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Gynecomastia Surgery

Gynecomastia removal

Large breasts adorn only women; in men they are a physical disadvantage.
In addition to aesthetic inconveniences, gynecomastia can cause health problems. Although this pathology is benign, it creates a risk of breast cancer. The achievements of modern medicine, which the ForMe clinic specialists use in their practice, effectively relieve men of this defect.

What is gynecomastia

Gynecomastia in men is called enlargement of the mammary glands. This happens due to the growth of the gland itself or the accumulation of fat cells. In addition to an increase in the size of the organ, the pathology can manifest itself as chest pain and tissue compaction.

Causes

Most often, the proliferation of gland tissue occurs due to hormonal imbalance, when the level of estrogen begins to exceed the amount of testosterone, the main male hormone.
Other causes of male gynecomastia:
Enlargement of the breast glands can be detected in newborn infants due to exposure to maternal estrogen, and usually resolves after the first month of life. Sometimes gynecomastia occurs during puberty when testosterone levels drop. It also goes away on its own and does not require treatment.
Medicines. Taking some of them can lead to enlargement of the mammary glands in a man. These are, for example, hormonal drugs, antitumor drugs.
Chronic diseases. For example, regular dialysis for chronic renal failure leads to hormonal changes. Also, hormone-active tumors of the adrenal glands, testicles, and pituitary gland can lead to an increase in the size of the gland.
Taking steroid drugs to build muscle mass.
A pathology that arose for an unknown reason is called idiopathic.

Types of gynecomastia

Depending on the cause of its occurrence, gynecomastia is classified into several types.

True

Normally, male breasts consist of muscle and fat; glandular tissue should not be present. If the amount of estrogen in the body becomes too large, organs begin to develop according to the female type, and connective tissue increases.

False

In this case, excess fat deposits lead to mammary hypertrophy. It almost always occurs with overweight.

Mixed

With this type of pathology, in the presence of excess fat, glandular and connective tissue also grows.
According to external manifestations, gynecomastia can be one- or two-sided. Bilateral magnification can be symmetrical or asymmetrical.

Symptoms

In addition to external signs, the pathology is accompanied by such manifestations as:
  • soreness in the pectoral muscle area;
  • high nipple sensitivity;
  • unpleasant sensations during contact with clothing;
  • feeling of fullness in the pectoral muscles;
  • leakage of exudate from the nipples;
  • fibrous formations in glandular tissue.

Treatment of gynecomastia

Therapy in this case can be medicinal or surgical. This depends on the cause of gland hypertrophy, the patient’s health condition and the presence of pathological formations in the gland.

To assess the condition of the mammary gland, palpation of the pectoral muscles, lymph nodes and genital organs, and a biochemical blood test for hormone levels are performed. To get a complete picture, ultrasound of the mammary glands, mammography are prescribed, and, if necessary, a CT examination is performed.

If the cause of mammary hypertrophy is a chronic disease, it is necessary to treat it. If you are taking medications that cause tissue proliferation, you should replace them with other drugs or, if possible, stop them altogether.

Treatment is prescribed for adolescents if the pathology causes severe pain or psychological problems in communicating with peers. The doctor prescribes hormonal drugs that increase the amount of testosterone.

Indications for removal of gynecomastia in men

Enlarged glands can be removed both in adulthood and in adolescence. There may be several reasons for surgical intervention:
hypertrophy causes severe discomfort;
drug treatment does not help;
there are signs of hyperthyroidism (tachycardia, sweating);
the patient experiences psycho-emotional problems.
Modern minimally invasive methods of plastic surgery make it possible to perform surgery without incisions, after which there are no keloid scars left.

Contraindications

During the examination, the patient may find contraindications for surgery. These include:
oncological diseases;
decompensated diabetes mellitus;
decreased blood clotting;
exacerbation of a chronic disease;
severe pathology of the cardiovascular system;
obesity 4 degrees.

Preparing for surgery

2 weeks before surgery, it is recommended to avoid alcohol and smoking, and avoid increased physical activity. 2-3 days before the operation, it is necessary to undergo tests prescribed by the doctor and undergo an examination of not only the mammary glands, but also the scrotum and lymph nodes, and, if necessary, undergo a biopsy. It is also important to stop taking blood thinners.

How is the operation performed?

The procedure takes from 1 to 1.5 hours. Depending on the type and degree of pathology, there are 2 types of surgical correction of the mammary glands.

A mastectomy is performed under general anesthesia and the breast is removed through an incision around the areola of the nipple. If the volume of enlarged tissue is large, excess skin is additionally excised. Scars become invisible after 6-8 months.

If breast enlargement is caused by excess fat deposits, they are removed, leaving glandular tissue. The liposuction procedure is performed using combined anesthesia (general and local) through small incisions on both sides of the chest. The scars after such an intervention are almost invisible.

gynecomastia removal

Rehabilitation after surgery

After liposuction, the patient can return to their normal lifestyle within a week. If a mastectomy was performed, full recovery requires 4-5 weeks. The patient is advised to wear compression garments around the clock at first, and then only at night. For 1-2 months you should refrain from visiting baths and saunas, and avoid heavy physical activity.
Qualified surgeons at the ForMe Medical Center have extensive experience in such operations, so removal of gynecomastia at the ForMe Clinic in St. Petersburg will eliminate the pathology painlessly and irrevocably. You can make an appointment and find out the cost by phone or ask a question on the clinic’s website.

Experienced doctors

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    Prices for gynecomastia removal

    Стоимость операции зависит от ее объема и сложности, которые определяются на консультации пластического хирурга. Сложность операции может зависеть от различных факторов, включая тип операции, состояние пациента, наличие осложнений и требуемое время для выполнения операции.
    В данном разделе указана стоимость работы врача без учета анестезии, пребывания в палате, предоперационного обследования и послеоперационного наблюдения.
    Окончательную стоимость операции можно узнать по итогам очной консультации с хирургом.

    Отзывы пациентов

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    Пациент
    Надежда Е.
    05 December 2024
    Специалист
    Джимиев М.Р.
    Пластическая хирургия
    Специалист
    Джимиев М.Р.
    Пластическая хирургия

    Джимиев Мулдар Русланович – это находка! Если вы хотите безупречный живот, то он сделает все идеально. Я решилась на абдоминопластику с диастазом (обвисшая кожа после родов). Доктор ушил диастаз, устранил лишнюю кожу и перенёс пупок. Всё это "бесшовным" методом. Пупки у него, конечно, лучшие! А сам доктор душевный и внимательный! 

    Пациент
    Алина
    18 May 2023
    Специалист
    Пластическая хирургия
    Специалист
    Пластическая хирургия

    Хочу поблагодарить Светлану администратора. Такого человеческого подхода и отношения к пациентам я никогда не видела. Спасибо не только за вашу профессиональную оперативность в решение всех вопросов, но и огромную поддержку без которой я бы не справилась.

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