What you need to know about gynecomastia

Gynecomastia is a condition of excessive swelling of the male breast (usually occurs in both breasts but can also occur unilaterally) and can occur at any age. Clinically it is defined by the presence of an enlarged mammary gland that grows concentrically from the nipples.

What you need to know about gynecomastia

Gynecomastia is a condition of excessive swelling of the male breast (usually occurs in both breasts but can also occur unilaterally) and can occur at any age. Clinically it is defined by the presence of an enlarged mammary gland that grows concentrically from the nipples. Gynecomastia must be differentiated from pseudo-gynecomastia (lipomastia), which is characterized by fat deposition without glandular proliferation, although many times the two conditions coexist.

Gynecomastia is a condition that can cause emotional discomfort and affect a man’s self-confidence. Some men may avoid certain physical activities or even find a partner to hide their condition.

The main causes of gynecomastia are:

• Obesity or sudden weight fluctuations
• Hormonal disorders
• Heredity
• The use of certain drugs or substances

Rare causes of gynecomastia may be related to:

• Organic liver disease (cirrhosis)
• Organic kidney diseases
• Organic thyroid diseases
• Tumors of the testicles, adrenal glands, breast
• Klinefelter syndrome
• The plastic surgeon who specializes in gynecomastia correction techniques, with the clinical examination and the preoperative examination, must recognize the cause and the extent of the gynecomastia in order to offer an even result to the patient.

Who are the candidates for gynecomastia surgery?

Candidates for gynecological restoration are men who:

• Gynecomastia is not a symptom of an underlying disease
• They are bothered by the feeling that their breasts are too big
• The growth of their breasts has stabilized
• The condition can not be corrected with alternative therapies
• They do not use drugs or substances that cause gynecomastia
• They have a relatively normal weight
• They have realistic expectations
• In addition, teens can benefit from gynecomastia surgery, although they should be aware that if their breasts continue to grow, they may need additional surgery in the future.

Preoperative:

The preoperative examination mainly includes blood tests, chest x-ray, cardiogram and specialized tests depending on the case.

In the case of gynecomastia surgery, depending on your age and family history, thyroid function tests, testicular exclusion and other chronic diseases related to gynecomastia may be needed.

You will also need to quit smoking preoperatively and immediately postoperatively as well as avoid taking aspirin and anti-inflammatory drugs, as they increase the risk of bleeding.

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