The treatment for gynecomastia, which is the enlargement of breasts in men, can be done with the use of medication or surgery, but it should always be directed to fight its cause. Aesthetic treatments with devices that eliminate fat and improve the firmness of the skin can also be used and should be guided by the physiotherapist.
As breast growth is not a natural situation in men, this situation can have psychological consequences, which require specialized attention. In addition, participating in support groups during medical treatment, before and after surgery, and receiving support from friends and family, is important for men to feel motivated to undergo treatment and to deal with the situation better.
An option of natural treatment for gynecomastia is to do exercises that strengthen the chest and lose weight, since, by eliminating localized fat, the size of the breast also decreases.
If gynecomastia occurs in adolescence, treatment is not always necessary, because the size of the breasts tends to disappear over time.
1. Remedies
In gynecomastia caused by an imbalance between male and female hormones, treatment with drugs is the main option to try to regulate and stabilize hormones. An example of a remedy for gynecomastia is Tamoxifen, but the doctor may also recommend Clomiphene or Dostinex, for example.
2. Surgery
Surgery for gynecomastia, called facial surgery, aims to reduce the size of breasts in men and is usually indicated when other treatments have no effect and the symptoms last for more than 2 years.
The surgery takes about an hour and a half and is performed with sedation and local or general anesthesia, depending on the plastic surgeon who will perform the surgery. During the surgery, a half-moon cut is made around the nipple, in order to be able to remove excess breast tissue, which is then sent for analysis to rule out the possibility of cancer or, if necessary, to initiate appropriate treatment..
In cases where the patient has excess fat in the breasts, instead of surgery, liposuction can be performed to remove excess volume and correct any flaccidity that may exist.
In the most severe cases of gynecomastia, in which the excess breast tissue can cause the breasts to become flabby and the areola enlarged, surgery is also performed to reposition the areola and remove excess skin.
The price of surgery for gynecomastia varies between 3000 and 6000 reais. It is also possible to perform gynecomastia through SUS or the health plan.
Recovery after surgery
Recovery after surgery for gynecomastia is usually rapid, as the patient is discharged on the same day.
Although problems with surgery are rare, irregularities in the surface of the breast and changes in the shape or position of the nipple can occur.
Postoperative of surgery
In the postoperative period of surgery for gynecomastia, the patient may experience swelling and changes in breast tenderness. Usually the swelling lasts about 7 to 10 days and the lack of sensation at the site, although transient, can last up to 1 year.
After surgery, the patient should use a chest compression brace every day for about 30 to 45 days, as shown in the image, to help improve skin adherence, support the operated area and reduce postoperative risks like bleeding, for example.
It is very important for the patient to avoid physical efforts in the first two weeks, as well as sun exposure in the first months. Physical exercises are usually resumed 3 months after surgery and always under the indication of the plastic surgeon.
