With the term gynecomastia we mean the benign hyperplasia of the male mammary gland. The condition is usually bilateral, and rarely occurs on only one side. It is distinguished from pseudogynecomastia in which there is accumulation of fat in the area, without increase in size of the male mammary gland.
Gynecomastia is often accompanied by an increase in the size of the nipple-areola complex, which aggravates the problem.
More often it is idiopathic, without pathological causes.
In some cases, it is secondary and may be due to:
- hormonal disorders
- drug intake
- kidney diseases
- liver diseases
These conditions should be investigated preoperatively.
Gynecomastia may adversely affect a man’s self-esteem and cause anxiety and depression. Incorrectly, this situation is associated with a reduction in manhood and sexual capacity of the individual.
The gynecomastia correction procedure is performed with general anesthesia and lasts 1½ to 2 hours. During surgery, liposuction and subcutaneous excision of the hard-fibrous hypertrophic mammary gland are combined. When the areola is oversized, it is corrected to its normal size. The whole process takes place through a small incision in the areola margin.
In cases of great skin laxity, it is necessary to remove the excess skin. For this purpose larger incisions are made in the area to correct the problem.
Postoperatively it is necessary to use compression garment for about 1 month. Patients can return to work after 1 week.
The surgical treatment of gynecomastia restores the smoothness of the chest contour and corrects, when necessary, the appearance of the nipple-areola complex. The relief from the negative feelings, the masculine appearance, the improvement of the overall image of the male body and the quality of life, highlight the treatment of gynecomastia in particularly popular.
The results are impressive and permanent.