Gynecomasty Correction

Gynecomasty is an affection specific to men and consists of excessive development of mammary glands. Breast development with men could be accounted for the actual increase of the mammary gland volume or for the excessive development of the fat tissue at this level. It could be unilateral or bilateral, symmetric or with differences of appearance and/or sizes.

A cause could be the increase of female hormones in man's body, to the disadvantage of the male ones or could be a endocrine- metabolic disturbance. The administration of some drugs might produce a temporary gynecomasty. There are cases where some forms of cancer of various locations could be accompanied by gynecomasty. This is the reason for which before the surgery a series of general investigations as well as investigations specific to the gland tissue are required to be done due to excessive breast development with men could hide a serious pathology.

In case the gynecomasty occurs in the teenage it usually has a hormonal cause and is transitory. The correction procedure consists of the excision of the mammary gland partially or totally with or without adipectomy of the adjacent fat tissue. The surgery is performed through periareolar access, meaning through low halves of the mammary areola or through their side halves.

The resulting scar will be very less visible. In case of excessive gland tissue, a part of this is sent for endopathological test. Where following gland excision there is a relatively high tegument surplus and a reduced flexibility (tone) then a proper mammary reduction practice must be associated with. Sometimes the mammary gland is so developed that its abscission becomes difficult if the patient wishes to keep the natural areola. However, the most frequently it is sufficient only the liposuction of mammary glands to solve this inconvenience.

Frequently asked questions

How long does the surgery take?

The surgery takes place under general anesthesia and takes in average one hour. The preparations before the surgery must include a full set of blood tests as well as bilateral mammography if an excessive gland tissue is suspected.

Which are the complications of gynecomasty correction?

Immediate complications are common to all surgeries and consist of exaggerated bleeding, hematoma, wound dehiscence, infections, seroma. Some breast asymmetries or pathological scars might occur remotely.

What does the postsurgical care consists of?

Right after the surgery, in case of big gynecomasties, it is possible to mount drains which will be kept for not less than 48 hours. In any case, the bandage is flexible and compressive and will be replaced after few days by a special compressive framer which will be worn for a months.

The suture material is absorbed within 7 to 10 days since the surgery.

Which are the contraindications of the procedure?

The contraindications of the surgery include serious blood or skin diseases, related pathologies insufficiently investigated, non-cooperative patients or patients with impracticable expectations, disturbances of the scarring process.

Could the gynecomasty reaper ?

Where the excision of the mammary gland is not total there is the risk of reappearing. Which are the related pathologies that the gynecomasty could “hide”? Excessive mammary tissue could hide more serious tumor pathologies. This is the reason for which full pre surgical investigations are required to offer the patient the appropriate treatment.

The most important related pathologies include:

testicular neoplasm, hepatic, pulmonary, pituitary gland or adrenal gland neoplasm
hepatic cirrhosis
hyperthyreosis
abuse of alcoholic drinks, of drugs
some drugs like: cimetidine (against ulcer), phenitoina (against epilepsy), prednison, some anti-depressive, anti-androgenic, chemical therapy, digitalis, etc.

Although the treatment is very efficient, 1% of the patients do not obtain the results they want!

▼ Facial Surgery

Your face is the only part of your body you can't hide with clothes.