Surgery can be an option to help remove the excess tissue in gynecomastia. If the symptoms of gynecomastia appear for the first time during puberty, it is recommended to wait up to two years to allow for the natural regressions of the breast tissue. Your surgeon will help you decide if you are a candidate for surgery.
About the surgery:
The type of anaesthesia used will depend of many factors: the surgeon, the extent of the growth, the patients’ age and the size of the incision. Local or general anaesthesia may be used. The surgeon may make marks on the skin before surgery to indicate the areas that are to be eliminated.
There are different kinds of surgical procedures that can be used, including the following:
Liposuction: It allows the progressive reduction of the edges of the tissue without unwanted secondary effects. Complicated conditions of gynecomastia may require a procedure of open surgery, in which an incision is made in the tissue of the breast and the excess of tissue is eliminated.
This is the most recent procedure that uses a flexible tube with a light and a camera lens at the end (endoscopy) to examine the internal part of the breast. Later, the tissue is removed without making a big open surgical incision. Data related to the precision or complications of this technique are not available at this moment.
If the gynecomastia fundamentally consists in an excess of fatty tissue, we use liposuction to remove it. A small incision (less than 1 cm.) is made in a non visible area, and with the end of a hollow cannula united to a vacuum pump, the fat is broken up and aspirated. A vibration or friction may be felt during the procedure, but no pain.
In extreme cases, when large quantities of fat are removed, the skin does not adjust well with the new body outline. In these cases, the excess skin has to be removed to allow the rest of the skin readjust correctly in the new mammary contour. Sometimes a small drainage tube is left to eliminate the excess secretion of the wound. Then the thorax is bandaged so the skin can adapt correctly.
Surgery for the correction of gynecomastia can be performed in healthy, emotionally stable men of any age. The best results appear with the skin is elastic and firm and adapts to the new body contour.
This surgery may be unsuitable in obese men or with excess weight that have not first tried to correct the problem with exercise or weight loss. Individuals that take too much alcohol, or smoke derivatives of hashish are not considered good candidates. These drugs, along with anabolic steroids, can cause gynecomastia. These patients must change their habits previously to see if the excess disappears, before considering surgery.
When surgery of mammary reduction is performed by a qualified cosmetic surgeon, complications are infrequent and generally less. But, as in any surgery, there are always certain risks.
Source: Insituto Medico Miramar