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Gynecomastia

Gynecomastia: The Complete Guide to Correction Surgery

Gynecomastia is a common condition in men, characterized by excessive development of breast tissue. This condition can cause both physical and emotional discomfort, affecting self-confidence and body image. Fortunately, gynecomastia correction surgery can restore the masculine appearance of the chest, providing long-lasting and natural results

What is Gynecomastia?

Gynecomastia refers to the abnormal growth of breast tissue in men, caused by a hormonal imbalance between estrogen and testosterone. It can occur at any age and may be influenced by genetic factors, the use of certain medications, or other medical conditions.

Causes of Gynecomastia

There are several possible causes of gynecomastia, including:

  1. Hormonal Imbalance: An imbalance between estrogen (the female hormone) and testosterone (the male hormone) can lead to breast tissue development.
  2. Medications: Certain medications, such as anabolic steroids, blood pressure medications, antidepressants, and ulcer medications, can contribute to gynecomastia.
  3. Illegal Substances: The use of alcohol, marijuana, and heroin can also be associated with this condition.
  4. Health Conditions: Conditions such as hyperthyroidism, kidney failure, or liver cirrhosis can cause hormonal imbalances leading to gynecomastia.
  5. Puberty: Hormonal changes during puberty can cause temporary gynecomastia in boys, which usually resolves within a few years.
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Symptoms of Gynecomastia

The symptoms of gynecomastia include:
  • Swollen breast tissue
  • Breast tenderness
  • Pain or discomfort
  • Asymmetry between the breasts

Diagnosing Gynecomastia

Diagnosis of gynecomastia starts with a complete medical evaluation, which includes a detailed medical history and physical exam. The doctor may also recommend additional tests, such as blood tests, mammograms, or ultrasounds, to rule out other conditions and confirm the diagnosis.

Treating Gynecomastia

Treatment for gynecomastia varies depending on the cause and severity. In some cases, the condition may resolve on its own without treatment. However, for those who require intervention, several options are available:

  1. Medications: If gynecomastia is caused by a hormonal imbalance, medications that regulate hormone levels may be effective.
  2. Surgery: For severe or persistent cases, surgery is the most effective solution. This may include liposuction to remove fat and excision to remove excess glandular tissue.

Who is an Ideal Candidate for Gynecomastia Surgery?

Gynecomastia correction surgery is suitable for men who experience excessive breast tissue development and want to improve their physical appearance and self-confidence. Ideal candidates for this procedure are:

  1. In Good General Health: Patients must be in good overall health, without serious medical conditions that could complicate recovery or surgery.
  2. Stable Weight: It’s important for patients to have a stable body weight and not be significantly overweight, as large fluctuations in weight can affect the results of the procedure.
  3. Fully Developed Breasts: Ideally, patients should have fully developed breasts, meaning the condition should be stabilized and no longer progressing.
  4. Lack of Success with Other Methods: Those who haven’t achieved the desired results through non-surgical methods, such as changes in diet, exercise, or medications.
  5. Realistic Expectations: Patients must have realistic expectations about the results of the surgery and understand its limitations.
  6. Non-Smokers: Smoking can affect the healing process and increase the risk of complications. Patients are advised to quit smoking before and after surgery.
  7. Physical or Emotional Discomfort: Men who experience physical or emotional discomfort due to the appearance of their chest are good candidates for this procedure.

 

The Gynecomastia Surgery Procedure

Initial Consultation

The first step in correcting gynecomastia is an initial consultation with a specialized plastic surgeon. During this consultation, your medical history, goals, and expectations from the procedure will be discussed. The doctor will also perform a physical examination to evaluate the degree of gynecomastia and determine the most appropriate surgical technique.

Preparation for Surgery

Before the surgery, the patient will need to undergo a set of preoperative tests and follow certain medical recommendations, such as avoiding certain medications or supplements that can affect blood clotting. It is important that the patient is in good overall health and has realistic expectations for the procedure.

Types of Gynecomastia Surgery

There are two main surgical techniques used for correcting gynecomastia: liposuction, liposculpture, and glandular excision. In many cases, these techniques can be combined for the best results.

  1. Liposuction: This is used to remove excess fat from the chest area. The procedure involves inserting a thin tube (cannula) through a small incision and suctioning out the fat. Liposuction is ideal for patients who have excess fat without much glandular tissue.
  2. Excision: This is necessary when there is a significant amount of glandular tissue or loose skin. Incisions are usually made around the areola or in the natural folds of the chest to minimize visible scarring. Excision can be combined with liposuction for better contouring of the chest.
ginecomastie-reducere-sani-barbati

Advanced and Personalized Techniques

At Cosmedica Clinic, we use advanced and personalized techniques for each patient. Our subcutaneous excision technique with imperceptible scars ensures superior aesthetic results, minimizing visible scarring. In severe cases of gynecomastia, we may recommend an upper body lift, which involves en-bloc mastectomy with lifting of the upper body and free repositioning of the areola.

Anesthesia

Gynecomastia correction surgery is typically performed under general anesthesia, ensuring maximum comfort for the patient during the procedure. In less complex cases, local anesthesia combined with sedation can be used.

Postoperative Recovery

Recovery after gynecomastia surgery varies depending on the complexity of the procedure and the individual characteristics of the patient. In general, patients can expect the following stages of recovery:
  1. Immediately Post-Op: Patients are monitored in the recovery room until they are fully awake from anesthesia. Mild pain and discomfort may occur, which can be managed with prescribed pain relievers
  2. First Few Days: It is important for patients to wear a specific compression garment to reduce swelling and support the new contour of the chest. Intense activities and physical exercises should be avoided.
  3. First Week: Most patients can return to normal daily activities after about a week. Swelling and bruising will start to subside.
  4. First Month: Initial results will be visible, although residual swelling may persist for a few weeks. Patients are encouraged to attend regular postoperative check-ups to monitor the healing progress.
  5. Long-Term: Final results are typically visible 3-6 months after surgery. Patients should maintain a healthy lifestyle to prevent the recurrence of gynecomastia and take care of the minimal scars, which are placed in imperceptible areas. It’s important not to expose the scars to the sun and to use specific treatments (compression, silicone gels, silicone patches, laser therapy, etc.).

Risks and Possible Complications

As with any surgery, gynecomastia correction involves certain risks and complications. These may include infections, bleeding, adverse reactions to anesthesia, visible scarring, asymmetry, and loss of nipple sensitivity. Choosing an experienced plastic surgeon, a reputable clinic, and strictly following postoperative instructions will significantly reduce these risks.

Results and Benefits:

Correcting gynecomastia offers numerous benefits, both physically and emotionally:

  • Improved Aesthetic Appearance: The procedure reshapes the chest, providing a flatter and more masculine appearance.
  • Increased Confidence: Patients report a significant boost in self-confidence and self-esteem after the surgery.
  • Physical Comfort: Removing excess breast tissue reduces physical discomfort and improves posture.
  • Wardrobe Freedom: Patients can enjoy more freedom in choosing clothes and participating in physical activities.

Patient Testimonials and Experiences

At Cosmedica Clinic, we take pride in the many positive testimonials from our patients who have undergone gynecomastia correction. They share their positive experiences and satisfaction with the results. These testimonials highlight the professionalism and dedication of our medical team.

Techniques and Innovations in Gynecomastia Surgery

At Cosmedica Clinic, we are committed to using the latest technologies and innovative techniques to ensure the best possible results. These techniques include:
  • VASER-Assisted Liposuction: This modern technique uses ultrasound to emulsify fat before removal, minimizing tissue trauma and accelerating recovery..
  • Power-Assisted Liposuction: Liposuction is not just about removing excess fat but also sculpting and reshaping the remaining fat under the skin. Power-assisted liposuction helps redefine the contour of the chest for a more attractive appearance.
  • Lifting and Contouring Techniques: In cases of severe gynecomastia, we combine excision with lifting techniques to improve chest contour and reposition the areola, ensuring a natural aesthetic appearance.

Conclusion

Gynecomastia is a condition that can have a significant impact on men’s lives, but modern cosmetic surgery solutions offer effective and safe options for its correction. At Clinica Cosmedica, we are dedicated to providing our patients with the most advanced and personalized treatments, ensuring that each patient receives the care and attention they need to achieve the results they desire.

If you are facing gynecomastia and want to learn more about the available treatment options, we invite you to schedule a consultation with our doctors. Our team of specialists is ready to help you regain your confidence and feel comfortable in your own skin.