastia.

Recovery

At the Bagatin Polyclinic, you will receive written instructions regarding the use of antibiotics if necessary, analgesics and anti-inflammatory drugs, and the appointment of a follow-up examination. For the first week after surgery, you should avoid exercising, swimming, and other intense physical activities. Only light exercises are allowed.

Wear a light corset to protect the wound. Swelling usually subsides in 3 to 5 weeks. After 10 to 14 days, you will come for a check-up and removal of stitches. Patients who are not from Zagreb are advised to stay in the city as this is a complex surgery. It is important that your doctor monitors your recovery.

Precautions

Like any other surgical procedure, male breast reduction is associated with certain risks and complications regardless of the maximum precautions taken. Possible complications include bleeding, infections, and longer wound healing times.

The professional staff of the Bagatin Polyclinic takes all precautions to minimize the risks of postoperative complications, however, a great deal of responsibility for possible risks also lies with the patients.

Price

The package includes: preoperative examination by an anesthesiologist, surgery under general anesthesia, a short stay at the Bagatin Polyclinic, necessary medications (antibiotics, analgesics), check-ups and dressings in the first postoperative days, removal of stitches, and necessary check-ups up to 6 months after the procedure.

The package does not include: the first consultation with a doctor, blood tests, ECG, chest X-ray, or an examination by an internist, the cost of one or more overnight stays, costs before admission to the Bagatin Polyclinic, telephone costs, medications that you will take at home, consultations with other specialists such as a specialist for diabetes, asthma, high blood pressure, thyroid, allergy medicine, heart medicine, etc.

In cooperation with banks, Bagatin Polyclinic provides the option of paying in installments, as well as interest-free payments up to a certain number of installments.

You can check more about payment methods and the cost of the procedure in the current price list of the Bagatin Polyclinic:

They said about us...

I'm really pleased. You explained everything to me nicely. Although I was a little nervous considering it was male breast reduction surgery, I feel much better now.

M.P.

Your

Frequently asked questions

How is male breast reduction surgery performed?

If gynecomastia is caused mainly by excess fat tissue (known as “pseudogynecomastia”), the surgeon may use liposuction. Through small incisions, a thin tube (cannula) is inserted and moved back and forth to break up the fat cells, which are then aspirated from the body using a vacuum.

How long does the recovery process take?

At the Bagatin Polyclinic, you will receive written instructions regarding the use of antibiotics if necessary, analgesics and anti-inflammatory drugs, and the appointment of a follow-up examination. For the first week after surgery, you should avoid exercising, swimming, and other intense physical activities. Only light exercises are possible. Wear a light corset to protect the wound. Swelling usually subsides in 3 to 5 weeks.

After 10 to 14 days, you will come for a check-up and removal of the stitches. Patients who are not from Zagreb are advised to stay in the city because this is a complex surgery. It is important that your doctor monitors your recovery.

What are the potential risks or complications?

Like any other surgical procedure, male breast reduction is associated with certain risks and complications, regardless of the maximum precautions taken. Possible complications include bleeding, infections, and longer healing times. The professional staff of the Bagatin Polyclinic takes all precautions to minimize the risks of postoperative complications, however, a large responsibility for possible risks also lies with the patients.

Who is an ideal candidate for male breast reduction?

The candidate should be in good general health with no serious chronic illnesses or conditions that could affect recovery.

It is recommended that the candidate has a stable body weight because large changes in body mass can affect the results of the surgery.

Ideal candidates are those whose gynecomastia is caused by genetic factors, hormonal changes, or other non-serious causes, and not secondary causes such as medication or substance use.

How to maintain the results of the surgery?

Avoiding sudden weight changes : Large fluctuations in body weight can affect the shape of the breasts and result in sagging or a change in appearance.

Muscle toning : Regular exercise, including exercises that strengthen the chest muscles, can help maintain the tone and appearance of your breasts.

Avoiding overexertion : Avoid strenuous or high-intensity exercises that could affect the postoperative area.

Follow-up with your surgeon : Visit your surgeon regularly for check-ups to monitor the condition of your breasts and ensure there are no problems or complications.

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Male breast reduction