What is gynecomastia?
Gynecomastia is the enlargement of male breast tissue, resulting in a feminine chest appearance. It can be caused by hormonal changes, certain medications, weight gain, or genetic factors. Gynecomastia surgery removes excess breast tissue and/or fat to create a masculine chest contour.
Who is a candidate?
Men who are bothered by enlarged breast tissue, are at or near their ideal weight, and whose breast development has stabilized. A hormonal evaluation is performed before surgery to rule out underlying causes.
How is the surgery performed?
Depending on the severity, gynecomastia surgery may involve liposuction, glandular tissue excision, or a combination of both. In mild cases, liposuction alone may suffice. For significant glandular tissue, a small incision around the areola is made to remove the tissue. The procedure takes 1-2 hours under general anesthesia.
Grades of gynecomastia
Grade 1: Mild enlargement, no excess skin. Grade 2: Moderate enlargement, slight skin excess. Grade 3: Significant enlargement with skin excess. The surgical approach is planned according to the grade.
Frequently Asked Questions
Mild to moderate discomfort is expected after surgery, easily managed with pain medication. Most patients return to daily activities within a few days.
Rest is recommended for the first week. Office work can resume in 2-3 weeks. A compression vest is worn for 4-6 weeks. Strenuous exercise can begin after 6 weeks.
Surgically removed breast tissue does not return. However, significant weight gain or anabolic steroid use could cause regrowth.
Liposuction-only cases leave minimal scars (3-5 mm). When excision is needed, a fine scar along the areola edge fades over time and becomes nearly invisible.
Exercise may help with pseudogynecomastia (fat-related). True glandular gynecomastia requires surgery for permanent correction.
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