Gynecomastia is the pathological enlargement of one or both mammary glands in men. This disorder is often associated with hyperprolactinemia (prolactin excess in blood that is also synthesized in males). It can also be caused by hyperestrogenism derived from a liver pathology such as cirrhosis, because the liver is unable to metabolize estrogens. Men undergoing estrogen therapy may develop accumulations of fat in breast shape, which is known under the term of pseudogynecomastia, whereas they frequently develop real breasts, which is called gynecomastia. It is the most common breast pathology in males. Obese men also tend to develop pseudogynecomastia that normally occurs at puberty from age 12 or 14 to age 20 or 21.
When the breast growth is due to obesity, poor health habits or excessive alcohol consumption, the breast size can be reduced through a strict diet and regular exercise. Consult with your doctor so that he can diagnose the correct treatment for you. Once your doctor determines that gynecomastia surgery is indicated, the next step is a complete review of your medical history, an examination of your breasts and, in some cases, a mammogram or X-rays to determine the amount of fat and glandular tissue.
Gynecomastia surgery is relatively simple. It is a surgical procedure in which the surgeon makes an incision around the areola and can make use of liposuction to remove excess fatty tissue. If a large amount of tissue needs to be removed, incisions are likely to be larger and also extend from the areola to the chest, and nipples may need to be repositioned.
TYPE OF INTERVENTION: Surgical
TYPE OF ANESTHESIA: General. In individual cases under local anesthesia
AVERAGE SURGICAL TIME: 1-3 h (depending on severity and case)
AVERAGE HOSPITALIZATION TIME: 1-3 days
AVERAGE POST-DISCHARGE RECOVERY TIME: 4-6 weeks
LEVEL OF SATISFACTION: Very high