Introduction
Let’s face it: There’s no man willing to wear a bra.
Such breasts grown on a male make you feel unattractive and you will lose the self confidence. Each man knows that the best way to attract a woman is self-confidence, so, how can you win this battle?

Gynecomastia represents the growth of breast in men, the translation from Greek meaning "women breasts". It can affect one breast or both. The growth of breast in men can have various degrees from discrete to obvious. In most cases it sets in at puberty age. In adults it is present with 25-30% of male population. The most common cause of gynecomastia is the increase of estrogen hormones and the decrease of the androgen ones. One has also discovered a connection between gynecomastia and drug administration, alcohol drinking, drugs and obesity.

What patients can benefit from male breast reduction?
The surgery can take place at any age but after an endocrinologist examination and after a mammography, which will show if the fatty or the glandular tissue is predominant. Obese men must not be operated unless they can reduce their weight through diet. At the same time the surgery is not recommended to alcoholics and those who take drugs.

Surgery's risks
There is no surgery without risks. The risks must be discussed in detail with the surgeon and the anesthesiologist before the surgery.
Beside the risks common to any general anesthesia surgery, infections, hematomas and unaesthetic scars can appear.

Before surgery indications

• do not eat and drink anything after midnight before the surgery;
• it is forbidden to take aspirin and other drugs that contain aspirin for 2 weeks before the surgery;
• you must tell the doctor or the anesthesiologist if you have medical problems (hypertension, vascular problems, heart failure, diabetes, lung problems, bleeding problems, epilepsy, neurological problems, allergies to certain drugs);
• you must tell the doctor if you wear dental prosthesis or contact lenses;
• if you smoke, plan to stop smoking for 2 weeks before the surgery and do not start smoking until at least 2 weeks have passed from the surgery;
• avoid extra exposure to sun before the surgery;
• do not keep a strict diet before the surgery because it can delay the healing;
• if you catch a cold or you have an infection of any kind, the surgery must be postponed;

The surgery
It is done under general anesthesia or under intravenous sedation combined with local anesthesia. If the excess of glandular tissue is the prime cause of the breast enlargement, an incision is made on the lower edge of the mammary nipple and the glandular tissue is removed. The removed piece is sent to pathological examination. Drains will be left to prevent the appearance of hematomas and seromas.

If the excess of fat is the prime cause of gynecomastia, then it will be corrected through liposuction.
Post surgery hospitalization
Hospitalization lasts for of about 1-2 days, during which antibiotics are given to the patient. Usually after 2 days drains are removed.

Post surgical retrieval
After you leave the clinic the stitches are removed, 12 days after the surgery; this can also be done by you family doctor. After the surgery special clothing must be worn for 2-3 weeks. You should avoid blows in the chest area and in general it will take about one month until you can return to work. As for the scars, until the sixth month they will turn red and swell. After 9 months - 1 year they will diminish and turn light. It is recommended to avoid exposure to sun for one year to prevent the darkening of the scars.

Conclusion
Male reduction surgery can enhance your appearance and your self confidence. The results of this procedure are significant and permanent. If your expectations are realistic, there is a big chance that you will be satisfied with the results.

Find out how you can benefit from this intervention. Make an appointment for an examination at Dr. Mihail COJOCARU .