Correction of gynecomastia

Gynecomastia correction is a surgical procedure aimed at eliminating enlarged glandular tissue in men. This condition causes not only aesthetic problems, but also quite strong painful sensations. Properly selected surgical intervention can restore the correct breast contour and improve the quality of life.
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What is gynecomastia and why does it occur?

Gynecomastia can be false and true. Pathology occurs at any age, for various reasons. In young children and adolescents, this condition is most often due to physiological processes and usually goes away on its own. In middle-aged and older men (40-60 years), the development of true gynecomastia is due to a natural decrease in testosterone levels.

Factors that can catalyze the development of gynecomastia in men include:

  • Diseases of internal organs
  • Excessive physical activity
  • Improper nutrition
  • Constant stress

Unlike true gynecomastia, false gynecomastia is not due to hormonal imbalance, but to environmental and lifestyle factors. Often the main cause of its development is low physical activity and obesity. In addition, some people have a genetic predisposition to fat deposits in the breast area. This makes this area vulnerable even with an active lifestyle.

What is gynecomastia and why does it occur?

How to recognize and correctly interpret symptoms?

The main sign of pathology is a change in the outer contour of the breast. The fact is that in athletic men, the pectoral muscle forms a straight line. Due to the presence of additional glandular and adipose tissue, gynecomastia makes this contour rounded.

  • Presence of seals. They are found on palpation of the chest of a man with gynecomastia. There are lumps in the nipple area and even behind them
  • Nipple areola abnormalities. As the disease progresses, the nipple-areola complex becomes more convex. It changes in size and reacts to various factors, including the emotional state of a person

Many patients complain of pain or discomfort in the breasts, as well as itching in the nipple area. However, gynecomastia often manifests itself without pain. An important symptom of pathology is discharge from the nipple. They indicate disorders in the level of prolactin in the body.

General information about the procedure

Features of surgical treatment

The growth of the mammary glands rarely stops on its own - in 90% of cases, the pathology progresses.

The following degrees of gynecomastia are distinguished:

  1. First (up to 3x3 cm). In this case, treatment is carried out on an outpatient basis. In this case, the patient returns home on the same day. Modern techniques and tools minimize the visibility of scars, and self-absorbable sutures facilitate the rehabilitation process
  2. Second. Complex surgery is required, accompanied by hospitalization. In addition to gynecomastia removal, liposuction is often required to correct the surrounding adipose tissue

There are also advanced cases. At the same time, the volume of a man's chest can be compared to a woman's size 3. Treatment in this case includes a set of measures - removal of glandular and adipose tissue, liposuction and, possibly, skin tightening. After gynecomastia surgery in men, such a patient is under the supervision of doctors for several days.

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Types of interventions

There are several approaches to surgery. Here are some of them:

  • Periareolar approach. It is an incision in the nipple area. After that, the breast tissue is removed mechanically, or using liposuction)
  • Circular excision. Here, the main focus is on de-epithelialization of the skin around the nipple, followed by the removal of glandular tissue
  • W-shaped incision. This method involves creating a specific W-shaped incision in the areola area without damaging the nipple. The next step is tissue excision

Men with particularly severe gynecomastia are recommended to undergo a subcutaneous mastectomy. As a result of such an operation, the breast tissue is almost completely removed.

Regardless of the method chosen by the surgeon, after the removal of gynecomastia in men, specialists provide hemostasis with diathermy. The wounds are then sutured using a monocryl thread.

All of the above techniques make it possible to excise a significant amount of breast tissue. A small part of it remains directly under the nipple-areola complex. This is necessary to ensure adequate blood supply to the skin and preserve its natural appearance.

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Intervention Steps

At the first stage, diagnostics are carried out using ultrasound (ultrasound). This allows you to determine the cause of the enlargement of the mammary glands. Next, the doctor discusses the course of the operation with the client and gives him the necessary recommendations.

In particular, alcohol, aspirin and other substances that affect blood clotting should be avoided before the intervention. Smoking patients need to limit their tobacco use.

A combination of local anesthesia and sedation is used as anesthesia in most cases. However, if liposuction is performed in combination with other surgeries, general anesthesia is required.

Main stages of the operation:

  1. The surgeon makes micropunctures in the chest area
  2. Special instruments are inserted at the level of adipose tissue. Next, tissues are destroyed and transformed
  3. Excess adipose tissue is removed by vacuum through a thin cannula
  4. Cosmetic sutures are applied to the puncture sites. 1-1.5 weeks after the procedure, they are removed

To prevent the formation of hematomas and fluid accumulation, a Jackson-Pratt drain is placed, which is removed after a few days.

After surgery, regular visits to the doctor are recommended to monitor and evaluate the results. Such examinations are usually carried out 3 and 6 months after the correction.

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Postoperative period

After the procedure, such phenomena as swelling, hematomas and minor pain are often observed. These are normal reactions of the body that go away over time - especially if the patient follows all the instructions of the specialist exactly.

The main result of breast liposuction is the restoration of normal contours. The first changes become noticeable about 30 days after the procedure, but the final results are formed within 6 months or even a year.

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Our doctors

Adamyan Ruben Tatevosovich
Experience 40 years
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Adamyan
Ruben Tatevosovich
Deputy Chief Physician for Plastic Surgery, Plastic Surgeon
Meloyan Mkhitar Misakovich
Experience 39 years
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Meloyan
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Gulyaev Igor Valerevich
Experience 22 years
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Mitoyan Ruzanna Esaievna
Experience 14 years
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Telnova Galina Sergeevna
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Galina Sergeevna
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Mithish Elena Valeryevna
Experience 15 years
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Elena Valeryevna
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Kapitanova Yulia Dmitrievna
Experience 8 years
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Kapitanova
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Volenko Ivan Alexandrovich
Experience 14 years
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Volenko
Ivan Alexandrovich
Surgeon-oncologist-mammologist, plastic surgeon
Sinanyan Ariana Mushegovna
Experience 3 years
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Korenevich Oleg Sergeevich
Experience 8 years
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Djamilov Sherali Radjabalievich
Experience 9 years
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Djamilov
Sherali Radjabalievich
Surgical oncologist, mammologist, reconstructive plastic surgeon
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Reviews 10

Thanks to the reviews on the site, I went to have surgery with Ivan Aleksandrovich. I confirm every kind word about him. He is a great professional in his field. The suture looks very neat and aesthetically pleasing, he preserved the shape and volume of the mammary gland, despite the fact that he had to remove a fairly large part. The doctor inspires calm, confidence and a positive attitude. Ivan Aleksandrovich is very caring towards patients. You will definitely not feel embarrassed or afraid. Everything is very comfortable, professional and somehow very sensitive in a human way. A great doctor and person!
07.04.2025
F. Svetlana
Проходила операцию по поводу фиброаденомы молочной железы у Ивана Александровича, и он впечатлил меня на всех этапах: от диагностики и консультации до подготовки к операции и внимательного наблюдения после неё. Его аккуратность в перевязках, готовность помочь и внимание к восстановлению — это настоящий эталон для врача. Операция была проведена настолько профессионально и ювелирно, что иногда даже другие врачи не могут сразу найти шов! Огромная благодарность! Если вы выбираете врача, могу смело рекомендовать Ивана Александровича.
02.03.2025
Софья К.
Уважаемый Шерали Раджабалиевич! Огромное спасибо за быстрое, четкое и безболезненное удаление фиброаденомы из груди. Все прошло очень быстро и психологически комфортно, после операции я даже не потребовала обезболивающих. Вы внимательно и чутко отнеслись к моим просьбам, и я безмерно благодарна за то, как гладко прошел весь процесс. Шов получился аккуратный, ровный и зажил без проблем. Два разных врача на перевязках сделали комплимент вашему мастерству! Желаю вам всего наилучшего и удачи в вашей работе!
20.02.2025
Екатерина Ч.
Рак правой молочной железы — операцию проводил Иван Александрович. Это действительно врач от Бога, с золотыми руками! Работа на высшем уровне, швов почти не видно, все сделано ювелирно. Он очень внимателен, даже когда был уставшим после нескольких операций, приходил в палату по несколько раз, чтобы узнать, как я себя чувствую. Желаю, чтобы таких врачей было больше!
15.02.2025
Ксения З
В марте 2021 года я прошла операцию по удалению фиброаденомы молочной железы у Ивана Александровича. Спустя время с уверенностью могу сказать, что он — настоящий профессионал своего дела, врач с «большой буквы». Во-первых, его советы всегда по существу, подкреплены как практическим опытом, так и теоретическими знаниями. Во-вторых, операция прошла успешно, практически безболезненно, а шов после неё получился очень аккуратным. В-третьих, Иван Александрович всегда относился ко мне с дружелюбием, с улыбкой объясняя все детали. Желаю ему огромных жизненных успехов и выражаю благодарность от его пациентов. Также хочу поблагодарить весь профессиональный и дружелюбный коллектив первой онкологической больницы — здоровья вам и новых побед!
24.01.2025
Василиса М.
Моя мама попала в руки Ивана Александровича для частичной резекции молочной железы с диагнозом "карцинома 2 стадии", и это оказалось настоящим подарком судьбы. Иван Александрович — не только высококлассный профессионал, но и невероятно чуткий человек, который всегда внимательно относится к каждому пациенту. Огромное спасибо ему за операцию высочайшего уровня, за внимательное послеоперационное наблюдение, подробные консультации и его доброе сердце.
30.12.2024
Полина З.
Я обратилась за помощью к Шерали Раджабалиевичу и с большим удовольствием выражаю благодарность за операцию по удалению листовидной опухоли, к счастью, доброкачественной. Операция прошла 29 августа, и шва практически не видно, не было никаких осложнений. На перевязке сказали, что шов выполнен настоящим профессионалом! Внимание к пациенту было на 100%, он ответил на все мои вопросы. Очень рада, что попала именно к нему!
19.12.2024
Елизавета С.
Я обратилась к доктору Воленко Ивану Александровичу с диагнозом онкологии молочных желёз. Операция была проведена 31.01.23, и я благодарна этому замечательному врачу за его профессионализм и внимательное, чуткое отношение к пациентам. Благодаря Ивану Александровичу, я чувствую себя прекрасно, несмотря на диагноз и мой возраст (71 год). Хочу пожелать ему всего наилучшего и успехов в его трудной, но такой важной работе, которая возвращает людям здоровье и радость жизни!
07.12.2024
Алия П.
Выражаю искреннюю благодарность хирургу-онкологу Джамилову Шерали Раджабалиевичу за внимание и помощь, оказанную мне в период пребывания в стационаре с 26 апреля по 02 мая 2024 года. Огромное спасибо за проведённую операцию 27 апреля 2024 года, которая была выполнена на высочайшем профессиональном уровне. Благодарна за его золотые руки, доброе сердце, внимание и отзывчивость! Желаю вам крепкого здоровья и успехов в вашем благородном деле!
02.12.2024
Вера К.
I was admitted to the clinic with carcinoma. I am happy that I ended up in the hands of Ivan Aleksandrovich. A very competent, attentive to the patient, and most importantly - an honest doctor. I received answers to all my questions and was offered several options for subsequent plastic surgery. The doctor came personally for dressings, after discharge I could always ask questions at subsequent dressings. If you have a choice and have the opportunity to go to Ivan Aleksandrovich - know that you are in reliable and good hands.
01.08.2024
Elizaveta Igorevna
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