Ginecomastia

¿Qué es la cirugía de Ginecomastia?

La ginecomastia, también deletreada como ginecomastia y denominada reducción mamaria masculina, es el desarrollo anormal de tejido mamario en los hombres debido a un desequilibrio entre las hormonas estrógeno y testosterona. En la obesidad, el crecimiento del tejido mamario debido al aumento del tejido adiposo en todo el cuerpo se denomina pseudoginecomastia. La ginecomastia puede desaparecer por sí sola, pero si no es así, la cirugía de Ginecomastia es la mejor opción para eliminar el exceso de tejido mamario.

 

¿Por qué se realiza la cirugía de Ginecomastia?

La ginecomastia puede desarrollarse a cualquier edad, pero es más frecuente en niños que atraviesan la pubertad y en hombres mayores de 50 años. El aspecto físico causado por la Ginecomastia se denomina comúnmente pechos de hombre. El aumento de tamaño de los pechos puede resultar estresante y embarazoso para muchos hombres. La ginecomastia es el trastorno mamario masculino más frecuente y afecta a entre el 50% y el 65? los hombres. La cirugía de la ginecomastia elimina por completo el exceso de tejido mamario y da un aspecto físico atractivo a las mamas.

 

¿Cuáles son las condiciones para la cirugía de la ginecomastia?

La cirugía de la ginecomastia se recomienda a los siguientes pacientes masculinos:

  • Las pacientes que están lo suficientemente sanas como para someterse a anestesia general.
  • Las pacientes con exceso de tejido mamario.
  • Las pacientes mayores de 18 años o mayores de 15 con el consentimiento de los padres y la recomendación del médico.
  • Las pacientes con un índice de masa corporal (IMC) inferior a 30.

 

¿Qué hay que tener en cuenta antes de una operación de ginecomastia?

Antes de la cirugía:

  • El paciente debe estar en el hospital un día antes de su intervención para que se le realicen las pruebas preoperatorias.
  • El paciente debe dejar de fumar y consumir alcohol al menos 2 semanas antes de la cirugía para aliviar el riesgo de un coágulo de sangre.
  • El paciente debe evitar medicamentos que contengan aspirina o ibuprofeno (Advil, Motrin IB, otros) durante dos semanas antes y después de la cirugía. Estos medicamentos pueden aumentar el riesgo de hemorragia interna. Los pacientes deben confirmar cada medicamento y suplemento que deseen tomar con su Coordinador de Pacientes.
  • El paciente debe dejar de tomar suplementos Multivitamínicos 7 días antes de la cirugía, y la vitamina K no debe utilizarse durante los 30 días siguientes a la cirugía.
  • La paciente debe dejar de tomar anticonceptivos orales 30 días antes de la cirugía.

 

Además, se examinará y medirá el cuerpo del paciente, y el cirujano trazará líneas en el cuerpo para planificar dónde se harán las incisiones.

 

¿Cómo se realiza la cirugía de ginecomastia?

La cirugía de ginecomastia comienza con la administración de anestesia general.

La cirugía puede incluir la extirpación de grasa, tejido bestial o ambos. Las incisiones se realizan alrededor de las mamas. Si se va a eliminar grasa, se realiza una liposucción a través de la incisión. Si se va a extirpar tejido mamario, el cirujano extirpa el tejido también a través de la incisión y luego remodela los senos. Tras la extirpación de tejido, los pezones pueden ajustarse para que parezcan más atractivos. A continuación, las incisiones se sellan con suturas.

 

Si sólo se realiza una liposucción, la intervención dura una media de 1 hora. De lo contrario la cirugía puede durar de 2 a 4 horas dependiendo del tamaño de los senos, el estado del exceso de piel y la técnica quirúrgica a aplicar.

 

¿Qué hay que tener en cuenta después de la cirugía de ginecomastia?

Después de la cirugía el tórax será sostenido con vendas y esparadrapos, si se colocan drenajes tubulares, estos serán retirados 48 horas después de la cirugía. el paciente debe tener cuidado con lo siguiente:

  • El paciente debe usar un corsé Ginecomastia durante 4 a 6 semanas, que se aplicará presión a la mama y se proporcionará para después de la cirugía.
  • El paciente debe evitar las actividades físicas extenuantes como los entrenamientos pesados durante 6 semanas después de la cirugía.
  • El paciente debe tener una dieta saludable, ya que hará que el proceso de curación más rápido.
  • El paciente debe tomar la medicación prescrita por su médico.
  • El paciente debe evitar tumbarse boca abajo, ya que ejercerá presión sobre el tórax.

Las pacientes pueden volver al trabajo entre 5 y 7 días después de la operación. En proporción a la disminución del tamaño de las mamas, el diámetro del pezón también disminuye y su color adquiere un tono más oscuro

 

¿Cuáles son los riesgos de la cirugía de ginecomastia?

 Como en cualquier intervención quirúrgica, la cirugía de Ginecomastia conlleva ciertos riesgos. Estos incluyen, pero no se limitan a los siguientes:

  • Acumulación de líquido cerca de la piel, Seroma.
  • Coágulos de sangre
  • Hemorragia
  • Infección
  • Hinchazón
  • Cicatrización lenta de la herida
  • Cicatrización
  • Cambios en la sensibilidad de la piel
  • Reacción adversa a la anestesia

 

Todas las intervenciones de reducción mamaria dejan cicatrices. Se desvanecerán con el tiempo.

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