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Gynecomastia surgery: Correction of male breasts

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Gynecomastia is a common condition characterized by the enlargement of male breast tissue. This condition can have a significant impact on an individual's self-esteem and mental health. This article aims to provide a comprehensive guide to understanding gynecomastia, its causes, and the surgical options available for male breast correction.

Dr. Rosalia Luketina

Causes of gynecomastia

Hormonal imbalances

An imbalance between estrogen and testosterone levels can lead to the growth of male breast tissue.

Medications

Certain medications such as antiandrogens, anabolic steroids, and some antidepressants can cause gynecomastia as a side effect.

Medical conditions

Liver or kidney disease, thyroid disorders, and hormonal imbalances can lead to gynecomastia.

Lifestyle factors

Drug or alcohol abuse, obesity, and poor nutrition can contribute to the development of gynecomastia.

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Duration: from 2 hours
Hospitalization: no
Downtime: 1-2 weeks

Surgical options for gynecomastia correction

If non-surgical treatments do not produce satisfactory results, surgical intervention may be considered. There are essentially two surgical options for correcting gynecomastia:

Liposuction

Description of the procedure:

Liposuction involves removing excess fat from the chest area through small incisions and a cannula. This procedure is most effective for treating pseudogynecomastia or cases involving mainly fatty tissue.

Recovery and aftercare:

Patients can generally return to work within a week and resume sports activities after three to four weeks. Wearing compression garments may be recommended to reduce swelling and improve contour.

Excision technique

Description of the procedure:

The excision technique involves the surgical removal of glandular tissue and excess skin. This method is best suited for cases where the glandular tissue or skin is severely lax.

Recovery and aftercare:

The recovery time is similar to that of liposuction. Most patients can return to work within a week and resume sports activities after three to four weeks. Scarring will gradually fade over time.

Combination of liposuction and excision

Description of the procedure:

In some cases, a combination of liposuction and excision may be necessary to achieve optimal results. This approach allows for the removal of excess fat and glandular tissue, as well as skin tightening if necessary.

Recovery and aftercare:

The recovery time for combined procedures may be slightly longer than for liposuction or excision alone. Patients should follow their surgeon’s postoperative care instructions to ensure proper healing and minimize complications.

What to expect...

Gynecomastia vs. Pseudogynecomastia

Gynecomastia vs. It is important to distinguish between true gynecomastia, which is the growth of breast glandular tissue, and pseudogynecomastia, a condition characterized by excess fatty tissue in the chest area. Pseudogynecomastia is usually caused by obesity and can be improved by weight loss. Pseudogynecomastia

Prevalence and age distribution

Gynecomastia affects men of all ages, with the highest prevalence during puberty, middle age, and later life.

Diagnosis and initial treatment options

A thorough medical examination, including a physical examination and medical history, is essential for diagnosing gynecomastia and determining the underlying cause. Imaging tests, such as mammography or ultrasound, and blood tests may also be recommended.

Non-surgical treatment options

Medication:
Hormone therapy or drugs that block estrogen production may be prescribed to reduce breast size.

Lifestyle changes:
Weight loss, exercise, and dietary changes can help improve gynecomastia, especially in cases of pseudogynecomastia.

Monitoring and observation:
If the gynecomastia is only mild and does not cause any significant discomfort, a wait-and-see approach may be appropriate.

Dr. Rosalia Luketina - Specialist in Plastic and Aesthetic Surgery

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FAQ - Frequently Asked Questions about Gynecomastia surgery: Correction of male breasts

Suitability for surgery

A thorough examination by a qualified surgeon such as Dr. Rosalia Luketina is necessary to determine whether gynecomastia surgery is appropriate for your specific situation.

Preparing for surgery

Your surgeon will give you detailed preoperative instructions, which may include lifestyle changes, medication adjustments, and laboratory tests.

Setting realistic expectations

While gynecomastia surgery can significantly improve the appearance of the chest, it is important to have realistic expectations about the results and potential risks of the surgery.

Like any surgical procedure, gynecomastia surgery carries some risks and potential complications, including:

  • Infection
  • Scarring
  • Hematoma or seroma formation
  • Asymmetry or contour irregularities
  • Changes in nipple sensation

Will the results be permanent? Although gynecomastia surgery can lead to long-lasting results, factors such as hormonal disorders, weight gain, or certain medications can cause the condition to recur.

Although rare, gynecomastia can recur if the underlying cause is not treated. It is important to work closely with Dr. Rosalia Luketina and the treatment team to minimize the risk of recurrence.

Most patients can return to work within a week and resume sports activities after three to four weeks. However, full recovery can take several months as swelling and bruising subside

It is generally recommended that you refrain from strenuous activity for at least three to four weeks after gynecomastia surgery. Dr. Rosalia Luketina will provide you with specific guidelines based on your individual circumstances.

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Specialist in Plastic and Aesthetic Surgery
Waaggasse 5
8001 Zürich
Schweiz

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info@drluketina.ch
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