Gynecomastia is a male enlargement of the mammary glands. True gynecomastia is caused by the expansion of glandular tissue (breast tissue), false gynecomastia is associated with large fat deposits during obesity, which increase breast volume.

The primary symptom of gynecomastia is the presence and increase of compaction in the breast tissue. Unlike adipose tissue, gynecomastia-derived fibroadipose tissue or tissue has a higher density. Gynecomastia can be accompanied by painful sensations when stimulated. Pain is caused by the excessive development of glandular tissues. Subsequently, the pain can decrease and disappear.

Why is gynecomastia dangerous?

Gynecomastia with prolonged existence, gynecomastia increases the risk of developing breast cancer.  This disease is fairly rare in men, but sometimes results in the same severe consequences as breast cancer in women. Suspicious signs of breast cancer include the red discharge of the nipple, the occurrence of stretching, changes in the skin during formation, the occurrence of ulceration, and an rise in axillary lymph nodes.

Gynecomastia Treatment

The conservative treatment of gynecomastia is aimed at normalizing the testosterone / estrogen ratio. Drugs that increase the level of testosterone and antiestrogens are used for this purpose. The risk of using these medications is, however, very high and this form of treatment is extremely rare.

In addition, the use of medications is only successful in the early stages of the disease. Gynecomastia, which has been in nature for many years, is not, as a rule, prone to restrictive diagnosis.

The aim of gynecomastia surgery is to remove the breast tissue and restore the natural contour of the breast in a individual.

Several procedures have been developed to eradicate gynecomastia:

• Removal of the mammary gland (subcutaneous mastectomy) from the paraareolar incision with preservation of the areola;
• Removal of the mammary gland from the paraareolar incision with additional liposuction to restore the contour;
• Endoscopic mastectomy (with small sizes of the mammary gland).

The procedure is easily tolerated and does not require a long period of recovery (hospitalization-2 days).

For the first 2-3 weeks after surgery, stretch underwear (a special elastic t-shirt) must be worn to minimize the skin and create a natural contour of the pectoral muscles.

You should start work 5-7 days after surgery (sometimes earlier) and work in 3-4 weeks.
 

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