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Gynaecomastia surgery is a surgical procedure used to reduce the size of the mammary gland and correct the shape of the thorax. This surgery is performed on men who experience physical, psychological and social discomfort due to enlarged breasts.

Gynaecomastia – an enlargement of the male mammary glands due to the proliferation of glandular tissue – develops when the ratio of testosterone to estrogen is disrupted. The onset of gynaecomastia is influenced by hormonal imbalances, the use of anabolic steroids or some medications, or other causes. Enlarged breasts cause social and psychological discomfort and loss of confidence in men – they could be ashamed to undress, wear thinner or tighter shirts, and avoid intimacy. It may cause nipple tenderness and pain. Gynaecomastia can be a sign of a serious illness and affect the development of breast cancer.

The tissue of the mammary glands can also become enlarged due to excessive weight – this is called pseudogynaecomastia. In this case, proper nutrition and adequate physical activity can help. However, in the case of true gynaecomastia, neither diets nor sports activity will help. The only way to solve this problem is the gynaecomastia surgery procedure.

Consultation with a plastic surgeon is necessary prior to surgery, who will listen to a patient’s complaints, assess his anatomy and discuss a surgery plan and details. An ultrasound examination may be performed to confirm the diagnosis.

Surgical procedure

The operation performed under general anaesthesia takes about 1-2 hours, during which the enlarged mammary gland is removed through a small incision along the nipple areola. If necessary, liposuction and excess skin removal can be performed during the same operation.

Postoperative period

It is recommended to spend one day at the clinic after the surgery. Then the patient is discharged home and care is continued on an outpatient basis. The time of the postoperative visit will be appointed by the operating doctor.

It is necessary to wear a special compression vest for about 4-6 weeks after the operation.

Initially, there could be visible swelling, partial chest numbness, pain, visible scars at the incision site and nipple tenderness, but this goes back to normal fairly quickly.

It is possible to return to work and normal activities after a few days, but it is recommended not to engage in sports activities, not to lift heavy weights and avoid active physical activity for at least a month after the operation. It is advisable not to expose the chest to the sun and avoid solariums for at least half a year.

Results to expect after surgery

The result of the operation is visible immediately, but the final result can be evaluated after 2-3 months. Gynaecomastia surgery restores male body shapes and self-confidence. The scars gradually heal after the operation and become almost imperceptible.