Male gynecomastia at puberty is a frequently occurring phenomenon. It is usually transient and moderate, without requiring medical or surgical intervention. It is estimated that 30 to 60% of adolescents present it. It is most often the physiological gynecomastia of the adolescent, but other entities such as hormonal alterations, gonadal dysfunctions, family inheritance, association with drugs or anabolic steroids, hyperthyroidism, etc., must be ruled out.
When its size or duration (more than 1 year) exceeds a certain limit, the gynecomastia will not recede and we must then consider surgical treatment for its elimination.
The treatment of male gynecomastia is an aesthetic treatment that seeks to eliminate the important psychological disturbance and social exclusion that it produces in the patient.
We should not minimize the impact it can have on the daily life of the affected person, and can even alter the normal development of his personality, the way he relates to others and his environment and even generate important complexes.
The letter that accompanies this article is a sample of the suffering of those affected by gynecomastia, which in many cases prevents them from leading a normal life.
The classic treatment is liposuction and removal of the mammary gland through small incisions in the areola barely perceptible after recovery. Therefore it is extremely important that the surgery be performed by a plastic surgeon.
We have often seen the consequences of inappropriate surgery and complications that can lead to necrosis of the areolas, due to practice by surgeons who are not qualified or experienced in this pathology. In the right hands, those of a plastic surgeon familiar with the surgical treatment of gynecomastia, the result is very good.
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