We call breast formation in men Gynecomastia. For men who develop quite large breasts, it is very annoying and it often arouses a feeling of shame. The causes for this breast formation can be varied. In men in puberty it can occur spontaneously. In a good number of these cases, time goes by itself again. Gynecomastia can also occur due to other medical problems in the body. Gynecomastia can also occur after the use of anabolics. The use of steroids for muscle strengthening in the gym is unhealthy and is not recommended by us because it is dangerous for public health. Finally, there is also the group of men over 35 where the breasts get bigger over the years.
Gynecomastia – Breast Formation in Men
Male Gynecomastia or breast development can be treated with liposculpture or by surgical removal of the mammary gland in combination with liposculpture.
There are several techniques for removing male breasts and improving the appearance of the chest.
We always try to choose the technique that leaves the least scars. If the problem is mainly due to fat accumulation (pseudo-gynecomastia), then liposculpture can be used. This procedure can be performed under local anesthesia and will leave only a few small scars.
If breast formation is mainly due to mammary gland tissue that is much harder than fatty tissue, this cannot be treated with liposculpture. In this case an incision will be made at the bottom edge of the areola and the gland will be removed in this way. If the patient is extremely thin, then there is such a large surplus of skin that skin must also be removed, leaving an additional skin scar.
What happens During a Gynecomastia Operation?
The operation is generally done under general anesthesia. A hemisphere incision is made under the areola. The excess gland or fatty tissue is removed through this opening. A tube (drain) is then left in the wound area to allow blood and fluid to drain off temporarily. This is removed again after approximately 12 hours. The skin is usually closed with a soluble bond. Sometimes it is necessary to remove the surrounding fat with liposuction in the glandular tissues. Your plastic surgeon will discuss this possibility with you in advance.
Risks and side effects
With every operation there is a chance of common complications such as infections, bleeding and bleeding. In addition, some specific complications are possible:
Because tissue is removed under the nipple, the nipple can retract after surgery.
Blood flow to the nipple may be compromised and scarring of the nipple may occur
The end result can be assessed after 1 year. The healing of the scars is not entirely predictable, this can vary per person.