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Gynecomastia Treatment

Men with gynecomastia problem face serious confidence problems and have a permanently negative psychology. The exaltation that results from the solution to such problems is the goal of modern plastic surgery.



  • What is gynecomastia?

    By gynecomastia we mean the abnormal development of breasts in men. As a result, the male patient has chest similar female in volume, shape, size and visibility.


  • What causes the phenomenon of gynecomastia?

    Gynecomastia is usually due to genetic predisposition of the patient. Mostly, excessive development of the mammary gland in men is due to excessive secretion of estrogen or androgen deficiency or a combination of both. Of course there are other reasons, such as:
    • Use of drugs with steroids
    • Hormonal disorders
    • Genetic abnormalities
    • Inheritance
    • Malignant tumors
    • Liver disease
    • Aging

  • Is surgery needed at all ages and in all circumstances?

    Gynecomastia can be permanent or temporary.
    For example, neonates may experience developed chest until 8-10 months old because of estrogens transferred to them from the mother into the abdomen. Neonatal gynecomastia can last a few months and then disappear.
    When this phenomenon appears in adolescence, between 13-17 years, then the cause is usually a hormone, estradiol that excels testosterone. The phenomenon of gynecomastia in adolescents reaches up to 40% of adolescents. It usually disappears completely after 12 or 24 months.
    But when the adolescent gynecomastia persists in the post-adolescent age, it needs attention. It must be closely monitored and investigated because it may conceal a serious and imminent disease despite pathological gynecomastia.
    Gynecomastia in adults over 60 years is due to the weakening of the relationship between testosterone and estrogens and is a non-pathological phenomenon and very common in this age group.
    Sometimes, the use of certain drugs, such as steroids, many cardiovascular drugs, some antidepressants and generally neurological drugs play a large role in creating swollen breasts in men.
    The successful candidate for surgical correction of gynecomastia is the patient with a genetic predisposition for increased breasts. This can be ascertained by a mammography or breast ultrasound. However, there are patients who have gynecomastia due to obesity.

  • What is the treatment for gynecomastia?

    In the case of adolescent gynecomastia, if hypertrophic breasts persist after 2 years, then the condition is considered permanent and should be treated surgically. So, after the completion of the adolescent growth, we can plan the surgery.
    Whether it is a teenager or an adult, the first thing to do is to confirm if the gynecomastia is pathological. So if it is pathological gynecomastia, you must first treat the cause of the disease and then corrected through surgery the volume of breasts. When gynecomastia persists for more than two years, the patient can only fix it with surgery.

  • How does modern plastic surgery treat gynecomastia?

    The operation of gynecomastia combines two methods, liposuction and the surgical removal of the gland, with a very small incision in the bottom of the teat. In short, it is a combination of liposuction followed by surgical removal of the hypertrophic, mammary gland causing the problem and if needed liposuction again to correct any imperfections created by the removal of the gland. The experience of the doctor will determine which method will be used, if not both.

  • Is it a painful surgery and what is the recovery time?

    The operation is performed under general anesthesia and usually does not require overnight stay in the clinic.
    The patient may feel discomfort but no pain; if pain is felt it can be treated with simple painkillers.
    Most times, after surgery, a pressing ligature that works like stent is put around the chest. The skin should be assisted to "stick" well in his new position. The area should also be under pressure. This is done through a special girdle, called vest. The vest should be worn by the patient after surgery 24 hours a day for about a month. Of course he can take it off to bathe. Within a month, the patient can easily appear at the beach. The incisions are subtle and after some time they completely disappear.


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