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Gynecomastia Tunisia

The gynecomastia is an increase of the volume of the breast of man: GYNE and MASTOS means to say feminine breast.

Gynecomastia can be :

  • Temporary disappearing after the puberty.
  • Idiopathique: without obvious cause (most of the cases)
  • In a relationship with an obesity: Adipogynecomasty ( obesity)
  • Endocrine origin ( Hypogonadisme)
  • Origin tumoral (Testicle, Suprarenal gland, Pituitary gland)
  • Medicinal origin (Oestrogene, Spironolactone)

CLINICAL DATA

An endocrine balance assessment is systematically asked :

  • T4,TSH,FSH,LH
  • HCG and Bêta HCG
  • 17 Béta-oestradiol
  • Testostérone
  • Delta-4 andorosténedione

An ultrasound and or a mammography is also asked to eliminate a tumoral cause. It allows to know if the gynecomastie is greasy or glandular or mixed.

Gynecomastia is classified in 3 RANKS according to its importance: Simon's classification :

Gynecomastie Tunisia

SURGICAL TREATMENT

Four surgical techniques are described as the gynecomastia is for glandular or greasy component.

  • Peri areolaire subordinate: for an excision of the mammary gland.
  • Infra mammary external.
  • Alone liposuction.
  • Round Block in the ranks 3.

In most of the cases we proceed to a liposuction followed by the surgical resection of the pit(core).

POSTOPERATIVE

AFTER THE INTERVENTION

A bandage bandage will be placed at the end of intervention for a duration of 2 days, analgesic and one inflammatory anti will be prescribed.

A follow-up moved closer as well as controls will be assured during your stay, the last one the day before your departure, the surgeon will give you an operating report and his recommendations for consequences.

COMPLICATIONS

The cases of bruises or infections, are exceptional.

WORK STOPPAGE

It is a function of the working type, the resumption of work is often possible for your return.

RESULT

The result is almost immediate, a little increased by the oedema, it stabilizes in the third week.

See also