Removal of gynecomastia is a surgical reduction of the mammary gland in men, necessary for hormonal developmental pathologies. Breast hypertrophy is common. Deviations interfere with a full life, reducing male sexuality, and in some cases signal serious health problems.
It is not always possible to solve the problem with classical therapy, and in the advanced stage there is a high risk of complications. You can radically get rid of the deficiency by choosing surgical treatment. The specialists of our clinic are qualified to use modern and effective methods aimed at removing gynecomastia in men, the price of which will pleasantly surprise you.
Types of pathology and causes of manifestation
Based on the principle of symmetry, unilateral and bilateral gynecomastia is distinguished. Depending on the nature of development, there are 3 types:
- True - a seal consisting of glandular tissue.
- False – active production of fat cells in the male body.
- Mixed - combines true and false appearance with different formation options:
- glandular tissue occupies a large proportion
- a large proportion is occupied by fat cells.
The use of the latest equipment and progressive methods of plastic surgery allows us to perform gynecomastia surgeries at the highest level of quality.
Physiological and pathological changes in the body can cause the development of gynecomastia. Physiological factors appear against the background of natural processes during the periods of birth, puberty and aging.
The hormone estrogen, which affects the imbalance in the male body, is transmitted to a newborn boy from the mother or is formed as a result of age-related changes in hormonal levels.
Pathological causes include:
- infectious diseases
- testicular injuries
- oncology, prostate tumors
- endocrine system dysfunction
- renal failure, liver cirrhosis
- cardiovascular failure
- drugs of a certain group of pharmacology: antidepressants, steroids, diuretics, antivirals, narcotics
- exposure to severe stress
- pituitary tumor
- diabetes
Gynecomastia causes breast growth in men due to physiological features. More often, a benign formation goes away over time on its own or after taking medications. However, in some cases, with a pathological development, the disease can lead to breast cancer!
In general, breast enlargement is caused by a benign tumor. But you can find out whether you need surgery to remove gynecomastia, and which method will be preferable, only after examination by a specialist.
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Surgical treatment methods
Removal of the mammary glands in men will help return the breasts to their correct shape, the price of which is calculated depending on the complexity of the operation. The volume of subcutaneous adipose tissue and the need for plastic surgery of the upper layer play a decisive role. In plastic surgery, several correction methods and tools are used:
- Mastectomy. The operation is suitable for true and mixed gynecomastia. To penetrate the affected area, minimally invasive endoscopic or subcutaneous techniques are used:
- Subcutaneous mastectomy is suitable for small amounts of mastectomy and is performed through a paraareolar incision. The advantage of the method is the preservation of the areola and nipple.
- Subcutaneous mastectomy with additional lipectomy is indicated for mixed type. Fatty tissue is removed through a puncture in the armpit area.
- Endoscopic mastectomy is a modern atraumatic method of removal using an endoscope. The device provides minimally invasive penetration under the skin, and video of the process is transmitted through the optical system of the instrument to the monitor.
683 operations over the past year.
Medication-induced sleep is anesthesia in which the patient does not feel pain, there is no stress and no strong toxic effect.
Bloodless sutures - connecting the edges of a wound with an adhesive plaster or special adhesives.
Short recovery period.
- Lipomastia. It is carried out to extract excess fat from false gynecomastia in one of two ways:
- Liposuction is a treatment with vacuum, laser, and ultrasound.
- Lipectomy is the subcutaneous extraction of cells through punctures in the skin about 2 mm in diameter.
Laser vaporization works great for true hypertrophy in men. The method is indicated for stage 1 or 2 of the disease and the absence of cancer. The operation leaves virtually no traces thanks to the minimally invasive penetration technique and does not require long rehabilitation.
Surgery for gynecomastia in men is prescribed only after a preliminary examination and examination by a doctor. It is necessary to undergo an ultrasound, donate blood for biochemistry and do a biopsy.
The duration of the operation depends on the technique used to remove tissue and the amount of work. Any intervention takes place under general anesthesia or local anesthesia.
After surgical treatment, the patient remains in a medical facility under the supervision of a doctor.
Indications and contraindications for the procedure
Patients wonder whether surgery is needed to remove gynecomastia, or whether they need to accept the external defect as a feature of the body. When making your choice, it is worth knowing that a serious illness may be hidden behind a cosmetic defect. Direct indications for surgical treatment are:
- lack of positive dynamics after medication treatment for more than a year
- asymmetrical shape, unilateral gynecomastia
- detection of cystic neoplasms, tumors
- pain, discharge, changes in density
- enlarged lymph nodes
The indication for surgery is sometimes compulsory, since the pathology of gynecomastia is revealed only with a full examination. Surgical removal will allow samples to be taken for histology and to study the composition and nature of the chest cells.
Operation is prohibited for the following indications:
- confirmed oncology
- diseases of internal organs (kidneys, liver) in a severe stage
- decompensated type diabetes
- immunodeficiency virus
- low blood clotting
- pathologies of cardiac activity
- chronic diseases in acute form (limitation for the period of exacerbation)
Cost of services
Description Price, rub.| Non-surgical laser liposuction for pseudogynecomastia, 1 zone | 15,000 rubles |
| Gynecomastia of the 2nd category of complexity (one side) | 20,000 rubles |
| Gynecomastia of the 3rd category of complexity (one side) | 30,000 rubles |
Make an appointment by calling +7 (495) 021-12-26 or filling out the online form
The administrator will contact you to confirm your appointment. The confidentiality of your application is guaranteed.
Features of postoperative recovery
After treatment, the patient requires a recovery period. The duration of rehabilitation is calculated based on the complexity of treatment of each case and the method of surgical intervention. Minimum period – 1 week. At the same time, after minimally invasive reconstruction, it is permissible to leave the clinic earlier if his indicators and tests are normal.
For successful recovery after surgery, the patient must follow a number of doctor’s recommendations:
- Limit physical activity for the first 7 days.
- Wear underwear with the prescribed degree of compression.
- Avoid visiting the bathhouse, sauna or swimming pool.
- Undergo routine examinations with a surgeon.
The total recovery period reaches 3-4 weeks.
Prevention of breast enlargement in men
The goal of preventing gynecomastia with early onset of symptoms or taking steroid medications is to inhibit the production of female hormones. The most common remedy is to take estrogen receptor blocking medications.
As a result of normalization of estrogen levels, the male hormone testosterone becomes more active and the symptoms of gynecomastia gradually disappear. Preventive measures also include diet, exercise and maintaining a healthy metabolism. But if the problem cannot be avoided, it is better to contact a specialist as soon as possible to help you.
You can contact us by phone number listed on the website or through the feedback form.
We provide a comparative table of prices for this procedure in Moscow clinics*.
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Source: https://hirurgiya.klinika-abc.ru/ginekomastiya.html
Gynecomastia removal
- Video about the service
- Examples of completed work
- Price
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- immediately after birth , when the baby has estrogens brought from the mother’s body; such gynecomastia usually disappears a few weeks after birth; occurs in 60-70% of male infants;
- puberty , when hormonal changes in the body begin in adolescence (12-14 years); Usually such gynecomastia does not require treatment and goes away on its own;
- elderly , associated with age-related changes in hormonal levels (testosterone decreases or estrogen increases) in men after 55 years.
- diseases and injuries of the testicles, disruption of their blood flow;
- serious infectious diseases;
- prostate neoplasms;
- oncological diseases;
- cirrhosis of the liver;
- enlargement of the thyroid gland;
- cardiovascular and renal failure;
- pituitary tumors with increased prolactin;
- diabetes;
- hermaphrodism;
- taking certain medications (antiulcers, diuretics, antivirals, tranquilizers, narcotics);
- chronic stress, etc.
Breast enlargement becomes a serious problem for many males. Along with it, psychological complexes appear, embarrassment about one’s appearance, self-esteem decreases, and the quality of sexual life deteriorates.
Gynecomastia true and false
Sometimes male breast enlargement occurs due to excessive growth of adipose tissue. In such cases, false gynecomastia .
True gynecomastia involves pathological growth of glandular tissue precisely because of hormonal imbalance, when for some reason the male body has a lack of testosterone or an excess of estrogen. All of the above factors cause true gynecomastia.
Mixed gynecomastia also occurs in men, characterized by the simultaneous proliferation of glandular and adipose tissue.
When is gynecomastia removal necessary?
Treatment of pathological gynecomastia begins with drug therapy. It should be aimed at restoring hormonal balance and eliminating the cause of the malfunction. The main thing is to start conservative treatment at the initial stage by contacting an experienced endocrinologist.
Manifestations of false gynecomastia often become less pronounced with general weight loss. A person loses weight, and at the same time the fat layer throughout the body decreases - accordingly, the breasts become smaller.
The question of removing true or false gynecomastia is relevant for the following indications:
- any hypertrophy of the mammary glands that cannot be treated conservatively;
- persistent unilateral enlargement of the mammary gland;
- presence of cysts and/or nodes;
- pain syndrome that persists for a long time, regardless of how enlarged the mammary glands are;
- suspicion of a malignant tumor, any diagnosed tumor-like neoplasms in the mammary glands.
Surgical removal of gynecomastia
The feasibility of surgical intervention is determined only after drug treatment has shown low effectiveness. Depending on the severity of mammary hypertrophy, endoscopic or subcutaneous mastectomy .
The operation is performed using general anesthesia. With a subcutaneous mastectomy, an incision is made along the edge of the areola or in the armpit area. After this, excess glandular tissue is removed, sometimes mastectomy is combined with liposuction (when mixed gynecomastia is diagnosed).
Endoscopic intervention is considered less traumatic: all manipulations are performed through small incisions under the control of an endoscope.
Restrictions and contraindications
Absolute contraindications, in the presence of which the surgeon refuses to perform surgery to remove gynecomastia, are:
- severe heart disease;
- decompensated diabetes mellitus;
- decompensated kidney and liver diseases;
- true, mixed gynecomastia without attempts at drug treatment;
- bleeding disorders;
- HIV and AIDS.
Relative contraindications (time restrictions) include:
- any acute conditions, infections, colds;
- exacerbation of chronic diseases;
- fever;
- purulent-inflammatory processes in the area of the upcoming intervention;
- severe obesity.
Laser removal of gynecomastia in men
The laser is successfully used to eliminate gynecomastia of any nature. With true hypertrophy of the mammary glands, the glandular tissue is vaporized (that is, evaporated) through a small puncture.
Laser vaporization is recommended for the treatment of unilateral or bilateral true gynecomastia of 1-2 degrees in the absence of signs of cancerous degeneration.
When false gynecomastia is diagnosed, laser liposuction is performed to remove excess adipose tissue. A hollow cannula is inserted into the puncture, through which laser radiation is supplied; under the influence of the laser, fat cells are destroyed and turned into lysate. After this, the lysate is aspirated using a vacuum method or, in a small volume, is excreted from the body naturally.
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Advantages of laser gynecomastia removal in our clinic
- Modern laser equipment made in Italy allows you to fully control the volume of tissue removed
- Tissue burns are avoided, the skin is not damaged, only several punctures with a diameter of no more than 1-2 mm are made
- The risk of fibrosis is minimized
- The operating area becomes sterile, because the laser has the ability to destroy all microorganisms
- Glandular and/or adipose tissue is removed evenly, ensuring that the skin does not become lumpy
- Skin turgor improves - laser radiation activates the formation of new collagen, thereby providing a lifting effect
- Side effects such as swelling and hematomas are mild
- Recovery is reduced to 36 hours, the procedure is so gentle that after a few days you can safely go to the beach
Contraindications to laser removal of gynecomastia
- Oncological diseases, suspected cancer
- Any acute conditions. exacerbation of chronic diseases
- Severe diseases of internal organs
- Decompensated diabetes mellitus
- HIV and AIDS
- Bleeding disorders
Preparing for gynecomastia removal
Regardless of whether surgery or laser removal is scheduled, a few weeks before the appointed date the patient begins preparation:
- passes all the necessary tests (the list is given by the doctor during consultation);
- performs an ultrasound examination of the mammary glands;
- refuses smoking and alcoholic beverages;
- stops taking medications that alter blood clotting (aspirin, ibuprofen, etc.);
- limits physical activity.
Rehabilitation after laser removal of gynecomastia
The duration of the recovery period and the characteristics of its course depend on the method used to remove the gynecomastia. After the laser, good health is restored in a matter of days; there are no special restrictions. The doctor will only recommend reducing physical activity for at least a week.
After surgery to remove gynecomastia, you will have to be patient: rehabilitation will last 3-4 weeks. During this period, the patient will have to follow several recommendations:
- wear compression garments;
- refuse to visit the sauna, swimming pool, solarium, gym;
- eliminate physical activity and reduce activity in general;
- visit the surgeon periodically.
Prices for removal of gynecomastia in men at the El. En."
The cost of the operation is determined by such factors as: the number of sides treated (one or two), the category of complexity, and also what kind of gynecomastia is being eliminated - true or false. Let us clarify once again that pseudogynecomastia involves liposuction.
How to remove gynecomastia in your case is decided by the surgeon based on the examination and the conclusion of the examination results provided at the consultation. If necessary, additional examinations are carried out and only then removal or treatment tactics are developed.
Registration for a consultation is carried out by phone. 8(495) 565-38-65 or through the form that you see on the right of this page. We will be glad to see you at the El clinic. En."!
| Surgery for gynecomastia of 1st category of complexity (on one side) | RUB 18,000.00 |
| Surgery for gynecomastia of 1st category of complexity (both sides) | RUB 33,000.00 |
| Laser liposuction for pseudogynecomastia (one side) | RUB 18,000.00 |
Services in installments
Source: https://elen-clinic.ru/ginekomastiya/
Gynecomastia: treatment of gynecomastia at the Century Clinic
» General surgery » Treatment of gynecomastia 
Gynecomastia - enlargement of the mammary glands in men - is a condition that requires treatment due to the negative impact on a person’s psychological comfort. Treatment of gynecomastia can be either conservative or surgical. We use a combined method of surgical treatment of gynecomastia. Read more about the disease, its causes and treatment methods in the article.
Gynecomastia (gynaecomastia: Greek gyne, gynaikos woman + mastos breast) is an enlargement of one or both mammary glands in men. There are true gynecomastia and false, or pseudogynecomastia.
With true gynecomastia, the mammary glands enlarge as a result of hyperplasia of the lobar milk ducts and hypertrophy of the connective tissue of the gland, and with pseudogynecomastia - due to excessive deposition of fat in the subcutaneous tissue (usually in obesity).
One of the most common forms of true gynecomastia is pubertal or juvenile gynecomastia, which occurs during puberty with normal sexual development.
This form of gynecomastia is characterized by the appearance of subareolar unilateral or bilateral swelling, often quite painful.
This swelling may disappear after puberty, but in some cases it persists in adults.
In most young men with pubertal gynecomastia, the enlargement of the mammary glands is so slight that it does not require treatment, and only approximately 7-8% of patients have large mammary glands for more than 3 years, which can traumatize the psyche of a young man.
True gynecomastia
True gynecomastia is also observed in a number of diseases characterized by an imbalance between the synthesis of estrogens, androgens, prolactin and gonadotropic hormones (for example, hermaphroditism, Klinefelter syndrome, etc.).
Gynecomastia
Gynecomastia often occurs with hormonally active tumors of the adrenal glands and testicles that produce estrogens, and with prostate adenoma.
Gynecomastia develops in diseases accompanied by intoxication or metabolic disorders in the body, with dysproteinemia, protein starvation, diabetes mellitus, diffuse toxic goiter, pulmonary tuberculosis, cardiovascular failure treated with digitalis (usually in the recovery period).
In chronic liver diseases, gynecomastia occurs due to an increase in the concentration of estrogen in the blood, which is caused by a distortion of the metabolism of steroids in the liver.
Gynecomastia may appear after treatment with drugs that affect the receptors of mammary gland tissue for estrogens, increasing their production or the production of gonadotropins and prolactin: estrogens, testosterone, human chorionic gonadotropin, phenothiazides. reserpine, veroshpiron. In patients with hypothyroidism and Addison's disease, enlargement of the mammary glands is associated with hormonal imbalance: in the first case it is a consequence of hyperprolactinemia, in the second - a violation of steroidogenesis in the adrenal glands.
The diagnosis is made based on the characteristic appearance of the patient, medical history and biochemical studies.
Conservative treatment of gynecomastia
Conservative treatment of gynecomastia is carried out on an outpatient basis under the supervision of an endocrinologist. It depends on the form of the disease.
The need for treatment of juvenile gynecomastia, the choice of method and timing of treatment measures are dictated by the psychological state of the patient.
You can adhere to a wait-and-see approach, since most often after 2-3 years with juvenile gynecomastia, spontaneous regression of enlarged mammary glands occurs.
In recent years, attempts have been made to influence the pathogenetic mechanisms of gynecomastia using drugs that suppress the secretion of prolactin (parlodel, or bromocriptine) or stimulate the secretion of luteinizing hormone (clomiphene). Parlodel is used at a dose of 2.5-5 mg per day for 1-6 months.
Surgical treatment of gynecomastia
Gynecomastia requires mandatory treatment not only because of the aesthetic component, but also because of possible tissue malignancy! A conclusion about the benign course of the process can only be given after a histological examination of the tissue. The diagram below shows a comparison of gynecomastia and other pathologies.
Gynecomastia and other pathologies
The main method of surgical treatment of gynecomastia is subcutaneous mastectomy (an operation aimed at excision of a lump of glandular tissue).
This technique very often leads to deformation of the chest wall on both sides due to areas of retraction in the area of the mammary glands. Therefore, in the last decade, liposuction has become popular for false gynecomastia.
It gives a good aesthetic result, but after liposuction there is a high percentage of relapses of gynecomastia (re-enlargement of the mammary glands).
The main advantage of treating gynecomastia in our clinic is a combined technique that provides the best cosmetic result and eliminates the development of relapses. It consists of initial liposuction to remove excess adipose tissue through 2 punctures and subsequent partial removal of fragments of glandular tissue in an “open way” through an incision on 1/4 of the areola circumference
This makes it possible to achieve an adequate reduction in the volume of the mammary glands and the fatty layer of the chest wall, symmetry of the contours of the mammary glands, and a better aesthetic effect after surgery.
After surgery, patients must wear compression garments for 14 days. The rehabilitation period is 3-4 weeks, when bruises and swelling in the surgical area gradually disappear. The pain syndrome in the first 2-3 days is insignificant and can be easily relieved by taking conventional analgesics. Patients must be under the supervision of a physician for at least the first 3 weeks.
- Hospitalization to the clinic for surgery for gynecomastia is necessary for one day.
- Complications in the postoperative period may include impaired blood supply to the skin of the nipple and areola (this may require conservative treatment or surgical correction) or aesthetic problems with rough scarring or unevenness of the skin (this is not always an indication for surgical correction and goes away with time).
- We are waiting for you for a consultation!
Treatment of gynecomastia: price
| Name of service | Cost, rub.) |
| Subcutaneous mastectomy for gynecomastia (with liposuction) | |
| From 2 sides | |
| 1st category of complexity | 130 000 |
| 2nd category of complexity | 160 000 |
| 3rd category of complexity | 190 000 |
| From the 1st side | |
| 1st category of complexity | 75 000 |
| 2nd category of complexity | 80 000 |
| 3rd category of complexity | 95 000 |
For detailed information on the cost of treatment for gynecomastia, as well as the cost of liposuction, see our price list.
Material prepared by Aliyev Tair Rafikovich
Source: https://clinicaveka.ru/surgery/ginekomastiya-lechenie.html
Gynecomastia: conservative and surgical treatment
Enlargement of the mammary glands, which is a significant aesthetic defect and causes considerable psychological discomfort to any man, is a sign of such a common disease as gynecomastia these days.
In this case, gynecomastia can be false, which occurs due to excess weight, and true, which develops as a result of hormonal disorders, endocrine diseases, as a result of taking hormonal drugs or certain medications.
In case of suspicious symptoms that may indicate the presence of a disease such as gynecomastia, treatment should be started only under the guidance of a professional doctor, after instrumental, laboratory and clinical studies have been carried out.
The treatment method for gynecomastia depends on the type and stage of development of gynecomastia, as well as the age of the patient. Thus, teenage gynecomastia, which occurs in 60% of young men, usually does not require treatment, since it is caused by age-related changes in hormonal levels in the child’s body and goes away on its own as it stabilizes.
Conservative treatment
True gynecomastia is treated by eliminating the underlying disease, for which the patient is prescribed certain hormonal drugs. The goal of conservative treatment of gynecomastia is to restore normal hormonal levels in a man’s body, that is, normalize the ratio of testosterone and estrogen, male and female sex hormones.
Moreover, the effectiveness of hormonal therapy depends on the stage of development and form of the disease. The sooner treatment measures are carried out, the faster and easier gynecomastia . Treatment of advanced stages of the disease only with conservative methods, unfortunately, does not give any effect.
Very often, gynecomastia is treated with Clomiphene, a drug that lowers estrogen levels. If the disease is caused by low levels of male sex hormones, patients are first prescribed medications containing testosterone. Other medications are used to treat older people and patients with normal testosterone levels.
Drug treatment for painful, severe forms of gynecomastia is carried out using a selective estrogen receptor modulator, a drug called Nolvadex (Tamoxifen).
If the main cause of the disease is taking medications, the issue of reducing the doses of these drugs or replacing them with other pharmacological agents is considered.
Gynecomastia, which occurs against the background of a disease of the endocrine or other internal organs, first of all requires treatment of the underlying disease.
To eliminate false gynecomastia, the patient is prescribed a special diet and physical exercise to reduce total body weight. If the mammary glands have not shrunk enough as a result of such actions, the patient undergoes liposuction of the problem area.
Surgery
If conservative drug treatment is ineffective, there is a need for surgical intervention, i.e. surgery to restore the natural size and shape of the mammary gland.
Today, surgical treatment of gynecomastia is considered the generally accepted standard.
Surgery is prescribed to all patients if conservative treatment methods are not indicated for their diagnosis or have proven ineffective.
The purpose of the operation is to remove fatty and glandular tissue of the mammary glands and further restore normal breast contours. Several methods are used to eliminate gynecomastia:
- In case of true gynecomastia, excision of the mammary gland is performed through paraareolar access.
- For mixed gynecomastia, in addition to removing glandular tissue through an incision in the paraareal area, liposuction is additionally performed to restore breast contours.
- For false gynecomastia, standard liposuction is performed, vacuum pumping out fat with cannulas through punctures in the skin.
What methods will be needed to eliminate gynecomastia will be determined by the attending physician based on the data obtained from examining the patient. Treatment is also carried out only under the guidance of a doctor.
Self-administration of hormonal medications without determining the cause of the disease can cause a reverse reaction - the progression of gynecomastia or the occurrence of severe side effects. If gynecomastia has progressed to the stage of malignancy, the patient requires emergency surgical treatment.
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Source: http://ZoneMed.ru/ginekomastiya-lechenie-konservativnoe-i-xirurgicheskoe/
Gynecomastia in men and possible methods of its correction
Gynecomastia is a disease of the mammary glands observed in men. It is expressed in the fact that one or both mammary glands enlarge due to the proliferation of the glandular or fatty tissue itself. Pathology manifests itself in the form of the appearance of lumps in the breast and an increase in its size.
Also, during palpation, the patient may notice painful sensations, and at rest - heaviness in the chest. Sometimes the disease goes away on its own or with proper treatment using non-invasive methods.
If conservative methods are ineffective, they resort to surgery to remove gynecomastia, since the long-term development of this disease creates a risk of developing cancer. The operation is aimed at removing the gland or overgrown fatty tissue.
Treatment of gynecomastia with surgical intervention has been carried out for a long time, but this operation is not indicated for everyone. It is not carried out in adolescence - before the body is fully formed and hormonal balance is established, doctors usually recommend waiting and using exclusively non-invasive techniques.
Surgeries are not prescribed for adult patients if they are in the initial stages of the disease.
Surgical treatment is mandatory in the following cases:
- Suspicion of cancer or degeneration of the mammary gland.
- Formation of cysts or nodes.
- Severe unilateral gynecomastia.
- The disease is not susceptible to traditional treatment methods.
- Any degree of gynecomastia, accompanied by persistent pain.
- Severe patient discomfort or significant cosmetic defect.
Gynecomastia in men (scheme):
The operation to remove gynecomastopathy takes place in several stages. The first stage is preparatory. A course of vitamins and a balanced diet are prescribed. Completely quit smoking 14 days before surgery. The operation itself depends on how it is performed.
Mastectomy is performed in the following order:
- Treatment of the area that will be involved during the operation with antiseptic agents.
- Pain relief with strong general anesthesia.
- Resection of the halo area. In this case, tissues affected by pathology are removed - gland, fatty tissue, in some cases, halos, nipples, muscle tissue or lymph nodes are also removed. In this case, they talk about radical mastectomy.
- With an endoscopic mastectomy, an incision is made in the armpit through which an optical device is inserted, allowing the surgeon to control the operation with minimal incisions.
- The wound surface is drained using special tubes, which are maintained for up to a week. The drainage is fixed with a suture.
- An antiseptic bandage is applied.
For false gynecomastia , which is caused by the growth not of the gland, but of subcutaneous adipose tissue, the operation is performed using liposuction.
In this case, it consists of the following steps:
- Anesthesia of the operation area.
- The skin in the armpit area is punctured, and a laser is inserted into the puncture.
- Fat tissue is destroyed under the influence of a laser.
- Excess fat tissue is removed through a cannula.
- A pressure bandage is applied to the chest.
In this case, a small amount of adipose tissue remains in the area immediately adjacent to the skin and muscle layer. If during the operation a lot of excess skin is formed, the nipple is displaced, the excess skin is removed and a suture is applied. In this case, a small scar remains after the operation.
- Surgery to remove gynecomastia can only be successful if the recovery period after surgery is properly managed.
- Any operation is stressful for the body, so it is very important to follow all the doctor’s instructions in the first time after it.
- After removal of gynecomastia, recovery recommendations are as follows:
- Minimum 14 days without bad habits (smoking, alcohol).
- Take your medications carefully—blood thinners such as aspirin are not recommended.
- Wearing special compression garments is recommended for at least 20 days.
- Minimizing physical activity.
Removal of gynecomastia - contraindications
Surgical treatment is not indicated for all patients. The decision to perform surgery is always based on the feasibility of surgery, as well as the risk-benefit ratio for the patient.
In case of removal of gynecomastia, the contraindications for surgery are as follows:
- Severe cases of heart failure.
- Diseases of the kidneys and liver at the stage of decompensation.
- Acute infectious diseases.
- Stages of exacerbation of chronic diseases.
- Inflammation with suppuration in the chest area.
- Serious case of obesity.
- Gynecomastia of the first or second degree, for which conservative treatment methods have not been applied.
In some cases, it is advisable to undergo surgery and carry out appropriate treatment to eliminate contraindications. If they are irreparable, the operation remains impossible.
Results of the operation
The patient had a lump in the area of the areola of the right breast since adolescence, to which he initially did not attach importance. Over time, the differences in size between the left and right pectoral muscles became more pronounced, and the areola took on a dome-shaped shape.
Unilateral gynecomastia was diagnosed. A hypertrophied mammary gland was revealed under the areola. The operation was performed under general anesthesia; during the process, glandular tissue was removed under the right areola.
As a result, immediately after the operation, the size and shape of the halos are normal.
You can find an example of an operation to treat gynecomastia here
When gynecomastia is removed, price is not of paramount importance. The success of surgery to remove gynecomastia depends on the skill of the plastic surgeon. A doctor of the highest category, plastic surgeon Kirill Slavovich Lelikov provides operations for the treatment of gynecomastia in Moscow at the highest level.
The patient is guaranteed not only relief from pathology, but also minimization of cosmetic defects and creation of halo symmetry. The recovery period after surgery performed by a skilled doctor will be as short as possible, and the scars will be minimal or almost invisible.
- Blood type, Rh blood factor;
- Clinical blood test;
- Clinical urine analysis;
- Blood biochemistry (expanded);
- Coagulogram;
- HIV, Syphilis (RW), Hepatitis (HbsAg);
- ECG;
- Doppler ultrasound of the vessels of the lower extremities;
- X-ray of the lungs;
- Mammography or ultrasound of the mammary glands (for breast surgery);
- Gastroscopy (with a history of ulcers);
- Name of service Cost
- Bilateral correction of genicomastia in men RUB 80,000
Source: https://lelikov.ru/plasty/ginekomastiya/
Surgical cosmetology
Gynecomastia is a disease that causes enlargement of the mammary glands in men. It is caused by the proliferation of glandular tissue (breast tissue). There is also false gynecomastia, which occurs with obesity.
Why does gynecomastia occur?
It is possible to count about 30 reasons for the formation of pathological gynecomastia. But all the reasons can be divided into 3 groups:
1. Increase in female hormones in the male body. 2. Decrease in the level of male sex hormones (testosterone).
3. Use of certain medications.
In almost all cases, gynecomastia progresses spontaneously and therefore does not cause any discomfort to a man. However, if it persists for a long time, gynecomastia increases the risk of breast cancer. This disease is rare in men.
But it can lead to consequences such as breast cancer, similar to breast cancer in women. This suggests that treatment for gynecomastia cannot be delayed.
Symptoms characteristic of breast cancer: the appearance of a lump, bloody discharge from the nipple, the appearance of ulceration, skin changes at the site of formation, enlargement of the axillary lymph nodes.
Diagnosis of gynecomastia
After an appointment with a doctor, the patient will need to take a blood test for estradiol, testosterone, LH, prolactin, FSH, thyrotropin, liver enzymes, human chorionic gonadotropin, nitrogen, creatinine, urea.
The examination can be supplemented with instrumental methods in order to find out the cause of gynecomastia. For example, for breast cancer, additional procedures such as mammography, biopsy, and ultrasound examination of the axillary lymph nodes and breast are prescribed.
Treatment of gynecomastia
Gynecomastia is very common today. Men, mammology is not only the concern of madams and mademoiselles, but you should also take care of your breasts.
Breast diseases can be caused by many factors. The cause of an unhealthy condition is, as a rule, an organ or organs that did not bother the patient at all all the time before contacting a specialist.
Therefore, men, in order for your health to be restored, you need to undergo a comprehensive examination that will identify all the factors of a possible threat, as well as an individual course of therapy or surgical intervention and rehabilitation.
This is quite a long time, which will cause a lot of nerves and worries about yourself.
But how easy it is to diagnose diseases at an early stage. How simple and necessary it is to be attentive to yourself! You are our support and protection. Don't leave your breasts aside, no matter how ridiculous it may seem to you. These are truly terrible diseases, mammological ones.
Without proper diagnosis and timely treatment, the state of health is at serious risk: every year 2 out of 9 patients die from breast pathologies, the reason for which is a late visit to the mammology center.
Half of them can be saved - and we do it every day!
Men, according to mammology, the most serious disease is gynecomastia. This is a benign enlargement of the mammary glands, which can be provoked by several factors:
- Liver disease, especially cirrhosis. It is necessary to take medications that will inhibit the development of cirrhosis and improve liver function.
- Hormonal disbalance. The overgrown glandular tissue is removed, and the activity of the glands is corrected, and the activity of the thyroid gland is also corrected.
- Long-term use of hormonal drugs. It is necessary to reduce the number of devices used and include the use of homeopathic remedies.
Diagnosis of gynecomastia is a thorough examination of organs that pose a potential threat to a man’s health. Observation by a specialist endocrinologist and breast oncologist is a major part of your recovery.
How to cure gynecomastia? There are two radically different methods of treatment: conservative and surgical.
Conservative treatment is carried out on an outpatient basis under the supervision of an endocrinologist. It depends on the form of the disease.
The need for treatment of juvenile gynecomastia, the choice of method and timing of treatment measures are dictated by the psychological state of the patient.
You can adhere to a wait-and-see approach, since most often after 2-3 years with juvenile gynecomastia, spontaneous regression of enlarged mammary glands occurs.
If a patient has pseudogynecomastia (fat deposits in the area of the breast jelly), then the optimal treatment for gynecomastia is non-surgical laser liposuction.
Surgical treatment consists of removing breast tissue through a periareolar incision, or removing fat using liposuction, or a combination of laser lipolysis methods.
Indications for surgical treatment of gynecomastia
- large volume of mammary glands
- ineffectiveness of conservative therapy
- obvious cosmetic defect.
Experts believe that in 30–70% of cases, breast cancer in men appears due to gynecomastia, including due to its nodular form.
That is why a complete diagnosis of gynecomastia using both clinical and x-ray methods helps to identify cancer at an early stage, and this determines the success of gynecomastia treatment.
© 2013–LASER CONCEPT Clinic of Anti-Aging and Aesthetic Medicine
Source: https://laseroconcept.ru/services/plasticheskaya-hirurgiya/lechenie-ginekomastii/
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