Male gynecomastia. The mammary glands become enlarged - one or both - due to the growth of glandular or adipose tissue. Each gland with such a disease can increase up to 15 cm. In adolescent boys and the elderly, pathology occurs in 70% of cases, in young ones - in 40%.
Female gynecomastia is more rare.
Usually, this diagnosis is made when the breast volume exceeds 400 mm3.
The disease can be accompanied by discomfort and other unusual and unpleasant sensations.
Male breasts can increase for several reasons:
fat deposition due to pituitary adenoma, hormonal imbalance, smoking, drug addiction, alcoholism, trauma, cardiovascular insufficiency, HIV, etc.
False and true gynecomastia
External these two types of disease hardly different.
First, seals form in the nipple area, then gradually the breast grows according to the female type. The nipples are pulled out, the hair on the chest is falling out.
With a false pathology, the mammary glands enlarge due to the accumulation of fat, and not glandular tissue, as in the true one.
The combined type is often diagnosed, but the female bust consists of 90% of adipose tissue, for this reason the false type of the disease is more noticeable, the man's chest becomes more expressive, "female".
Average duration - 1-1.5 hours (in difficult cases - more), local anesthesia is used.
Excess tissue is removed by surgical excision, alone or in conjunction with liposuction. Access is through incisions around or above the nipples. Excess skin and fat are also removed. If the excess tissue is large, the incisions are enlarged.
During liposuction, cannulas are inserted into the incisions that have already been made, into the chest fold or the armpit area.
Liposuction is performed at the initial stage, and then the doctor excises the excess tissue.
After the operation, drainage is usually installed in the affected area, and an elastic tight bandage is applied to the patient.