Gynecomastia with removal of excess skin and transplantation the nipple-areola complex as a graft

Men who were obese and lost excess weight through diet or bariatric surgery are left with hanging breast skin and enlarged glands. Each procedure is planned individually for the patient, and each is preceded by appropriate planning of skin cuts and preparation. In this case, tissue reduction consists in removing excess dangling skin and gland. The nipple-areola complex is also removed with it. However, this complex is cut off from the hanging skin before it is removed. After the wound is closed in the inframammary fold, in an appropriately planned place, the nipple-areola complex is sewn into the epithelialization area, like a skin graft. The diameter of the correct, not cut areola-nipple complex in a man does not exceed 2.5 cm and it can be appropriately reduced at this stage of the operation. Each skin graft should be secured for the appropriate time with a special bonded dressing, which is removed at the right time. The main procedure is preceded by "NIL" liposuction. After the procedure, a compression vest is put on, which the patient should wear for 6-8 weeks at least. The treatment can be extended to the back area and at the same time remove the skin hangings in the back area left over from massive weight loss. This procedure is called the upper body lift (UBL).

The procedure is performed under general anesthesia. The gynecomastia procedure itself takes about 2-2.5 hours, and in the case of the extended version with the back 2.5-3 hours.

Consequences and possible complications after the above-mentioned procedure:

1. Swelling and bruising are an indispensable consequence of the treatment.
2. Asymmetry - the human body is not symmetrical, the removed glands together with the skin are also asymmetrical, one may be smaller, the other larger, therefore achieving symmetry is practically impossible.
3. Hematoma in the space after the removed gland - requires surgical intervention and removal
4. Infection and abscess in the wound.
5. Partial or total necrosis of the areola and nipple
6. Loss of nipple prominence
7. Skin uneven
8. Pain, periodic, persistent without distortion.
9. Lack of nipple sensation is a consequence of this procedure.
10. Allergies to medications used
11. Unsatisfactory aesthetic effect
12. Venous thrombosis with pulmonary embolism and death