liposuction, cost price aesthetic surgery

 Gynecomastia is a condition in which males develop enlargement of the breast. This is quite common in adolescents and is often first noted at the onset of pubery. The medical literature reports rates as low as 8% and as high as 65%. Most of these cases are due to changes in the hormonal secretion with temporary excess of estrogen like substances or relative deficiencies of testosterone like substances. This imbalance can lead to temporary increases in the amount of ductal tissue present on one or both sides. The majority of cases show enlargement in both sides. The degree of enlargement varies widely but in the most severe cases C or D cup breasts may be present. The milder cases usually resolve in 3 months to a year although it is not unusual to see some breast enlargement for up to three years. By the late teens most of these patients will have normal appearing male breasts without any form of treatment. Because young boys are reluctant to discuss their concerns they are likely to simply try to hide their abnormal appearance with clothing. They may try to avoid gym classes, atheletic activities, and swimming or beach activities.

Pictures photos before and after Gynecomastia aesthetic operation- plastic surgery

While most gynecomastia is seen in adolescence and resolves without treatment some cases are the result of endocrine gland malfunction or tumors. Some types of liver disease and cancers of several types can produce gynecomastia. Some cases are due to congenital syndromes and others may be related to drug use such as steroids or marijuana. There is a second peak in incidence late in life and here the risk of ductal carcinoma of the breast must be a stronger consideration so that biopsy of the breast may be necessary.

When gynecomastia is severe, when it persists, and in those cases where there is supicion of malignancy surgical treatment may be indicated. In most cases the incisions for this operation can be placed just inside the areolar border where they are less likely to be conspicuous. The glandular tissue must be removed. This firm fibrous tissue extends from the nipple areolar complex down to the surface of the pectoral muscle beneath. In some cases it is helpful to use liposuction to remove some of the fatty tissue which always surrounds this ductal tissue. Without this liposuction some patients would have a “donut” shaped defect after removal of the ductal tissue.

Pictures above represent a mild and a moderate case of gynecomastia treated surgically.The preoperative views are on your left, the postoperative on your right.

Complications

The most common complication following surgical removal of the ductal tissue is hematoma. When severe this could lead to a second operation to drain the collection of blood . Some residual deformity of the nipple areolar area may remain despite the best efforts of the surgeon. With any operation a wound infection could occur. Inadvertent injury to the blood supply of the nipple areolar region could result in loss of skin in the nipple areolar area. There would be the usual anesthetic risks associated with any surgical procedure. These complications and other even rarer complications do not occur often and the vast majority of patients undergoing this operation are very pleased and adopt a more normal life style with regard to exsposure of the chest in normal social situations such as the beach.