It is a clinical situation in which one or both masculine breasts are more developed than normal, and in many cases similar to the female breast.
Gynecomastia can occur either in adolescence or in any other period of a man’s life. Most often the term gynecomastia refers to the condition lipomastia wherein the abnormal breast volume is a result of fat in the mammary gland (obesity or after weight fluctuation).
Many drugs can cause gynecomastia as doping, alcohol or marijuana, drugs that contain estrogen and health conditions such as cancer and liver disorders.
Who are suitable candidates for surgery?
All healthy men are candidates for surgery to correct gynecomastia.
How is the operation of gynecomastia performed?
The degree of gynecomastia is essential, ie whether or not there is a large excess skin formation.
Nowadays surgery is performed exclusively without incisions. We perform liposuction in combination with radiofrequency (vaser) through a tiny incision (1mm) on each breast.
The technique described above is a revolutionary treatment of gynecomastia because through the RF breast tissue is being pulped and removed along with the fat that it contains. Furthermore, in cases of intense gynecomastia, the use of RF causes much better fasciculation of the skin so as to avoid the intense loosening.
Surgical breast removal in gynecomastia conditions is considered to be an outdated surgical act.
Visit to the plastic surgeon
He will assess the degree of gynecomastia, whether there are additional medical conditions that might be the cause of gynecomastia (lack of testosterone - kleinefelter syndrome) and the use or not of any pharmaceuticals etc.
A preoperative breast ultrasound is essential.
Gynecomastia Surgery
The surgery lasts about 1-2 hours, usually performed under local anesthesia and neuroleptic anesthesia (sedation).
The patient after surgery wears a special vest for 15-20 days.
The patient leaves the hospital 3-4 hours after the surgery.
The days after the surgery
The patient is able to perform any activity from the very next day as well as he wears the special vest for 15-20 days.
Mild pain, numbness and swelling in the area subside after 7-10 days while after 20-30 the patient is back to normal life.
Is the result permanent?
Absolutely YES. The result is permanent, the male breast has less volume highlighting the chest and providing a sense of confidence to the patient.
Gynecomastia complications
Although very rare, there might be a small hematoma, infection, small degree of asymmetries and a small degree of tingling and numbness in the nipple.
In conclusion
Through VASER which is the most modern technique that we use in VK Institute of Plastic and Reconstructive Surgery (liposuction with the use of ultrasounds), gynecomastia is a simple one day care (surgery) providing a natural and long lasting result.