Gynecomastia – what is it
Gynecomastia is a pathology of the mammary glands of men, as a result of which their growth occurs and, as a
consequence, a change in appearance. Patients have problems with social adaptation, develop pathological shyness
and rejection of their body.
Uncertainty in the pool, on the beach, in summer in light clothes accompany a man constantly. Against the
background of the problem, problems develop in personal life.
Often, because of shyness, men do not go to the doctor, preferring to hide the problem with baggy clothes. At
the same time, self-doubt only grows stronger, destroying a person`s life. Meanwhile, plastic surgery combined
with the elimination of factors that provoke the disease will help to quickly solve the problem and improve the
patient`s life.
What types of gynecomastia do men have
Male breast reduction cost of removal of which corresponds to the needs of patients, is
observed in various
forms:
-
True. The overgrowth is due to the formation of glandular tissue in the man`s chest. At the first stages, it
is
defined as a small seal in the area of the nipple. The doctor can diagnose the problem by making an
ultrasound
diagnosis of the patient.
-
False. Local reflection of adipose tissue changes the shape of the male breast. It is observed in patients
with
pathologically high weight and obesity.
Both pathologies can affect both ordinary patients and people with varying degrees of obesity. There is also a
mixed type of gynecomastia, when there is a proliferation of not only glandular, but also adipose tissue at the
same time. In this case, the pathology can affect both breasts, and be of a local nature, being located on one
side.
Newborn boys are susceptible to breast enlargement. Due to the predominance of maternal hormones in the body,
the baby`s mammary glands may be enlarged. This goes away on its own within a month after birth.
Teenagers experiencing hormonal restructuring of the body are also susceptible to the problem. Usually, in this
case, surgery is not required, since everything returns to normal after puberty.
Men over the age of 55 often have a lack of testosterone. This leads to an increase in female hormones in the
body and, as a result, gynecomastia. You can cope with such a problem with hormone therapy or surgical
intervention from the best plastic surgeons.
The main causes of gynecomastia in men
Pseudogynecomastia surgery cost of which differs depending on the causes of its occurrence, is
necessarily
diagnosed by an experienced doctor. Among the main causes of pathology are:
- testicular hypoplasia;
- infection or radiation exposure;
- neoplasms of various types in the testicular area;
- Klinefelter syndrome;
- excess thyroid hormones;
- disorders of the hypothalamus;
- prostate adenoma;
- pathologies of the liver, due to which there is a violation of the function of destruction of female
hormones in
the male body;
- HIV infection;
- increased prolactin levels;
- violation of metabolic processes;
- immunodeficiency virus;
- kidney failure.
Gynecomastia is often diagnosed in former athletes who had to abruptly quit physical activity, as well as in
patients who actively take antidepressants, corticosteroids, antibiotics or hormonal drugs.
When a man`s breast grows due to taking medications, the doctor must replace the unsuitable drug with another
means of similar action.
Indications and contraindications for gynecomastia surgery
At the first signs of pathology, a man should not be shy, but contact an endocrinologist directly. The doctor
determines the nature of the pathology and determines its type. In accordance with the data obtained, the
appropriate therapy is selected or the type of surgical intervention is selected.
Surgery for false gynecomastia
In this case, the patient`s fat deposits are removed. Small incisions are made in the nipple area, through which
the liposuction procedure is performed. You can also correct the location of the nipple and change its shape.
If the patient is obese, complex weight loss is required beforehand and only after that surgery is performed.
Removal of true gynecomastia
With this type of pathology, the correction of fatty and glandular tissue in the patient`s chest is carried out
first. Next, the shape of the nipple and its location relative to the physiology of the man are corrected.
Mixed operation type
This option includes both methods of getting rid of gynecomastia. The intervention lasts no more than 90 minutes
and usually passes without complications if you follow the doctor`s recommendations.
So, the main indication for correcting the shape of the breast in men is a visual defect caused by various
causes and pathologies in the body. However, for cosmetic surgery, there are a number of contraindications that
make surgery impossible for a certain category of patients:
- Congenital pathologies of the cardiovascular system.
- Pathologies of the liver, lungs and kidneys.
- The presence of infections in the body in the acute stage.
- Advanced stages of obesity.
With severe obesity, they first struggle with the root cause of changes in body shapes and only after the
restoration of normal body size begin plastic surgery.
Diagnosis of pathology
Anamnesis collection is important for accurate diagnosis and consideration of the feasibility of plastic
surgery. Liposuction of gynecomastia treatment cost or of which are acceptable to citizens, is done only if
there are no contraindicated pathologies. This is determined by the doctor at the examination.
The diagnostics are considered:
- the age of the patient
- the beginning and course of breast growth
- the presence of pain in the examination area
- endocrine disorders in the body
- recent weight change
The doctor also establishes the possibility of taking narcotic or medicinal products of patients, which may
cause pathology to develop. The examination is carried out by palpation, as a result of which the growth of
glandular tissue in the area of the nipple and areola is determined.
Then there is an examination of the genitals and diagnostics of internal organs. There may be an increase in the
mass of the testicles or their atrophy. The liver, kidneys can be enlarged, chronic thyroid pathologies often
occur, provoking gynecomastia.
Laboratory test
The doctor may prescribe blood tests for the level of testosterone, prolactin and hormones in the blood serum.
Tests are also carried out to determine the function of the liver, kidneys and thyroid gland.
Additional testing is prescribed in case of suspicion of a malignant neoplasm, especially if breast enlargement
is observed only on one side.
Ultrasound diagnostics
Ultrasound examination is rarely performed, usually in case of suspected malignant neoplasms. Upon confirmation
of the diagnosis or in addition to the studies, mammography, CT of the abdominal cavity, ultrasound of the
testicle can be performed. To confirm breast cancer, a fine needle biopsy is performed.
Features of the operation
False gynecomastia operation price or in other words male breast liposuction cost of which is available to every
man suffering from such a pathology. It involves the removal of growing tissues by liposuction. To do this, the
doctor makes a small incision in the inframammary fold. A liposuction solution is injected through it and the
connective tissue filling the mammary glands is broken with special tools.
When the tissue is too strong and does not lend itself to liposuction, an open removal method is used. An
incision is made in the area of the areola and growths are removed through it, bringing the man`s chest to his
physiological standards.
The operation is performed under general anesthesia, the patient does not experience pain during surgery.
Recommendations for recovery and subsequent care
The postoperative period is an important component of competent treatment. The patient will have to wear a
special bandage for 4-6 weeks. It is not removed day or night. For patients with a large dissection during
surgery, special drains may be required.
Within five days after the operation, antibiotics prescribed by the doctor are used, as well as painkillers in
the first three days. Forecasts are usually positive. It is assumed that the patient will recover in a few
months and will no longer remember about his pathology if he adheres to the doctor`s recommendations and
monitors his health in a complex.