Gynecomastia refers to the growth of the mammary gland in man. It is a very frequent pathology, affecting 60% of adolescents and 30% of adults. Gynecomastia defines an alteration that causes an increase in the volume of the mammary glands in men, and gynecomastia surgery is the treatment to eliminate it definitively. Although during puberty it is normal for the male mammary gland to increase in size due to hormonal changes, when they stop, the breasts should regain their shape. However, in some cases the gland is enlarged causing an obvious aesthetic alteration and possible psychosocial repercussions.
There are three stages of life where gynecomastia can become evident. After birth, due to the action of the mother’s hormones that pass through the milk (in this gynecomastia no medical action is carried out); in adolescence, due to hormonal changes, gynecomastia that can remain in the adult in up to 30% of cases; the senile, due to a relative androgen deficit. It must be taken into account that both the necessary prior study, as well as the planning of plastic surgery and the execution of the same change depending on the age and type of gynecomastia. In the adolescent it is recommended to wait for a prudential time to see if it disappears alone, but the problem must be solved before it causes a significant psychological and social impact.
The best aesthetic result is achieved through liposuction and glandular resection: The Prado technique the surgeons use achieves a very important retraction of the skin without scars on the breast. In selected cases it may be necessary to make a small incision in the areola or remove the gland from the armpit, but 90% of cases can be treated with this technique.
The plastic surgeon is the best prepared to treat gynecomastia since it is not just about removing the gland. We must try to ensure a uniform and homogeneous result, considering the thoracic area as an aesthetic unit. Try to avoid skin resection techniques as much as possible, except in cases of great sagging and after significant weight loss.
What types of gynecomastia are there?
- Pubertal gynecomastia, which appears during puberty, may remit spontaneously. Therefore, it is recommended to wait and if it is not resolved alone, remove the breast surgically.
- Another type of gynecomastia is secondary, related to the use of certain medications (corticosteroids, anabolic agents, diuretics, antacids …) or the suffering of some diseases (genital adipose dystrophy, liver cirrhosis …).
- Finally, there is Pseudogynecomastia, which has a mostly fatty component, and is mostly associated with obesity.
What is gynecomastia surgery?
With Gynecomastia Surgery in Chandigarh, the surgeons have developed a new technique for gynecomastia that allows the removal of the mammary gland and fat through a small incision of less than 1 cm on the side of the chest. This technique is applicable in most cases, although there are patients in whom the glandular button has to be removed through the areola or the armpit.