Guilherme Guardia Mattar

Lipomastia is a medical condition where there is an excessive growth of adipose tissue (fat) in the breast region in men. The treatment of lipomastia can vary depending on the severity of the case and the patient's preference, but it generally involves surgery to remove the excess adipose tissue.

So, what is lipomastia or localized fat in the chest?

It is characterized by the accumulation of fat in the breast region, in the pectoral area of men.

What is the difference between lipomastia and gynecomastia?

Lipomastia is often confused with gynecomastia. Lipomastia is just excess fat in the pectoral region. The main factor is the individual's weight gain for some reason. Gynecomastia, on the other hand, is the enlargement of the male mammary gland. In many cases, both lipomastia and gynecomastia are observed in the same patient, giving volume to the breasts.

What are the main causes of male lipomastia?

Weight gain can be caused by the abusive use of alcohol or drugs, or even some types of medication. Poor diet, of course, influences this factor and should be highlighted.

Moreover, diseases such as diabetes and hypothyroidism can affect weight gain.

How is lipomastia surgery performed?

The procedure is similar to liposuction. It needs to be performed in a hospital with ample structure, which is essential for the patient's safety.

To remove the excess fat, the patient is anesthetized, and thin cannulas will suction the adipose cells. For this, the plastic surgeon makes small incisions to reach the local fat.

In some cases, due to firmer and adherent fat, an extra small incision around the areola may be necessary to remove this tissue and leave a flat and masculine chest.

Preoperative care for lipomastia surgery

It is important for the patient to review some habits to ensure the procedure goes as smoothly as possible. To achieve this, maintain a routine of physical activities and a more balanced diet. Another important precaution is to avoid tobacco and excessive alcohol consumption.

Before the procedure, the plastic surgeon will request a set of exams to get a general overview of the patient's health, which is crucial for a safe surgery and uncomplicated recovery.

Postoperative care for lipomastia surgery

It is recommended to use a compression garment for the first 30 days. Another precaution is to avoid light to moderate physical activities for at least 30 days; for more intense activities involving the pectoral and thoracic regions, at least two months of abstention is advised.

Returning to work can be done between three to five days. It is also advised to avoid daily physical efforts for 15 days and driving for 20 days.

How long does the surgery take?

It takes an average of 2 to 3 hours, and the recovery from anesthesia is quite fast. Thus, the patient can go home the same day. As a precaution and if necessary, the plastic surgeon will prescribe appropriate medications for possible pain and swelling.

Hospitalization time

It varies depending on the type of procedure performed and the patient's recovery time. Generally, the surgery is performed on a hospital basis with all safety items, meaning the patient can go home the same day of the surgery or the following day.

About anesthesia

It depends a lot on the type of procedure performed and the preferences of the patient and the surgeon. There are three main types:

Local anesthesia: applied directly to the area to be treated and used in less invasive surgeries.

Sedation: administered intravenously, promoting a deep state of relaxation and drowsiness in the patient.

General anesthesia: administered intravenously and/or by inhalation of anesthetic gases, inducing a deep sleep state in the patient. It is the most common option for more invasive and long-duration surgeries.

How much does lipomastia surgery cost?

The cost of lipomastia surgery can vary according to the individual needs and characteristics of the patient, such as excess skin and the need for associated equipment such as laser and Renuvion. It is important to consult directly with a specialist plastic surgeon to obtain precise information about the cost of lipomastia.

How to choose and where to find your plastic surgeon?

Choosing a plastic surgeon is an important decision and should be made carefully. Ensure the plastic surgeon is a member of the Brazilian Society of Plastic Surgery (SBCP) and has the necessary credentials, such as a specialist title in plastic surgery by SBCP or the Regional Council of Medicine.

The key point for a good result in lipomastia is to be with a surgeon who has a lot of experience in this plastic surgery, with a large number of operated cases, and conveys a lot of confidence about the entire surgery and recovery. The surgeon should avoid a sunken appearance of the pectoral region and unnecessary scars, as well as offer the most modern options for a good patient outcome, such as the use of laser or Renuvion for local skin improvement, for example.

You can also research the surgeon's professional background, including academic training, experience in plastic surgery, and certifications. Reviews from other patients or a consultation to discuss treatment options, clarify doubts, and assess if there is empathy between you. Also, evaluate the hospital options, equipment, and the professionalism of the team.

The key point for a good result in lipomastia is to be with a surgeon who has a lot of experience in this surgery.

membro da sociedade brasileira de cirurgia plástica
 Associação Brasileira de Cirurgiões Plásticos
Look at the affection from my patients...
aspas

Dr. Guilherme was extremely attentive from the moment we met until after the surgery. He is highly professional and dedicated, always striving to do the best for his patients. I am very happy and grateful that he provided me with the freedom I always desired. Here, I leave my thanks and hope that others can achieve their freedom just as I did. May his professionalism and dedication continue to bring happiness to all those who seek it. Thank you very much, Doctor.

Lucca Miranda
aspas

I had a mastectomy surgery through the public health system (SUS) and I have no complaints. Dr. Guilherme provided excellent care, and now, 36 days later, the results are very positive. I was quite surprised by the entire process, not feeling much pain, and everything went smoothly. I had never undergone surgery before, but after meeting the doctor, I felt secure, and my anxieties about this surgery, which I had waited for years, were alleviated. It still feels like I am living in a dream.

Kairosa
aspas

I highly recommend Dr. Guilherme; he is wonderful at explaining things and very attentive to his patients. I have nothing but gratitude. Much success to you, Dr. Guilherme.

Rubi Folha
aspas

Dr Guilherme is very attentive and met all my expectations! He is a very careful professional in the procedures and also in the aftercare. I recommend it with my eyes closed!

Ana Carolina Zschornak da Silva

For those of you who live in the interior of SP, in another State or in another country, we schedule and carry out your online follow-up until close to the surgery.

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