Gynecomastia

What types of gynecomastia exist?

There are different types of patients for this surgical procedure:

➡️ Gynecomastia related to age: adolescence is a very common stage to develop this condition because during male hormonal development an imbalance occurs that gives rise to abnormal growth of the cells. moms. It is true that in these cases it usually rebalances, so it is advisable not to resort to surgery until you see that it does not disappear once the male development is complete. In addition, it can also occur in older men as a consequence of the decrease in testosterone associated with age.

➡️Gynecomastia produced by diseases: There are many ailments that can lead to gynecomastia, especially in the case of problems with the endocrine glands such as the thyroid or testicles. Obesity and kidney or liver problems are other common causes.

➡️ Gynecomastia caused by the consumption of medicines: There are medications such as antihypertensives, gastric protectors or antibiotics that contribute to excessive breast development in men. Generally, when you stop taking this medication, gynecomastia disappears. The same happens with the consumption of substances such as speed and alcohol.

Diagnosis

To start with the assessment Typically, the specialist asks the patient a series of questions about their medical history, the history of their family members, and the medications they take. You will also study the fabric of the chest, testicular size and consistency and nutrition.

Afterwards, the first exams aimed at determining the possible cause of gynecomastia, including blood tests and mammograms. Based on the results obtained from these first evidence More may need to be done.

In the diagnosis, it is essential to completely ensure that the patient's breast enlargement is due to gynecomastia since there are other pathologies with a similar symptomatic picture. The conditions that must be ruled out are:

🔸La mastitis: This is a chest abscess. That is, an infection of the breast tissue.

🔸El adipose breast tissue: It is possible that the patient suffers from excess fat in the chest similar to gynecomastia but is not. It is known as false gynecomastia or pseudogynecomastia.

🔸Cáncer de mama: Although it is rare, cases of breast cancer can occur in men. The appearance of a lump or an increase in volume in a breast can be an indicator of this disease.

Who is the ideal patient?

Most of the men who decide to resort to surgery are subjects who are between 15 and 50 years old, suffer from a gynecomastia that it is not reversible or that has not remitted within a reasonable period of time and have a large physical complex or even a disorder psychological.

What is the operation about?

In cases where gynecomastia is irreversible, those men who want to recover the shape of their usual chest or want to improve their image must undergo surgery.

Gynecomastia is treated by performing one or two small incisions through which cannulas are introduced whose function is to aspirate or absorb excess fat. Here it is important to highlight that with liposuction you can remove excess fat, but not excess gland, so sometimes it is necessary to add a small incision at the lower margin of the areola to remove breast tissue From there. In any case, the cut is made in such a way that the scar is practically invisible.

What anesthesia is used and what is the postoperative period like?

✅In this type of interventions, as a general rule, the local anesthesia or sedation. The surgery lasts approximately one hour and is performed on an outpatient basis. That is, hospital admission is not necessary.

✅As for the recovery, the patient will need to wear a bandage or compression garment for at least two to three weeks. The results of liposuction will begin to be visible three months after surgery.

Are there risks?

The liposuction It is a safe technique, as long as the intervention is performed by a qualified surgeon. However, as in any operation, there may always be complications and associated risks such as hematomas (accumulation of blood), seromas (accumulation of fluids), infections, allergies to sutures, among others. Furthermore, in some cases (very rarely) there may be an asymmetry in the results between both breasts, which would require a second intervention.

It is essential to always go to a professional to receive a diagnosis and adequate and personalized treatment, as well as to obtain good results. In the Weigand Clinic We are specialists in aesthetic body surgery, which includes gynecomastia.