Gynecomastia is a condition that affects approximately 50% of the male population. It most commonly occurs after the age of 40, although it can also be observed during adolescence.
Its appearance can be linked to various factors such as diet, medications, hormonal changes, or even obesity.
What is Gynecomastia?
The chest consists of fatty tissue and the mammary gland. Around the age of 20, the development of secondary sexual characteristics is complete, and at this stage, an enlargement of the mammary gland may occur.
While some boys may develop gynecomastia around the age of 16, in many cases it subsides naturally in the following years. Therefore, it’s important for parents not to rush to conclusions, as these changes may be part of normal development. However, if the condition persists beyond the age of 20, it is advisable to consult a doctor.
What Causes Gynecomastia?
The causes of gynecomastia can vary. It may stem from hormonal imbalances or treatments (e.g., for thyroid disorders), the use of anabolic steroids or recreational drugs. Additionally, obesity and poor diet can contribute to the development of the condition.
In some cases, gynecomastia may also be hereditary.
How is Gynecomastia Diagnosed?
Before considering surgery, the patient should consult an endocrinologist for clinical evaluations to rule out underlying conditions such as hypogonadism, chest tumors, and others.
Imaging tests like mammography and chest ultrasound help confirm the diagnosis of gynecomastia.
What is the Treatment?
Surgical intervention provides permanent results in treating gynecomastia. This is not a matter of vanity—it’s a necessity, as the condition can significantly impact a man’s psychological well-being and self-confidence.
Several surgical options are available, chosen in consultation with the treating physician based on the severity of the case.
Gland Excision
Gland excision is performed through a small incision around the areola, leaving minimal to no visible scarring. After removing the gland, liposuction is used to achieve a more symmetrical and sculpted result. This combination is typically used in more severe cases and the procedure lasts about 2 hours.
Liposuction
In milder cases, simple liposuction may deliver excellent results by removing fat without addressing the gland itself. With modern liposuction techniques, gynecomastia can be corrected non-invasively, without scalpels or bleeding.
Patients typically return to their normal routine within two days, with no need for hospitalization and minimal risk of complications.
Vaser Liposuction
VASER is an ultrasound-assisted device that liquefies fat and tightens the skin by delivering pulsed energy to the tissues. It provides impressive aesthetic results with minimal trauma.
Frequently Asked Questions
Are bodybuilders more prone to developing gynecomastia?
Yes. This is due to the use of androgens during their training cycles. After stopping these hormones, the chest may show signs of gynecomastia and sagging.
Is general anesthesia required for the surgery?
Anesthesia can be either sedation or general, depending on the surgical technique being used.
What happens after the surgery?
Following the procedure, the patient wears a special compression garment for about 3 weeks. This helps the skin contract and reduces swelling. Painkillers and antibiotics are prescribed based on the doctor’s instructions. Most patients return to work within 2-3 days.
What is the minimum age for surgery?
Surgery is generally recommended for individuals over 18 years of age. However, in severe cases, it may be considered earlier with parental consent.
Are there any risks?
As with any surgery, complications may occur. These can include inflammation, hematoma, wound dehiscence, and thrombosis. An experienced plastic surgeon can significantly reduce the risk of such complications.
What psychological impact can gynecomastia have?
The psychological effects on a 16-year-old with gynecomastia can be profound. Parents need to be properly informed so they can support their child through difficulties such as body image issues, clothing choices, and reluctance to participate in activities like swimming.