Gynecomastia – Treatment of Male Breasts with Natural & Permanent Results
Gynecomastia: Restoring male image and self-confidence
Gynecomastia is the benign hypertrophy of the mammary gland in men. It is essentially an endocrine disorder in which the male breast enlarges and resembles a female breast.
This image can significantly affect a man's psychology, self-confidence, social life and daily life. Surgical treatment of gynecomastia provides a definitive solution to the problem, restoring a flatter, more masculine and natural chest contour.
What is gynecomastia?
Gynecomastia is the enlargement of the mammary gland in men, which leads to breast enlargement.
There are two main forms:
True gynecomastia
It is due to hypertrophy of the mammary gland.
Pseudogynecomastia
It is caused by the accumulation of fat in the chest area, usually due to obesity.
According to statistics, over 95% of cases involve pseudogynecomastia, while approximately 5% involve true gynecomastia.
Liposuction is a surgical procedure that removes excess local fat from specific areas of the body.
Using a special microcannula, the fat is broken down and sucked out, resulting in the area acquiring a more uniform, thin and shapely contour.
When is it an appropriate solution?
Liposuction is ideal when localized fat persists, despite a balanced diet and exercise.
It is suitable when certain areas of the body appear disproportionate in relation to the rest of the body.
It is not used to treat obesity or for significant weight loss. In cases of obesity, other procedures or combined solutions may be needed.
What happens during gynecomastia?
Male breast enlargement is related to an imbalance in the balance of estrogen and androgens.
When female hormones outweigh testosterone, it can cause mammary gland enlargement and breast enlargement.
The male chest consists of:
Nipple
Nipple areola
Massive gland
Adipose tissue
Gynecomastia can affect one breast, in which case it is called unilateral, or both breasts, in which case it is called bilateral.
Why does gynecomastia occur?
Gynecomastia can be idiopathic, meaning there is no clear cause, or it can be related to pathological, hormonal or pharmaceutical factors.
Possible causes are:
Hereditary predisposition
Hormonal disorder
Genetic abnormalities
Specific diseases
Drug treatment
Use of anabolic steroids
Alcohol abuse
Drug use
Poor nutrition
Obesity
When does gynecomastia appear?
Gynecomastia affects approximately 40% of the male population.
It may appear:
In the neonatal period
Λόγω των οιστρογόνων της μητέρας που μεταφέρονται μέσω του πλακούντα. Συνήθως υποχωρεί λίγο καιρό μετά τη γέννηση.
In adolescence
Due to hormonal changes. It usually subsides a few years after adulthood.
In adulthood
It can appear between the ages of 40 and 75. In this case, it usually does not regress and surgery is the most effective solution.
Gynecomastia diagnosis
If an adult man notices an increase in the size of his breasts, it is important to consult a specialized doctor.
The diagnosis is based on:
Clinical examination
Medical history
Supersonic
Mammography, where deemed necessary
Hormonal control
In this way, it is determined whether it is true gynecomastia or pseudogynecomastia.
Αναισθησία
Anesthesia depends on the technique that will be applied.
When the mammary gland is removed, general anesthesia is performed.
When only excess fat is removed with liposuction, local anesthesia with sedation may be used.
In the case of local anesthesia with sedation, the patient returns home after a few hours. If general anesthesia is used, they usually stay in the clinic overnight and are discharged the next day.
What do scars look like?
If only liposuction is performed, the scars are very small, approximately 4 millimeters, and almost indistinguishable.
If the mammary gland is removed, the scars are located around the areola. After 2 to 3 months they usually fade and become hardly noticeable.
When are the results visible?
The first image of the result is visible after 1 to 2 weeks, when the swelling has significantly subsided.
The final result is visible after approximately 4 weeks, when the breast has acquired its final shape.
Is the result permanent?
Yes. After the surgery, the patient is free from gynecomastia for life.
Maintaining a stable body weight and avoiding factors that may affect hormones help maintain the result.
Gynecomastia: Definitive solution for masculine breasts and
Gynecomastia can greatly affect a man's self-confidence and daily life. With the correct diagnosis, the necessary hormonal control and the appropriate surgical technique, the problem can be permanently treated.
The result is a flatter, more natural and masculine chest, which helps the man feel comfortable with his body again.
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Πλεονεκτήματα της επέμβασης
Η αντιμετώπιση της γυναικομαστίας προσφέρει:
- Μόνιμη απαλλαγή από τη διόγκωση του ανδρικού στήθους
- Πιο επίπεδο και αρρενωπό στήθος
- Βελτίωση συμμετρίας
- Φυσικό αισθητικό αποτέλεσμα
- Δυσδιάκριτες ουλές
- Βελτίωση αυτοπεποίθησης
- Μεγαλύτερη άνεση σε ρούχα και στην παραλία
- Ενίσχυση της κοινωνικής και προσωπικής ζωής
Πιθανές επιπλοκές
Οι επιπλοκές είναι σπανιότατες και συνήθως αντιμετωπίζονται εύκολα.
Πιθανές επιπλοκές είναι:
- Αιμάτωμα
- Ασυμμετρία θηλών
- Αργή επούλωση
Η σωστή επιλογή έμπειρου πλαστικού χειρουργού μειώνει σημαντικά την πιθανότητα επιπλοκών.
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Detailed causes of gynecomastia
Approximately 1/4 of cases are classified as idiopathic.
When there is a pathological cause, it may be related to:
- Hereditary predisposition
- Absence of testicles
- Renal failure
When gynecomastia is related to increased estrogen, it may be due to:
- Liver cirrhosis
- Hyperthyroidism
- Congenital adrenal hyperplasia
- Swelling in the testicle area
When it results from medication, it may be related to:
- Clomiphene
- Phenytoin
- Spironolactone
- Ketoconazole
- Anabolics
- Antiretrovirals
- Antidepressants
- Antipsychotics
Other diseases that may be related are:
- Diabetes mellitus
- Spinal cord injuries
- Chronic diseases
Because in some cases there may be a more serious underlying cause, it is important to undergo a complete medical and hormonal check-up beforehand.
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Useful information about the operation
| Information | details |
|---|---|
| Type of surgery | Treatment of gynecomastia |
| Techniques | Gland removal, liposuction, breast reduction |
| Anesthesia | General or local with intoxication |
| Hospitalization | A few hours or 1 night |
| First result image | In 1-2 weeks |
| Final result | Approximately in 4 weeks |
| Liposuction scars | Approximately 4 mm |
| Breast removal scars | Around the areola |
| Duration of effect | Permanent |
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Examinations before surgery
Before the surgery, a hormonal test is required, which includes:
Testosterone
Estrogen
LH
FSH
Thyroid hormones
Prolactin
Additionally required:
General blood test
Biochemical blood test
General urine examination
Electrocardiogram
How is gynecomastia surgery performed?
The technique depends on whether there is true gynecomastia, pseudogynecomastia, or a combination of the two.
Removal of a massive gland
When there is hypertrophy of the mammary gland, the plastic surgeon makes an incision around the areola and removes the mammary gland and excess fat.
Liposuction
When the problem is mainly due to fat, liposuction is applied. This method is mainly indicated for pseudogynecomastia.
Breast reduction
In cases where there is excess skin, a breast reduction may be necessary to properly restore the contour.
Whichever technique is chosen, the goal is a flat, natural and masculine chest.
frequently asked questions
What is gynecomastia?
It is the benign hypertrophy of the mammary gland in men, which causes breast enlargement.
What is the difference between gynecomastia and pseudogynecomastia?
Gynecomastia is due to an increase in the mammary gland, while pseudogynecomastia is mainly due to fat.
Are tests needed before surgery?
Yes. Hormonal testing and basic preoperative tests are required.
How is it treated surgically?
By removal of the mammary gland, liposuction or a combination of techniques, depending on the problem.
What anesthesia is used?
General anesthesia when the mammary gland is removed. Local with sedation when only liposuction is performed.
Will the scars be visible?
The scars are small and usually become barely noticeable over time.
When will the result be visible?
The first image is visible in 1-2 weeks and the final result in approximately 4 weeks.
Is the result permanent?
Yes, after surgery, gynecomastia is permanently treated.
Belly
Thighs
Glutes
Waist
Calves
How is a thigh lift performed?
Step 1: Anesthesia
Liposuction can be performed either under general anesthesia or under local anesthesia and sedation.
Step 2: Small incisions
The plastic surgeon makes very small incisions of a few millimeters.
Step 3: Microcannula insertion
A special microcannula is inserted through the small holes.
Step 4: Fat breakdown
Step 4: The cannula passes through the fatty tissue and breaks up the local fat.fat removal
Step 5: Suction
The excess fat is aspirated through a pump connected to the microcannula.
advice before and after treatment
Pre-operative advice
Post-surgery advice
- Follow the plastic surgeon's instructions closely.
- Take proper care of the incisions.
- Avoid strenuous activity during the first few days.
- Maintain a stable weight.
- Return to your activities gradually.
- Notify the doctor if you notice severe swelling, pain, or asymmetry.
