Gynecomastia is the increase in the volume of the male breasts by an abnormal development of the mammary gland in the man.
Gynecomastia can manifest in a large majority of males and may be present in the newborn, during adolescence and adulthood, and remain until old age.
Gynecomastia can be due to several factors.
It is a completely transient process, can occur in newborns and disappears in weeks or months due to the effect of placental maternal estrogens.
There is a breast augmentation during puberty, this growth of the breasts may be normal due to the hormonal changes that occur. It triggers transient from 14 to 15 years and disappears in most cases after 12 or 15 months of evolution. However, it is unlikely that a gynecomastia that takes years to disappear spontaneously.
It may appear in older people as a result of hormonal changes ie the result of a decrease in testosterone and an increase in estrogen, these inherent alterations in the aging process, contribute to the development of gynecomastia in the elderly.
It is characterized by an increase in the volume of the breast, especially below the areola, due to the hypertrophy of the mammary glandular tissue, which have pathological origin processes such as hypo or hyperthyroidism, neoplastic diseases, obesity or due to the effect of various drugs such as Amphetamines, marijuana, opiates, anabolic steroids or drugs such as estrogens, corticosteroids, tricyclic antidepressants, or chemo therapeutic agents among others.
Mild increase of the breast without excess skin.
Moderate increase of the breast with or without excess skin.
Exceptional increase of the breast with excess skin.
For gynecomastia there is solution. Adequate surgical intervention in each case returns the desired appearance of a flat, manly chest.
The technique used depends mainly on the degree of gynecomastia, and on the proportion of the fat and parenchymal component of the breast. In other words, the procedure removes fat and glandular tissue from the breasts and in some extreme cases the excess skin is removed.
Indicated in cases with a predominance of fat tissue. In this case a small incision is made in the lateral area of each sub mammary groove where small cannulas are inserted to aspirate the fat.
If glandular excess is the main cause of breast enlargement this should be removed by scalpel, if in addition there is excess fat tissue will be supplemented with a liposuction. The incision is usually done in a little visible area as is the ridge of the areola to Through which the excess of glandular tissue and fat is removed.
Indicated in more severe cases where there is a skin excess in these cases the removal of excess tissue can lead to more extensive scars. The incision is usually made in the sub mammary groove.
Most of the interventions are usually performed with local anesthesia and sedation and it is ambulatory, that is, a hospital admission of 24 hours.
Once the procedure is finished, the patient is placed on a bandage that is removed after 24 hours and replaced with a compression elastic t-shirt that will be worn for 2 or 3 weeks, thus avoiding accumulations of fluids under the skin.
It is normal to feel some discomfort the first few days and be inflamed for a while and bruises appear although most of the inflammation and bruising will disappear in a few weeks.
You should sleep semi sitting the first few days.
Sun exposure should be avoided for at least 6 months as it may cause pigmentation changes on the skin and when sunbathing should always be done with full and extreme sun protection.
Physical exercise should be avoided until three weeks after surgery. After about 4 days of the intervention, the patient will be able to fully incorporate into his social and work life.
Gynecomastia can be bilateral or unilateral. It can also be glandular or fat content.