Gynecomastia can be false or true. In the first case, the cause of breast enlargement is excess fat in this area. The true pathology is the expanding glandular tissue. The most common is the mixed form of gynecomastia, which is provoked by both of the above factors at once. The operation is performed under both general anesthesia and local anesthesia.
-If the disease is caused mainly by excessive growth of adipose tissue, the surgeon can only use liposuction. Liposuction is used to remove excess fat and is done with a thin, hollow tube (cannula) inserted under the skin through incisions. The cannulas are connected to a vacuum pump that "pumps out" the fat. For breast reduction with liposuction, the incision along the edge of the areola or axillary region will be no more than one and a half centimeters in size.
-If the main reason is an excess of glandular tissue, then it must be cut out and removed completely, excision can be performed separately or in combination with liposuction. An incision is made along the edge of the nipple. Excess areas of glandular tissue, fat and skin around the areola and from the sides of the lower breast are removed.
The pain after breast reduction surgery for gynecomastia is usually mild. The operated areas may swell, but the swelling is usually not severe, and it hurts and pulls only with certain movements. The first days after surgery for gynecomastia, you should not raise your arms high above your head, as this causes excessive tension in the sutures. The stitches after surgery to eliminate gynecomastia are usually not removed, they dissolve themselves. After breast reduction for gynecomastia, patients are advised to wear supportive compression garments day and night for the first three weeks. For three weeks after surgery for gynecomastia, exercise and physical activity should be avoided and then gradually resumed.
With an increase in the mammary glands, men should first consult an endocrinologist who will determine the type of gynecomastia. The specialist will reveal whether it is true (developed against the background of hormonal disruption and the dominance of female hormones) or false (appeared due to an increase in adipose tissue).
Depending on this, the method of surgical intervention is selected:
-If the gynecomastia is false, then the surgeon can remove the fat deposits through the small holes using the liposuction method. If necessary, nipple correction is performed.
-If the gynecomastia is true, then the surgeon corrects the glandular and adipose tissue, changes the position of the nipple.
In some cases, it is possible to remove gynecomastia using both techniques at the same time.
You can safely start treatment, which we carry out as quickly and efficiently as possible in Tashkent. The Gatling Med clinic will make you feel confident in yourself and your health!