Treatment of Gynecomastia

Gynecomastia, characterized by the abnormal enlargement of breast tissue in men, can significantly affect self-confidence and body appearance. Our surgical intervention aims to restore a more masculine chest contour by removing excess glandular tissue and fat through precise techniques tailored to each patient's unique anatomy. With an emphasis on safety, efficacy and aesthetic outcome, we use advanced surgical approaches to achieve natural-looking results. During the procedure, which is performed under general anesthesia, techniques such as liposuction and glandular tissue excision are used to sculpt the contour of the chest and remove excess tissue. Immediate improvements are usually noticeable, with final results becoming apparent within six months after surgery. Our aim is to enable individuals to regain confidence in their appearance and enjoy a renewed sense of self-esteem and body satisfaction.

FAQ

Do you have additional questions about the service?

What are the types of gynecomastia?

Normal: This form of gynecomastia is the most common, appearing in infancy (up to 10 months) due to the delivery of hormones from the mother through the placenta, during pre-adolescence (10 to 14 years) or in people over 60 due to hormonal changes.

Idiopathic: This form of gynecomastia occurs without a specific cause or underlying disease or disorder.

Pathological: This type of gynecomastia is due to estrogen secretion from pathological diseases, such as alcoholism, liver failure, kidney failure, thyroid diseases, testicular tumor, etc.

Drug-induced: This form of gynecomastia is due to the use of various drugs such as spironolactone, anabolics, antidepressants or narcotics such as methadone, heroin, etc. Also, high alcohol consumption can cause gynecomastia.

What should be done before surgery?

After taking a complete medical history, photographs of the area are taken and the doctor determines the appropriate surgical approach. Before deciding on any surgical intervention to treat gynecomastia, the patient undergoes complete laboratory tests to eliminate possible pathological deformities. In addition, the preoperative use of ultrasound for breast assessment is necessary.

It is recommended to stop smoking for 4 weeks before and 2 weeks after the operation in order to reduce possible complications. The use of aspirin, anticoagulants and non-steroidal anti-inflammatory drugs such as ibuprofen should be avoided before surgery.

What happens during the operation?

First, the incision plan is prepared while the patient is in an upright position. The operation is performed under general anesthesia.

The surgical approach varies depending on tissue composition and fat content. It involves either liposuction, resection of the mass gland, or both, which is the most common practice. A semicircular incision is usually made at the bottom of the nipple, and after the nipple is lifted, the entire remaining mammary gland is removed. In cases where there is also laxity of the skin, a circular incision is made around the nipple with parallel peri-mammary tightening of the breast.

The changes and improvement after surgery are immediately apparent, while the final result will be visible after 6 months.

What happens after surgery?

The home return is the same day. Gauzes are applied to the wound for about 2 weeks & the use of a special compression vest is recommended for 6 weeks. Most patients usually return to work after the third postoperative day. Exercise and weight lifting are allowed in about 6 weeks.

What are potential complications?

Possible complications, as in any surgery, exist but are limited in incidence. Some possible complications are: bleeding – hematoma, wound infection, nipple hypoesthesia, asymmetry