Gynecomastia is a benign increase in the size of the male breast that results from either gland hypertrophy or local fat accumulation or a combination of these.
The causes of gynecomastia in humans are many such as medicines, tumors, hormonal disorders and systemic diseases. The majority (>90%) of cases of gynecomastia are due to non-pathological causes (idiopathic etiology). It can occur at any age but most commonly in adolescence with often negative effects on a person’s psychology. Adolescents may have a chance of receding, while in adult men, surgery is inevitable. During adolescence, an endocrinologist review might be necessary to rule out any possibility of hormonal disorder. The surgical treatment varies according to the degree of gynecomastia from simple liposuction to gland removal and or skin excision or a combination of these.
About 30% of men undergo such surgery which greatly improves their psychological state.
It can be carried out from the age of 14 and after. It is always recommended to do so at a young age to improve the adolescent’s psychology as early as possible and has not been irreparably damaged.
Usually the procedure takes place under local anesthesia and sedation. In this case the patient doesn’t remain at the clinic. In special cases, however, general anesthesia is done and then the patient may need to stay in the hospital even for monitoring.
2-4 days later the patient can return to work and after 4 weeks he will be able to start exercising. For the first month he will wear a special compression vest.
Yes, even if the patient gains weight the local fat will increase evenly to the chest area.
In the case of liposuction there is a very small (3mm) almost visible incision in the underlying aspect. In a greater degree of gynecomastia that requires excessive skin resection there is usually an indistinct scar at the border of the skin and areola, the circumference of which varies with the extent of the resection.
Some examples from our results
- Case 1
- Case 2
- Case 3