Gynecomastia, the excessive development of breasts in men or boy, is a pathology which is not painful, or can result in breast sensitivity, but often resented by people affected by it. As begnin this phenomenon is, it is widely represented in the male population. However this should not be confused with adipomastia gynecomastia, a cluster of fat in the breast tissue. These two pathologies are sometimes combined and treated during the same procedure.
In gynecomastia, the damage to the breasts may look symmetrical but not necessarily, and both breasts are not necessarily suffering from this condition. In theory, one can distinguish the "true" gynecomastia only with excessive development of the mammary gland, and the "false" gynecomastia, where only the fat is overabundant (adipomastia).
But in reality, these two distinct pathologies are frequently associated. The appearance of gynecomastia is related to age. It is seen in newborn babies and at the time of puberty where it disappears after two years. Gynecomastia can also occur in grown-up men and is common passed the age of 70 years old. Gynecomastia is usually normal or "idiopathic" (without apparent cause), but it is always necessary to make a complete assessment (examination by an endocrinologist, blood, ultrasound and / or mammography) in order to detect an eventual pathological cause (testicular, adrenal, pituitary or lung tumors; kidney, thyroid disorders; liver cirrhosis; testicular failure; Klinefelter's syndrome, etc…) or drug related (estrogens, cimetidine, spironolactone, etc…)
Gynecomastia, especially when unilateral, can be a sign at puberty, or with the young adult, of testicular cancer or breast cancer. In all cases, the search for a possible cause of gynecomastia is the priority, and if found is to be treated first. Hormonal treatment can be prescribed to reduce gynecomastia. If the medical treatment fails, only than a surgery treatment is consider.
Surgery for gynecomastia is intended when bulky and awkward shapes are presents or over sensitive and also when gynecomastia causes psychological disorders. In the single case of a "false" gynecomastia, the excess of fat in the breasts is treated by liposuction. True gynecomastia, when the mammary gland is hard, is treated by surgery and the extraction of the excess of glandular tissues. The type of surgery depends on the size of the breast and the elasticity of the skin. The final result can only be appreciated after 6 to 12 months.
Postoperative recoveries after a gynecomastia may vary in duration and importance depending on the patient: haematoma and liquid effusion are frequent. The reduction of gynecomastia is an operation with all the risks associated with a medical procedure (anesthesia and surgery act). It remains such even performed in the optimal conditions and with an experimented surgeon. Hence the use of an experimented plastic surgeon limits the risk of complications and/or allows treating them effectively.