Gynaecomastia

Gynaecomastia – is the benign enlargement of breast tissue in males resulting from a proliferation of the glandular component of the breast. Gynaecomastia may be instigated by an excessive level of female hormone – oestrogen, weight gain, pathological disorders of the body (testes, thyroid, liver or kidney functioning disorders), tumours, some certain drug use, and other causes. The statistics show that about 40% of men have a certain degree of gynaecomastia. Plastic gynaecomastia surgery is usually performed to reduce physical discomfort and improve physical activity. Enlarge breasts for men can be painful, usually resulting in social and psychological discomfort. However, if a man wishes, just an aesthetic surgery can be performed. A man, who is considering the possibility of gynaecomastia surgery, should firstly consult with a plastic surgeon. Equal understanding of expected post-surgery results by a patient and plastic surgeon is important to achieve the optimum results of the surgery. Therefore a patient has to express frankly his expectations about a better appearance and self-feeling after surgery. At the first visit the plastic surgeon should explain the specific details of individual case, surgical technique and anaesthesia to be used, as well as the places for surgery and possible results, risks and complications.

Usually gynaecomastia does not pose physical danger, however it leads to a physical discomfort and lack of self-confidence. Neither sports nor diets can help, because it is not necessarily caused by fat surplus. Gynaecomastia, a medical term for male breasts similar to those of female, may appear at any age: puberty and older. It leads to a psychological suffering and frequently undermines the dignity and ego of a man.

Tests: just like before any surgery certain blood and urine tests have to be done.

Surgery: gynaecomastia is a surgical procedure for removal of male glandular breast tissue. The scope of the surgery depends on the changes desired by a patient and plastic surgeon’s decision. Gynaecomastia is performed under general anaesthesia. Incisions are made around areola. Glandular breast tissue is removed from breast sides and around areola. The incisions are sutured. If breast enlargement was caused by fatty tissues, then liposuction is also performed.

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Duration of the surgery: 1-3 hours.

Anaesthesia: the surgery is performed under general anaesthesia.

Post-surgical period: the patient will have to wear a special pressure garment after the surgery. Post-surgery pain can be easily relieved by medications. Usually, pain lasts one or two days. Sutures are removed after several days. The nipples may be insensitive for a certain period of time after gynaecomastia surgery, but in most cases this phenomenon disappears after a certain period of time. Although men recover in one or two days after the surgery, but the doctor will advise you, how to return to ordinary routine. In order to ensure better healing, you should avoid excessive physical activity, and follow any other instructions given by the doctor.

Complications: thousands of successful gynaecomastia surgeries are performed every year. Nevertheless, a patient should be aware of possible risks and complications of gynaecomastia surgery. The most frequent risks and complications of gynaecomastia surgery are: haemorrhage, seroma or hematoma formation, accumulation of fluid, nipple insensitivity, and scarring. After surgery, other complications, inherent in any surgical operation, may also occur. The risk of complications can be reduced by strict adherence to doctor’s instructions on post-surgery care.

Scars: although a plastic surgeon will do his best to make the scars visible as less as possible, however they cannot be avoided. A scar always remains in the incision place. In most cases scars gradually vanish until they become barely noticeable.

Socially presentable: the return to work is possible after a week and it is recommended to wear a special corset for 4-6 weeks.

Important: gynaecomastia cannot be performed if you have an infection of viral or bacterial origin. Gynaecomastia surgery is applied to men, who have enlarged breasts, and recommended for those who are over 18.