Most of the time the cause is unknown, but could affect 35-50% of the male population.
In other cases, gynecomastia is associated with alcohol abuse, anabolic steroids or hashish.
During the first visit a detailed history is important to detect liver disorders, steroids, or medications that contain estrogen (female hormones). In these situations, the removal of the medication or treatment of the cause can improve the appearance of the breasts and not require surgery.
The surgery is performed in the operating room under general anesthesia or under local anesthesia and sedation. The patient may remain hospitalized from 6 to 24 hours depending on the case.
If gynecomastia is caused by excess fat the surgical procedure of choice is liposuction. If, however, the pattern is predominantly glandular, liposuction will have to be supplemented by the removal of the gland through a minimal incision around the areola. The incisions are very small to insert the liposuction cannula and always in inconspicuous locations.
After the surgery, a tight elastic band is placed to reduce swelling and to make the skin fit the new contours. This band must be worn for 3-4 weeks. The results will begin to be felt from the second to third month.
The patient may resume his regular exercise a month and a half after surgery and should avoid sun exposure during the first 6 months to avoid possible hyperpigmentation or darkening of the treated area.
Be certain that the results of this surgery will significantly improve your body’s contour.