What are surgical approaches to gynecomastia removal?

In the case of breast enlargement in men, it is advisable to first undergo a consultation with a doctor who will determine the type of gynecomastia. The specialist will identify whether it is true gynecomastia (developed due to hormonal imbalance and predominance of female hormones) or pseudo-gynecomastia (mere fat tissue accumulation related to calorie proficit).

Depending on individual features of the patient, the method of surgical intervention is chosen:

Mastectomy. Excess skin and fat are removed, nipple may be repositioned using common cosmetic surgery techniques applied for breast augmentation procedures.

Liposuction-assisted mastectomy. An access incsion is made and liposuction is performed. Afterwards, additional contour correction takes place.

Typically, both methods are combined. The surgery takes from 30 to 60 minutes. Surgery site is stabilized and takes final appearance within 6 months.

Gynecomastia Surgery Preparation

Two weeks before the procedure, it is recommended to avoid alcohol consunption and limit smoking. 2-3 days prior to procedure the patient should refrain from consuming heavy and fatty foods, and avoid engaging in activities that involve high physical exertion. It is also necessary to undergo the prescribed tests and necessary examinations by the cosmetic surgeon beforehand.

The treatment of true and pseudo-gynecomastia by surgical means has similar stages. The difference lies in the specifics of the surgical intervention. Therefore, the procedure consists of:

Anesthesia. The surgery is performed under general anesthesia.
Correction. Depending on the type of problem, the doctor performs either correction of glandular tissue, liposuction, or a combination of these techniques.
Completion. Sutures are placed, the wound is dressed and bandaged.

The surgical method is often combined with subsequent medication treatment. The medications and the duration of their intake are determined individually by a spesialized endocrinologist.