The term gynecomastia comes from a Greek word meaning “women-like breast.” Gynecomastia affects about 30% of men. Gynecomastia is diagnosed in men not younger than 18 years. Enlarged breasts in men can be accompanied by pain and social as well as psychological discomfort. Gynecomastia can be associated with obesity, hormonal imbalance, liver disease, or use of some medications.
During the consultation, discuss your wishes and expectations from the surgery with your surgeon. The surgeon will assess the size of your breasts, skin elasticity, and the underlying cause of the enlarged breasts. Gynecomastia involves developing an excess amount of fatty tissue and/or glandular tissue; most commonly, it is a combination of both tissues.
How Is the Surgery Performed?
The surgery is done under general anesthesia, and it takes 1 to 2 hours to complete.
If the enlargement of you breasts is caused by an excess fatty tissue, it will be removed by means of a liposuction procedure.
If an excess glandular tissue is the primary cause of your gynecomastia, it will be removed surgically together with excess fat. The incision is made along the lower edge of the nipple area (the areola).
After the surgery, a drain can be placed to prevent fluid accumulation, which is usually removed after 24–28 hours.
What Should Be Known After Surgery?
- Some pain can be experienced for a few days;
- The stitches do not need to be removed, they are dissolvable.
- Gynecomastia may reoccur. It is especially common among men using anabolic steroids.