Gynecomastia is a disorder found in men of all ages. It involves excessive enlargement of the breast area, and the basis for development may lie various causes, both endocrine and metabolic. Gynecomastia is the excessive growth of glandular, adipose tissue (lipomastia) or fibrous tissue in the nipple area in men. There are many methods of treating these disorders, which should be chosen individually in each case.
Gynecomastia, an abnormal enlargement of the nipple in men, occurs among others in the course of endocrine diseases, kidney, thyroid or liver diseases. Often also excessive development of the nipple area can be found in overweight and obesity, which is associated with with excessive deposition of adipose tissue in the chest area.
It should be remembered that during adolescence a transient enlargement of the breast area may occur and it is associated with transient changes in the levels of sex hormones during this period of individual development. This condition is called physiological gynecomastia, and its statement should not be alarmed.
What methods can you remove gynecomastia?
Treatment of gynecomastia varies depending on the underlying cause, which caused the development of this disorder. We can distinguish both gynecomastia treatment using conservative and invasive methods. Conservative methods of gynecomastia treatment include, for example, weight reduction through proper diet and regular physical exercise. In the course of chronic diseases, the intensification of treatment of these diseases may improve. Sometimes some gynecomastia or drugs used by the patient are responsible for the development of gynecomastia. Their withdrawal may have a positive effect on the condition of the nipple.
In the case of ineffectiveness of conservative methods, methods of invasive treatment of gynecomastia come with help . Invasive gynecomastia treatment is found among others also used in people who have experienced changes in the course of gynecomastia in adolescence and overly obese patients.
In the situation of excessive body weight and the development of lipomastia, liposuction is an effective treatment method. Liposuction in the treatment of gynecomastia is based on sucking excess body fat with a special cannula. This treatment allows the local reduction of excess body fat and is carried out as part of plastic surgery. The preferred methods of treatment of excessive fat development in the breast area in men in the course of obesity are the so-called Vaser Lipo and WAL methods.
Both Vaser Lipo and WAL techniques do not damage nerves or blood vessels located in the vicinity of the removed adipose tissue. Their advantages also include shorter convalescence after surgery compared to the so-called classic liposuction, and the possibility of using removed adipose tissue to model other areas of the patient’s body. The WAL method (water-jet assisted liposuction), which is carried out using the Body Jet apparatus, consists in the introduction of a special aqueous solution using cannulas. This solution, after penetration into the intercellular space, causes relaxation of the structure of adipose tissue and facilitates its suctioning. In turn, the Vaser Lipo method uses ultrasound energy, which helps in transforming fat tissue into a type of emulsion, which also helps in its suction.
In the case of excessive development of the glandular tissue with the excessive development of adipose tissue , surgical breast reduction surgery is used . The procedure involves the surgical removal of glandular breast tissue. The whole procedure takes about 1.5-2 hours and is carried out under general anesthesia. Often in the development of gynecomastia, excessive development of both adipose and glandular tissue occurs. In the situation of the first advantage, the often sufficient procedure is the liposuction procedure. In the case of glandular tissue development, it is necessary to remove the entire gland.
