Gynecomastia Surgery

The causes of this condition are multiple, but we can speak of physiological and pathological manifestations.

From a physiological point of view, hormones are responsible for breast tissue growth. This phenomenon can be identified in babies as well, but it disappears quite quickly, while in adolescents it may be present for a longer period of time.

Adult men, after the age of 60, may face increases in mammary gland volume as weight increases, but also because testosterone production decreases.

The large volume of mammary glands can be observed bilaterally – in both breasts, but may be visible only in one – unilaterally. At the same time, there may be differences in volume and positioning between the two enlarged breasts.

Men and boys who face certain endocrine diseases or certain endocrine-metabolic disorders may experience such problems.

At the same time, some forms of cancer and associated treatments can induce gynecomastia.

Administration of certain substances – estrogens, corticosteroids, anabolic steroids – especially in the case of athletes and those who want to excessively increase muscle mass – can have as side effects excessive breast development.

There have been cases of gynecomastia due to consumption of antidepressants, antibiotics, alcohol, drugs or even hormones for treating another problem – infertility.

Before deciding to perform such a surgical intervention, the plastic surgeon must carefully consult the patient. Along with the physical examination, the doctor must be precisely informed about the person’s medical history. A breast ultrasound or mammography can also be performed, as well as certain hormonal analyses.

Only after having all the necessary information can the doctor present the procedure to the patient and the best course of action for performing gynecomastia surgery, so that the patient is correctly informed and can make a decision having all the data available.

Attention, the doctor must present the options, the pursued results, but also the risks associated with this intervention.

Candidates for this surgical procedure are those with good health, without severe diseases, who are not following chronic treatments.

Breast reduction surgery means removing fat, glandular tissue and excess skin.

Before the operation, you must maintain a state of health as good as possible and a weight appropriate for your age and height, for a quick recovery, without complications.

If you smoke, quit smoking six weeks before the operation; this will help with healing and reduce the chances of complications.

You should not remove or shave hair from the vicinity of the areas where the cuts will be placed on the skin. Maintaining strict hygiene will help reduce the risk of infection.

The chest is composed of two main components, glandular tissue (firm and dense) and fatty tissue (soft). The ratio between glandular and fatty tissue differs from individual to individual, and in the case of gynecomastia there may be an excess of both.

If there is predominantly an extension of fatty tissue diffused at the breast level, liposuction is the appropriate treatment. This involves aspirating part of the tissue through a small tube, inserted through a 3-4 mm incision.

If excess glandular tissue is the main cause of chest augmentation, it may need to be excised (cut) with a scalpel. This will leave a scar, usually around the edge of the nipple. This excision can be performed as a single intervention or together with liposuction. Major reductions that involve removing a significant amount of tissue and skin may require larger incisions, which will result in visible scars.

Most gynecomastia procedures take approximately 90 minutes to complete and are performed under general anesthesia, or, in some cases, under local anesthesia with sedation. Overnight hospitalization is not necessary. Usually drain tubes are not necessary either.

The chest is composed of two main components, glandular tissue (firm and dense) and fatty tissue (soft). The ratio between glandular and fatty tissue differs from individual to individual, and in the case of gynecomastia there may be an excess of both.

If there is predominantly an extension of fatty tissue diffused at the breast level, liposuction is the appropriate treatment. This involves aspirating part of the tissue through a small tube, inserted through a 3-4 mm incision.

If excess glandular tissue is the main cause of chest augmentation, it may need to be excised (cut) with a scalpel. This will leave a scar, usually around the edge of the nipple. This excision can be performed as a single intervention or together with liposuction. Major reductions that involve removing a significant amount of tissue and skin may require larger incisions, which will result in visible scars.

Most gynecomastia procedures take approximately 90 minutes to complete and are performed under general anesthesia, or, in some cases, under local anesthesia with sedation. Overnight hospitalization is not necessary. Usually drain tubes are not necessary either.