Gynecomastia

The method of treatment depends on the type of pathological tissue that causes discomfort to the patient. On this basis, two forms of gynecomastia are distinguished:

1. True - when the glandular tissue is hypertrophied. It is removed through an incision in the area under the nipple.
2. False - here the adipose tissue is increased in volume. It is also removed surgically, through minimal punctures.

Sometimes there is a fibrous-fatty, that is, a combined form. Then the operation to remove gynecomastia combines both methods of intervention.

The list of indications is small, but it is with these problems that patients with gynecomastia are most often treated:

• Psychological discomfort due to enlarged breasts.
• Signs of an inflammatory process in the mammary glands, such as swelling.
• Pain when touching the chest.
• Asymmetry of the mammary glands.

Even if you are worried about a purely cosmetic defect, contact Dobrobut MC. Our specialist will offer a scheme of surgical treatment immediately after the initial examination.

The set of contraindications for the treatment of gynecomastia is standard for any surgical intervention:

• Cardiovascular, oncological, infectious diseases.
• Diseases of the thyroid gland.
• Diabetes.
• Chronic diseases in the acute stage.
• Poor blood clotting.

Of course, there are more individual factors that can influence a doctor’s decision to operate. Therefore, it is important not to waste time and immediately make an appointment with the surgeon. Only after a comprehensive diagnosis will he be able to make sure that there are no contraindications to the removal of gynecomastia.

Preparation to treat gynecomastia begins with the diagnosis of the patient. In a face-to-face consultation, the doctor first conducts a physical examination. It includes examination and palpation.

After physical examinations, an ultrasound of the mammary glands follows. To exclude the development of tumor processes, it is also prescribed:

• CT;
• MRI;
• X-ray examination.

Laboratory tests are another mandatory stage to prepare for surgery to remove gynecomastia:

• General and biochemical blood tests.
• Tests for hormones (testosterone, prolactin, estradiol, etc.).
• Hepatic and renal tests.
• Tests for HIV, STIs, hepatitis.

Often, consultations are prescribed with doctors of other specializations: therapist, urologist, endocrinologist. The fact is that gynecomastia can be caused by diseases of the thyroid gland, liver, and lungs. And this is a direct contraindication to surgical removal of gynecomastia in men. An anesthesiologist is also consulted.

On the day before the operation, you need to refuse breakfast, the rest of the recommendations the doctor sets individually.

For 2-3 weeks after the surgical treatment of gynecomastia, men are advised to wear a special bandage. It will speed up the healing process. During 5-6 days, the seams should not be allowed to get wet. For 2 weeks, you will have to give up sports, thermal procedures. It is important to stay asleep and eat a balanced diet. 7-10 days after the operation, you will need to go to the doctor for a control examination.

The cost of surgical intervention depends on the amount of work and materials used and is calculated by the doctor in each case individually.

As early as 20 days after the operation, you will be able to return to your normal life. You will no longer experience discomfort and gain the desired body shape.

1. Zaitsev, M. A. Гінекомастія — сучасні уявлення й підходи до лікування. INTERNATIONAL JOURNAL OF ENDOCRINOLOGY (Ukraine) 17.1 (2021): 70-75.
2. Нікіфоров, Олег Анатолійович, and Г. Ю. Пироженко. Гінекомастія у юнаків; діагностика, спостереження, тактика ведення. (2020).
3. Kanakis, G. A., et al. EAA clinical practice guidelines—gynecomastia evaluation and management. Andrology 7.6 (2019): 778-793.
4. Soliman, Ashraf T., Vincenzo De Sanctis, and Mohamed Yassin. Management of adolescent gynecomastia: an update. Acta Bio Medica: Atenei Parmensis 88.2 (2017): 204.