Objective:
to reduce overdeveloped breasts in men to provide the appearance of a male breast.

Gynecomastia is a condition that affects men at any age and is characterized by the overdevelopment of breast glandular tissue, localized fat, or a combination of both factors.
It can occur unilaterally or bilaterally and it can be the result of hormonal changes, heredity, genetic conditions, or the use of certain medications.
The removal of glandular tissue is performed using excision techniques, which can also be applied if there is a need to reposition the nipple or reduce the areola, aiming at a more harmonious final result. In cases of gynecomastia resulting from excess adipose tissue, surgery is performed using liposuction techniques.

The procedure is indicated for men who want to correct this condition and want a more masculine appearance of the pectoral region. It is indicated for patients that are physically healthy, normal weight, and after the development of the breasts is already stabilized.

It is important to note that weight gain after the procedure can cause the condition to reappear.

Preoperative: before the procedure, the patient answers a questionnaire about his lifestyle, his health, and expectations. At the consultation, laboratory tests are requested and based upon the results, recommendations are provided for taking or pausing the use of certain medications as well as for adjusting the doses of the routine medications being taken; also, the patient is advised to stop smoking and the consumption of alcoholic beverages days before surgery – it is also important to avoid aspirin, anti-inflammatories, anticoagulants and natural remedies. Absolute fasting of 8 hours is required on the day before the surgery (solid and liquid foods).

Postoperative: after the procedure, the doctor prescribes the needed medications to optimize the cicatrization process as well as to prevent infections. The use of elastic bandage or mesh may be recommended to help decrease swelling, as well as the use of a temporary drain to remove excess blood and fluids.

Light activities can be resumed gradually after 7 days, while the most demanding activities after 2 or 3 weeks. Swelling and bruising disappear after 3 to 6 months.