Procedure stages
In classical forms: men with excess mammary volume and/or cutaneous excess in the thoracic region.
Pre-operative markings are performed by Dr. Petit before the operation.
The operation is achieved under general anesthesia, with an out-patient basis (hospital discharge that very evening).
The operation starts with the liposuction located in the pectoral region, thus removing the glandular excess behind the areola and the nipple, responsible for the areolar protrusion.
A discreet scar is necessary and located at the lower edge of the areola.
The cutaneous closure is performed with subcutaneous resorbable sutures.
A dressing modeling the thorax is performed at the end of the procedure.
In severe forms: men with real breasts, combining a significant excess mammary volume and a cutaneous excess in the thoracic region.
Pre-operative markings are performed by Dr. Petit before the operation.
The operation is achieved under general anesthesia, with hospitalization of one night at the clinic.
The procedure consists in performing a mastectomy (that is to say, to remove the breast).
The scarring price is more significant with a long scar in a sub-pectoral position, and a scar around the areola engrafted in a good position.
The cutaneous closure is performed with resorbable sutures.
A fat occlusive dressing in the engrafted areolae region, and a dressing modeling the thorax is performed at the end of the procedure.
What to expect after surgery
Gynaecomastia is a moderate painful procedure. Pains are well soothed by analgesics.
Ecchymosis (bruises) are classical and subside within 2 to 3 weeks after the operation. An oedema (swelling) is constant and of variable duration, gradually subsiding within a few months.
In classical forms, a shower with a soft soap is possible the day following the operation.
In severe forms, the surgical dressing shall not be removed or wet until your appointment planned five days after the operation with Dr. Petit. During the appointment, the dressing will be removed in order to appreciate the engraftment of your areolae. Then, local nursing care will start for 10 days.
The wearing of a compression bolero is recommended during 1 month in order to reduce the post-operative œdema.
The resumption of daily activities is possible the day following the procedure.
The resumption of professional activities is possible from 1 to 2 weeks following the procedure.
The resumption of sports activities can be done within 4 to 6 weeks following the operation.
Procedure risks
The complications of gynaecomastia surgery are weak and will be mentioned by Dr. Petit during the consultation.
Main risks are the following
In the first hours following the surgery:
- A haematoma (blood pooling), a rare complication requiring a revisionary process in order to drain it.
In the post-operative month:
- Healing problems.
- A seroma (collection of fluid), requiring a drainage in consultation.
- Transitory troubles of skin sensitivity.
- An infection, a cutaneous necrosis: rare complications.
- Partial areolar engraftment.
In the long term:
- A scar expansion (of the sub-pectoral scar in severe forms).
- A pathological scarring (hypertrophic scars or keloids).
- A poor achievement requiring a secondary surgical revision.
- A loss of sensitivity and pigmentation disorders (in severe forms, relating to the graft of the areolae).
Long-term result
The final result of a gynaecomastia cure is obtained between 3 to 6 months after the procedure, when the post-operative oedema has disappeared.
The final aspect of your scars is not predictable and will be known at the end of the scarring maturation (between 1 and 2 years after the procedure). The periareolar scars are usually discreet in the long term.
The gynaecomastia cure is an efficient procedure, giving significant aesthetic and psychological benefits, and thus enabling patients to regain a manly pectoral region.