How many types of Gynecomastia are there?
Gynecomastia is divided into 2 main types, which may coexist:
• True Gynecomastia (Glandular type): Caused by excessive development of breast gland tissue. It is often due to hormonal imbalance (excess estrogen production), use of anabolic substances, certain medications, or specific medical conditions. True gynecomastia can appear in newborns, adolescents, or elderly men.
• Pseudo-gynecomastia (Lipomastia): Caused by excessive fat deposition in the chest area. It is mainly associated with significant weight gain.
How is Gynecomastia diagnosed?
To determine the type of gynecomastia and the best treatment, a reliable evaluation is required:
• Palpation: If a firm tissue mass is felt beneath the areola, distinct from the surrounding fatty tissue, it is most likely true gynecomastia.
• Ultrasound: The most reliable examination for determining the type.
• Preoperative evaluation: Based on clinical examination and laboratory findings, an individualized surgical plan is created
What are the benefits of surgical treatment of Gynecomastia?
Surgery for gynecomastia provides a definitive solution and significant benefits:
• Masculine chest appearance: Flat, firm chest in harmony with body type.
• Improved self-confidence: Enhances masculinity and psychology, improving social and clothing choices.
• Permanent solution: Results are long-lasting and permanent.
• Advanced techniques: Use of modern liposuction and mastectomy techniques.
• Minimal visible scarring: Incisions are very small and hidden in strategic areas (e.g. areolar border or armpit).
What is the appropriate treatment for True Gynecomastia?
In cases of true gynecomastia (enlargement of glandular tissue), treatment involves complete removal of the gland (subcutaneous mastectomy):
• Procedure: The gland is removed through a small semicircular incision at the edge of the areola.
• Reshaping: After removal, the surgeon sculpts the tissues to reduce volume and achieve the desired masculine chest contour.
• Excess skin: If significant skin laxity is present (usually in advanced cases), a circular incision around the areola may be performed to remove and tighten the skin.
What method is used for Pseudo-gynecomastia?
Since pseudo-gynecomastia is caused by fat accumulation in the chest, the treatment of choice is liposuction:
• Modern techniques: Advanced methods are used for targeted removal of excess fat.
• Anesthesia: These are minimally invasive procedures that can be performed under local anesthesia.
