Had gynecomastia surgery and are eager to return to physical exercise?

Had gynecomastia surgery and are eager to return to physical exercise?

Generally, we use elastic garments to compress and shape the operated area for the first 30 to 60 days, depending on each case. The return to physical activities must be individualized; each patient is unique, as is their post-operative recovery. Therefore, returning to the gym will only be cleared after follow-up medical evaluations.

But be careful: once you return, exercises must be progressive, starting with low impact and low intensity. For chest, shoulder, and back areas, weight training can usually only be performed two months after the surgery date. Be sure to ask your doctor everything, even the simplest questions. The more information you have, the better your result will be!

#plasticsurgery #plasticsurgeon #health #novembroazul #selfesteem #menshealth #gynecomastia #postoperative #manuallymphaticdrainage

https://youtu.be/APqgIBISk7w Description

Hello, I am Dr. Fernando Amato.

Today I will talk about gynecomastia.

Gynecomastia is the enlargement of the mammary gland
in men, meaning a man can have an enlarged

mammary gland.

The most affected age group is adolescents,
but it is clear that when this

enlargement of the mammary gland is identified, it is necessary
to conduct an adequate investigation,

because there are diseases that can occur
at the same time; it can even be a symptom of

a much more serious disease.

Treatment can even be done with medication
in an initial phase, but when the breast has already grown

considerably and there has been skin distension,
the treatment is surgical, and it

is indicated when symptoms persist
for more than one or two years.

What is the surgical treatment like?

An incision is made around the areola to
remove the gland, and part of the gland

is removed. Many times, the patient already has
a lot of skin, so a skin adjustment

can be made with a slightly larger incision, and when
there is excess fat along with gynecomastia,

liposuction can also be performed.

Transcription

Hello, I am Dr. Fernando Amato.

Today I will talk about gynecomastia.

Gynecomastia is the enlargement of the mammary gland
in men, meaning a man can have an enlarged

mammary gland.

The most affected age group is adolescents,
but it is clear that when this

enlargement of the mammary gland is identified, it is necessary
to conduct an adequate investigation,

because there are diseases that can occur
at the same time; it can even be a symptom of

a much more serious disease.

Treatment can even be done with medication
in an initial phase, but when the breast has already grown

considerably and there has been skin distension,
the treatment is surgical, and it

is indicated when symptoms persist
for more than one or two years.

What is the surgical treatment like?

An incision is made around the areola to
remove the gland, and part of the

gland is removed. Many times, the patient already has
a lot of skin, so a skin adjustment

can be made with a slightly larger incision, and when
there is excess fat along with gynecomastia,

liposuction can also be performed.

https://youtu.be/APqgIBISk7w Description

In this video, Dr. Fernando Amato, Plastic Surgeon at Instituto Amato, will talk about: Learn EVERYTHING about Gynecomastia A controversial topic worth discussing. These patients suffer from their body contour, often feeling embarrassed to take off their shirt in front of others or even wear certain shirts that are more revealing. The indication for surgery, in most cases, is aesthetic, but in some patients. This enlargement of the breasts, besides causing loss of self-esteem and quality of life, in exacerbated cases, such as large volumed breasts, can present local changes such as dermatitis and skin infections in folded areas due to friction.

Transcription

Hello! I am Dr.

Fernando Amato and today I will
talk about gynecomastia.

Do you know what gynecomastia is?
Gynecomastia,

is the enlargement of the breasts in men,
basically due to the enlargement of the mammary gland,

but the enlargement of the breast in men
can also occur due to fat.

What we call pseudogynecomastia.
Generally, in gynecomastia where there is

enlargement of the gland, there is also
an accumulation of fat.

This fat deposit.

Well, the causes of
gynecomastia are various.

So we don't call it a disease
in itself, but a sign, a symptom

which is the enlargement of the breasts.

There are three main peaks of
breast enlargement in men.

One, is during the breastfeeding phase when the baby
is still an infant and due to the influence

of the mother's female hormones that come through the milk, these hormones come
through the milk, there is a stimulation of the mammary gland,

generally in babies the gland
enlarges a little and then

it shrinks and returns to normal.

The second moment of breast enlargement in
men is during puberty, when there is a

hormonal imbalance, and yes, breast enlargement
can occur, and it usually regresses.

The third moment of mammary gland enlargement, which is also physiological,
is during andropause, that is, when male

hormones decline, and yes, there is
an influence on the mammary gland,

enlarging the mammary gland
during this andropause when men

lose male hormones.

So there are these three physiological causes,
but there are also other causes.

Among them are testicular cancer,
lung cancer; a differential diagnosis,

since we are talking about cancer, is breast
cancer; it is not gynecomastia. Breast cancer

can manifest with an
enlarged gland, with a nodule,

so it is a differential diagnosis
that needs to be investigated.

There is also the use of medications, use
of hormones, people who use

anabolic steroids, hormones to increase muscle
volume can also have this stimulation

of the mammary gland and
enlargement of the gland.

Also obesity. It is important to know about obesity
because there is an enzyme called

aromatase. This enzyme converts male
hormones into female hormones, and,

estrogen. That is why there is an increase in
gynecomastia in obese patients. Also,

the use of some drugs, like marijuana,
can also cause this imbalance and

influence breast volume. Among these
causes, there are several, and many

cases end up being idiopathic, meaning
they remain without diagnosis, and this is the most common and

the most frustrating for patients who don't know the
cause, what led to this glandular enlargement.

Most likely, it may have been due to one of these
peaks, especially during puberty, when the

adolescent experiences glandular enlargement
and it does not regress.

It regresses in almost all cases during
puberty, but in about 5% to 10%

of cases, it does not regress. When there is a
persistence of these idiopathic cases,

without identifying a cause, medicinal.
What caused this, not being able to identify

after two years,

the treatment ends up being surgical,
mainly for aesthetic reasons,

psychological reasons, self-confidence, but there are also
extreme cases that can even involve breast sag,

chafing, as if it were a large breast.

All the discomforts that a large breast already
causes in a woman can cause in a man, and

with a negative psychological impact.

And what do we do, what
tests do we end up ordering to

investigate?

We order thyroid exams, we
end up ordering hormonal exams, testosterone,

estrogen, we request hormones related
to the pituitary gland, we order breast ultrasound,

mammography to rule out
nodules or other causes,

the differential diagnosis. And the surgery,

what is the surgery like? The surgery consists
of the resection of the excess gland.

Note, it is the excess of the gland.

We do not perform a
mastectomy, which is the removal of the gland.

We need to
resect up to the nipple.

So, since we preserve the nipple, we often
end up leaving a bit of the gland, and this can

even favor a recurrence of gynecomastia.

Therefore, investigation is important, investigating
gynecomastia even helps us avoid

a recurrence after
surgical treatment.

So, for gynecomastia, we perform this resection
of the gland, and it can be associated with

liposuction to remove this excess fat, and sometimes these patients who have

a lot of skin,

we need to perform a skin resection
and repositioning.

Well, this is what I can help
you understand about gynecomastia.

If you have any questions, comment,
ask; don't hesitate to ask.

Like and share this video
with anyone who might need it.

Thank you!