Gynecomastia

It is the situation of breast growth in men. It can occur due to drugs use or as an effect of hormonal imbalance. There are three main types: glandular, fatty-glandular, simplistic fatty. The glandular type of growth creates real breast tissue, the fatty type creates the adipose tissue cells. At the glandular type liposuction (fat absorption) and surgical excision will be applied together. If the mass consists only of fatty tissue, only liposuction is applicable. In cases where excessive growth causes breast sagging, excess skin needs to be removed along with the mass.

Gynecomastia, due to hormonal changes, is most often seen in males at the age of 13-15 or older. In boys, 90% of these cases resolves spontaneously within a year. Also the other situations that cause gynecomastia should be examined. These include causes such as hepatitis, cirrhosis, lung cancer, lung disease, cancer of certain organs, thyroid disease, testicular diseases, heroin or other drug use, steroid use to gain weight or muscle diseases.

It is useful to analyze the mass by ultrasound preoperatively.
At surgery, the incision is usually made in a half circle around the nipple to get access to the mass. Surgery is performed under general anesthesia. If liposuction is neccessary an incision is made near the armpit, one or two of 0.5 cm. The mass will be removed by liposuction cannulas connected to vacuum suction.

In order to pressure the bandages a corset needs to be worn immediately after surgery. The corset should be worn at least 3 weeks, preferably 4 weeks. If liposuction is performed, the swelling will heal within approximately 4 weeks. The breast skin will stick to the chest wall. Melting blind stitch will be used so there is no need for suture removal. People can return to normal activities within 3-4 days after the surgery.