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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Reviews 10

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
I had surgery in this clinic with Mitoyan Ruzanna Yesaievna, the doctor made an impression from the first appointment. During the consultation, everything was explained in detail about how it goes, what is needed for the operation to take place, and what recovery is like. I received very competent answers to all my questions, I compare with other clinics where I consulted, they wanted to impose such a feeling more than anything else. I really liked her delicacy, attentiveness, charge with calm and confidence. On February 22, 2024, I had upper blepharoplasty, the operation went perfectly, the postoperative period was easy, I followed all the recommendations and no problems arose, there were almost no bruises or swelling and everything healed very quickly. I want to express my deep gratitude to you for your professionalism and light hand! I was delighted with my eyes! It’s been a long time since my look has been so fresh and not overweight. And another miracle that you did - you saved all my colored permanent makeup on my eyelids!
08.04.2024
Lokotko Elena Borisovna
I had mammoplasty with the surgeon Meloyan Misak Mkhitaorovich. I'm very, very pleased. The surgeon, despite his young age, is a professional in his field. Competent approach and accuracy. My stitches are not visible, as if nothing had happened, my breasts are gorgeous! the result exceeded all my expectations. Thanks a lot !!!
29.03.2024
Elena
Many thanks to Galina Telnova. Great professional. In December 23, I had my eyes done (bottom, top), I was terribly afraid that my appearance would change, that something would go wrong. Everything went perfectly. Attentive nurses. Galina Sergeevna inspires with calmness and confidence. Very grateful. I like myself very much. If I decide to undergo any more plastic surgery, only go to Galina Sergeevna Telnova.
01.03.2024
Margarita
I had breast shape correction and abdominoplasty done at K+31. After the operation, I spent only 3 days in the ward, after which I went home and recovered at home. I waited about two months for complete healing. The clinic (West) has excellent staff, friendly attitude
03.01.2024
Angelina
Many thanks to plastic surgeons K+31! All my life I suffered from back pain due to the constant load on the spine... Finally, at the age of 45, I decided to have a breast reduction. Within a week, the swelling went down and I finally had small breasts. The rehabilitation period passed as quickly as possible and without complications.
01.12.2023
Alexandra
The augmentation was done in early autumn with round Mentor implants. I wanted to achieve the maximum effect and I was right. The breasts are firm, soft and beautiful, the seams are not visible. +100 to confidence. If you want a more natural effect, the doctor may suggest teardrop-shaped implants.
28.11.2023
Victoria
The best !!!! Gorgeous, cool surgeon!!! Wizard ❤️
19.11.2023
Khaertdinova Liliya Shamilevna
I contacted Dr. Ruzana Mitoyan about intimate plastic surgery (resection of the labia minora), the result exceeded all my expectations, I was afraid of pain and disappointment from the final result, but everything is fine, even better than I expected! The doctor was in touch, the rehabilitation period was easy.
07.11.2023
Kurilova Zalina Amilvarovna
Ruzanna Yesaievna made the most pleasant impression on me even during the consultation. She explained everything in detail about the operation, anesthesia options, and rehabilitation. After the consultation, we set a date for the surgery. The operation itself went well, there were no complications. Although I planned to spend the night under observation, I went home because I felt good. It is now 9 days after surgery. There was no pain from the word at all, not a single seam came apart. Now the healing is progressing at its own pace, without causing me any discomfort. And the result is already incredibly pleasing! Ruzanna Yesaievna is a tough professional who does her job with love. I am very glad that I ended up with her. Choosing a surgeon is a rather difficult process. Based on my experience, I can confidently recommend Ruzanna Yesaievna.
31.10.2023
Daria Sergeevna
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