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Frequently Asked Questions


Inaccuracies and falsehoods in Cosmetic Surgery

We are aware of the enormous discrepancies of criteria that abound between different specialists, centres or companies, when concentrating on Cosmetic Surgery and each one of its treatments. As a medical activity in the Private Health Sector, the conflict of interests between the commercial world and the ethical problem does not always lie on the side of safety, professionalism or in the interests of the patient. This situation creates an enormous lack of confidence in the patient wishing to have Cosmetic Surgery treatment. Our philosophy is very clear. The patients are always first, their interests and their needs, in conjunction with the efficiency and safety of our treatments. To this end the medical facet of our activity is supreme. However, in contrast to our practice, many other centres or professionals offer information that is inexact, slanted, market oriented or even completely false and self interested, practising dangerous procedures that are ineffective or obsolete. To prevent unscrupulous actions we list a series of statements that, in our opinion, are inadequate, deceptive, or mere lies, that are frequently used at other centres to manipulate the wishes of the patient to a commercial and unethical end. Some of these are even popular among the very clients of these centres of Cosmetic Surgery, and become the regular thoughts and petitions of these same clients. Naturally, we completely rejects all the statements that can be read under the title of Inaccuracies and Falsehoods for every group of our treatments.

Is my case customary in secondary surgery?

Although the possibilities are numerous, it is true that certain situations are repeated more frequently among those cases received by our Specialists requiring repair. Among the problems resolved with us are the following:

-Encapsulated breast implants: cases of breast augmentation considered lost or irreparable, because they have been operated on once or more occasions in the past and appear hardened, deformed or painful.
-Submuscular implants: cases of breast implants inserted under the muscle that because of its poor characteristic result or a complication, need repairing.
-"Upward and downward movement implants": Cases of breast enlargement in which the technique has not been correctly executed and the implants move up and down with the arm movement or the contraction of the pectoral muscle, named as elevator breasts.
-Dislocated or malpositioned implants: Which are eccentric from the theoretical ideal center of the breast mound landmarked by the nipple, leading to grotesque look of the breasts.
-Misjudgement in implant selection: The width of the implants do not match the theroretical ideal size of the breasts base therefore produce lateral prominence or alternatively cleavage shortage of the implants.
-Renewal of implants: Because they are aged, broken, deficient from the beginning or because the volume is inadequate.
-Mastopexy: Insufficient, poor cosmetic result, or have suffered a complication.
-Sagging breasts: Cases of sagging breasts for which the treatment has only been a breast enlargement, inadequately performed and without having received specific treatment for the sagging.
-Breast reduction: Poor quality cosmetic result, insufficient elevation, slight volume or having suffered complications.
-Neck Lifting: Patients having received obsolete rejuvenation treatments, such as simply stretching the skin. Facial rejuvenation would have to be redone and also the neck would have to be treated which, in many cases does not receive the necessary dedication.
-Eyelids: Cases in which bags have not been completely removed or a cosmetic or even functional distortion has appeared.
-Rhinoplasty: Inadequate nasal corrections that are not very natural or are insufficient, causing breathing problems, sometimes due to poor cosmetic judgement, reconstructions in multioperated noses.
-Otoplasty: Shortage of approximation to the head, deformities, cartilage injuries, skin shortage.
-Liposuction: Poor performances that require removal of skin, technically deficient performances with under or over correction.
-Abdominoplasty: Spare skin, skin necrosis, insufficient muscular work.

Technical datasheet for gynecomastia

-Anesthetic: total
-Surgical time: 1 hour
-Hospital stay: day case
-Proximity stay: 2 days
-Postoperative pain: 3 (scale from 1 to 5)
-Postoperative bandages: 2 weeks
-Sick leave: 3 weeks
-Complementary treatments: not required
-Cosmetic recovery: 1 month 80%, 3 months 90%, 6 months 95%, 12 months 100%
-Scars: around or inside the areola, occasionally outside the areola; concealed, occasionally visible

This information is indicative only and does not represent an obligation with customers. This technical datasheet is based in statistical means for large groups of patients, with the variability that implies. Medicine and Surgery are not exact Sciences so it is not possible to stablish the most suitable management for each individual case until the moment the Specialist can evaluate the patient. One medical and/or surgical process can't be predictable 100%, so our Medical Team could modify the management plan at any time, based on the requirements that could be considered as necessary.

What volume will remain following the removal of the breast in males?

The ribcage of a patient remains in total harmony in any operation performed by us. Our Specialists will always search for a result that looks masculine, leaving a normal amount of gland for a man, which is a small amount just under the areola and the nipple. The final effect should be a better definition of the pectoral muscles.

Can the breasts in males redevelop after the removal operation?

The regions treated in a gynecomastia do not reproduce the problems, unless the cause of the problem persists or returns, such as an illness or the consumption of substances that favour their reappearance. Given that in the majority of patients the problem is of constitutional origin, the reproduction of mammary hypertrophy is not usually customary.

Why in gynecomastia cases liposuction is done and in others extirpation?

The Specialists consider two types of breast hypertrophy in men, technically known as gynecomastia. In the majority of cases there is real growth in the mammary gland in men, for which it is necessary to apply direct extirpation of the tissue. In other rare cases the content of the breast is basically fatty tissue and for this procedure, liposuction is the most suitable technique. Our Specialists personally examine each case and decide which technique is the most appropriate.

Will there be any scar to the skin following the breast removal in males?

The treatment techniques for gynecomastia consist in incisions that vary depending on the excess of skin present in the breast. Generally it is sufficient to make a small incision in the area of the areola as discreetly as possible, in some cases the scars extend into the chest area. Other techniques exist that our Specialists frequently use to obtain the best results. They will give you the precise information relevant to your case.

What type of anesthetic is most suitable in breast removal in males?

Without doubt we recommend the safe techniques of a general or total anesthetic. In breast removal in males surgery, the greatest safety, absence of pain and best results are achieved by general anesthetic performed in authorised hospitals. Although they continue to be performed in other centres, breast removal in males treatments performed under a supposed local anesthetic are high-risk procedures in the opinion of our specialist team of surgeons and anesthetists. There are several reasons for rejecting a local anesthetic. First, because the dose of anesthetic to be introduced into the breasts is so high that it could become toxic, possibly causing serious complications. Also, because the application of local anesthetic has to be by deep injection into the breasts which is very painful; for this reason the anesthetist often has to resort to improvising an uncontrolled and dangerous general anesthetic. Finally, we reject these practices under a false local anesthetic because it only enables the application of insufficient or incomplete techniques that nowadays is neither adequate nor correct according to the most modern sources. For your safety and with your best interests in mind our Specialists recommend a general anesthetic in gynecomastia surgery, with a day case stay in the clinic.

What can I do if I am obese and suffer gynecomastia?

If you wish, we can assess you without obligation or cost. We shall always tell you the truth, we shall evaluate the degree of obesity and we shall give you a diagnosis of your case. You run a serious risk if you are obese and are going to have surgery for gynecomastia. Consult us first. Our Specialists will recommend the best for your situation, irrespective of commercial interests, because above all we offer medical services.

Why does breast tissue appear in men with gynecomastia?

There are many potential reasons that could be the cause of gynecomastia. In the majority of cases Specialists do not detect any base alteration, and establish a constitutional case of gynecomastia. This means it is a characteristic of the individual, without having a pathological cause, and is part of the development of the person. A small group of cases does have an explanation or base problem, such as obesity, taking hormonal substances, illnesses of the liver, secondary effect of medication etc.

Can another procedure be performed in the same breast removal in males?

This is quite normal and something many patients ask of us. There is no reason not to perform a liposuction or facial treatment in conjunction with the correction of a gynecomastia for example, during the same surgical procedure.

Inaccuracies and falsehoods about Breast Removal in Males

Gynecomastia is treated better with a local anesthetic - FALSE
A masculine breast is eliminated better with liposuction - FALSE
Men with gynecomastia often suffer from illnesses that cause the problem - FALSE
All cases of gynecomastia are the same and are resolved with the same technique - FALSE

Is there any relation between gynecomastia and any illness?

There is no necessary link between gynecomastia and endocrinal problems or others, either current or future ones. The most normal answer is that it is a constitutional phenomenon without a concrete cause. Our Specialists study each case, request the necessary tests and ensure there is no underlying problem associated with the presence of breast tissue in men.

Will the difference between each breast be corrected in breast removal in males?

A more or less remarkable difference in breasts is normal in almost all patients and not only does not require correction but is unfeasible, to attempt it usually leads to inadequate results. If the difference is considerable the Specialists can improve the result using corrective techniques in glandular treatment. If the assimetry is a complex one, some differences will always persist.

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