Gynecomastia is a presence of benign breast enlargement in males. Even though it does not cause any health issues, it can lead to low self-confidence problem and might be aesthetically displeasing.
Gynecomastia usually occurs during adolescence but it can also be seen in infancy. It is impossible for breasts to continue improving over time once it has grown. Due to this reason, medical treatment or surgical procedure is necesary for solving this problem.
Imbalance between testosterone and estrogen hormones is the main factor in gynecomastia. Presence of testosterone in women is small compared to men, while it is the vice versa for estrogen hormone in both women and men. When the presence of estrogen hormone in men is more than required, gynecomastia will occur.
However, alcohol usage, testicular cancer, liver and kidney failure, pituitary gland disease, genetic diseases and steroid supplements are also factors that could contribute to growth in breast tissue.
In the initial treatment stage, surgeon will inspect whether there’s other cause to the breast enlargement. If no other diseases is detected the surgeon will be able to safely eliminate this possibility and continue to diagnose the cause for breast growth by referring to those previously mentioned reasons.
It is vital to know patient’s gynecomastia stage. Gynecomastia has four phases:
Fat removal is one of the most commonly used method for gynecomastia. Excess fat tissue in the breast will be removed in this method. Other procedures will not be required once the breast size has reached the size where it ought to be via liposuction. In case of liposuction’s inadequacy, marmary gland will be removed by making an incision at the lower part beneath the nipple.
However, liposuction is only meant for first and second phase. Liposuction is improper for advanced gynecomastia. Local anethesia will be used for liposuction procedure.
This method is used for breasts that has undergone liposuction procedure but still unable to reach its ideal size. In this operation, and ideal breast image is obtained by breast tissue removal and nipples reduction. A patch will then be applied. Flat chest can be obtained via this method but a thin scar will be visible. However, patients with chest hair will be at advantage since the scarring will not be visible due to the chest hair. The incision scar will create a natural fold with regularly done chest excercise.
This operation will normally takes approximately around 45 mins to 1.5 hours and calls for general anesthesia.
Gynecomastia is a common condition where it can be seen in one out of three men. However, with advance technology, this problem can be eliminated easily within hours. In order to obtain the desired result, it is vital to choose the right surgeon and clinic. Before undergoing the procedure, patients should observe the followings:
Gynecomastia patients that has undergone a procedure is not required to be hospitalized. Instead, patients will be kept under observation for a short while before they could be discharged from the hospital. Upon returning home, they will be able to eat and walk immediately without any problem.
Patients should take following precautions during their recovery:
Gynecomastia operation varies varies between 45 minutes and 1 hour depending on used method and gynecomastia’s stage.
There will be no scar for liposuction. However, if the gynecomastia is in the later stage, a surgical procedure will be required. There is a possibility of a thin scar at the place where the incision will take place. However, the scar will fade over time, as the color will change and becomes more similar to the skin color.
Similar to all aesthetic operations, gynecomastia is suitable for the individuals who are 18 years old and above.
Gynecomastia is generally not covered by health insurance since it is an aesthethic operation.
Instant result can be seen almost immediately. However its final shape will be visible approximately around 6 months after the operation.
Hospitalization is not required for the gynecomastia operation. Patients will be discharged after 5 to 6 hours of observation.
Patients will be able to resume their daily life within few days after the operation.
Breasts will not show repeated growth unless there’s serious medical problems such as hormone disorder and cancer.
Patients should wear the gynecomastia corset at all times for one month period.
Local anesthesia will not be used for liposuction based operation. However, operations performed through surgical method calls for the use of general anesthesia.
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