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Gynecomastia Surgery

Drawing of the outcome from gynecomastia surgery

Gynecomastia Surgery (Male Breast Reduction)

in Cyprus, Greece and Malta

Gynecomastia is the medical term for abnormally enlarged breasts in males. Not just excess fat – but real breast tissue development.

Male breasts tend to overdevelop due to various factors, such as hormonal imbalance, genes or certain diseases.

It can affect one or both breasts and is common among adolescents, young men, and even older gentlemen. In fact, up to 70% of males experience some degree of breast enlargement at some point in their lives.

Also known as “man boobs,” this common disorder may cause significant psychological distress, diminish self-esteem, and inhibit self-confidence.

Men suffering from gynecomastia have claimed to avoid exposing their chest at the gym or the beach. Moreover, they refrain from wearing tight shirts since their overdeveloped breasts become quite visible through the fabric.

What causes Gynecomastia?

While the development of excess breast and/or fatty tissue in the male chest is fairly common, it may occasionally resolve on its own as an adolescent matures through puberty, resulting in a generally normal and flat chest appearance. Several factors can contribute to enlarged breast tissue in men, including:

Hormonal Imbalance

The most common cause of gynecomastia is an imbalance in the amounts of estrogen (which controls breast development and menstruation in women) and testosterone (which regulates traits like muscle mass and hair growth).

Periodic surges in male estrogen production – during puberty and after 50 – can trigger temporary growth in the breast glands.

Puberty and aging, along with the subsequent natural hormone changes, are two typical causes of gynecomastia. Up to 70% of male adolescents between 13 and 17 years old suffer from bilateral male boobs. Yet, even though boys in puberty might experience swollen breasts, the symptoms usually go away within 6 months to 2 years as hormone levels become more stable.

In contrast, gynecomastia in adults is difficult to clear up with time. As men get older, they produce less testosterone and preserve more body fat in certain areas of their bodies, including breasts. In cases where gynecomastia persists, male breast reduction is the most effective procedure in treating the problem.

Obesity

Significant weight gain causes excess fat to develop in the chest. These fat deposits can result in enlarged breasts, both by altering hormone balances and by stretching the skin over the pectoral muscles.

Regular physical exercise and diet may help, but it does not always improve the condition of gynecomastia.

Health conditions

Various health conditions can cause gynecomastia, such as:

  • Hyperthyroidism – The thyroid gland produces increased levels of thyroxine hormone.
  • Hypogonadism – A condition that causes testosterone imbalance like the Klinefelter syndrome.
  • Kidney failure – People that undergo dialysis treatment experience gynecomastia.
  • Liver cirrhosis – Gynecomastia disorder often comes as a result of liver issues and cirrhosis medications.
  • Malnutrition – Inadequate nutrition causes testosterone levels to drop, causing hormonal imbalances.
  • Tumors
  • Weak estrogenic activity – Enhanced by herbal products, such as tea tree and lavender in shampoos, soaps and body lotions.

Substance use

  • Anabolic steroids – Consumption of anabolic steroids may lead to breast enlargement since the body converts steroids into estrogen. This actually means that even if the person stops their consumption, gynecomastia will not resolve.
  • Chronic alcohol intake can also lead to weight gain, which often causes excess fatty tissue growth.
  • Regular use of drugs, such as amphetamines, marijuana, heroin and methadone can damage the liver and kidneys, reducing the body’s ability to metabolize estrogen.

Prescription medication

Gynecomastia could be a side effect of medications used to treat prostate problems and anxiety, anti-androgens, antibiotics, heart medications, ulcer and chemotherapy treatments.

What are the Symptoms of Gynecomastia?

Although gynecomastia typically doesn’t pose any physical health risks and its correction is not considered a medical necessity, the appearance of enlarged breasts in men often causes emotional and/or psychological distress. In general, gynecomastia can be characterized by:

●        An accumulation of fat around and behind the nipples

●        Swelling or protrusion of the nipples

●        Asymmetry or disproportion between both breasts

●        Excess glandular tissue

●        Breast tenderness

Gynecomastia vs. Pseudogynecomastia and how to treat them

Both conditions are often combined under the general term ‘gynecomastia.’ While both of them exhibit similar symptoms of gynecomastia, there are some specifications that distinguish the two, making it easier to understand which condition you have, so the correct techniques can be used and the best possible result can be achieved.


Pseudogynecomastia:
refers to an accumulation of stubborn fat in and around the nipples and breasts, making the male breasts appear similar to female breasts.

Pseudogynecomastia can simply be improved by using the power – assisted liposuction method to remove the excess fatty tissue. By making small incisions near the breast area or right underneath the areola, Dr. Stavrou inserts a small, hollow tube called a cannula. Suction is then applied to remove fat cells and sculpt the area.

The liposuction method does not remove or tighten the skin, so it is recommended only for patients with minimal to moderate breast development.

Liposuction leaves minimal scarring on the chest area, which becomes noticeable in the long term.

Drains might be placed on each side of the chest to collect excess blood and fluid. These drainage tubes will be removed the next day painlessly.

Gynecomastia: is the result of excess glandular or breast tissue in the chest which requires surgical excision combined with liposuction.

Because fibrous, glandular breast tissue is stronger and more compact than fatty breast tissue, the fatty breast tissue is easily removed with liposuction while the denser glandular tissue remains.

By making a small semi-circular cut around the areola, Dr Stavrou removes any firm breast tissue and fat beneath the areola and in the breast region. The scars are well hidden in the outline of the areola.

If there is also loose skin, it is excised and redraped, while the nipple/areola complex is resized and repositioned to a higher position on the chest.

In specific cases, men who can’t get the body shape they want by grinding it out in the gym can sculpt their figure by reinjecting the removed fat strategically in the chest.

Dr. Stavrou might also perform a small amount of fat grafting directly underneath the nipple-areolar complex and on any other areas that appear prone to future deformities.

Overall, male breast reduction surgery is a safe and effective procedure.  His approach to gynecomastia ensures the highest levels of patient satisfaction with the lowest need for reoperations and revisions.

Recovery after Gynecomastia surgery

Male breast reduction surgery may require an overnight stay at the medical health center.

Immediately following surgery, patients will be wearing a supportive vest-like garment. You are expected to wear this garment at all times for 4 weeks to help reduce swelling and facilitate the best chest contour.

There will be some degree of normal post-operative bruising and swelling; however, discomfort from this surgery is often minimal and should be manageable with oral pain medication. These symptoms will resolve within 2-3 weeks post op.

While every patient is different, most males can return to work in less than one week, start light exercise in 2-3 weeks, and resume with more strenuous activity (including overhead lifting, etc.) after 5 weeks.

The results of surgery are typically immediately visible. At approximately six weeks, your fine scars may be a bit pink, after which they will begin to settle down until they will be almost invisible by one year after surgery.

Patients should avoid exposing their incisions directly to the sun for at least 6 months, up to a year. Tanning of the scars can cause “hyperpigmentation” or semi-permanent darkening of the incisions. Make sure to apply sunblock on your incisions, even under clothing.

Patients need to maintain stable and healthy body weight to ensure the results of the male breast surgery are long-term.

EIPS duration of surgery

Duration

1 ½ - 2 Hours

EIPS Anaesthesia

Anesthesia Used

Used: General

EIPS length of hospital stay

Hospital Stay

Stay: day surgery

EIPS Pre Admission Tests

Pre-Admission Tests

Blood tests

Downtime

a few days

EIPS driving after surgery

Driving

a few days

EIPS Exercise after surgery

Exercise

4 weeks post op

EIPS final result is very satisfactory

Final result

2-3 months

Washing

1 day post op

Sexual activity

2 weeks post op

Travel

a few days

Where will the Gynecomastia surgery take place?

Dr. Stavrou performs male breast reduction surgery in accredited medical centers in Cyprus (Nicosia & Limassol), Athens Greece and Malta.

The procedure takes place in a safe and sterile operation room. The surgeon uses only state-of-the-art medical equipment. The staff involved is thoroughly trained and specialized in cosmetic surgery. Dr. Stavrou wants to ensure a safe, well-controlled and comfortable surgical experience for his patient.

After the procedure, the patient is transferred to the recovery suite and is closely monitored by the medical staff.

The European Institute of Plastic Surgery (EIPS) offers exceptional health care and meets the high standards of safety and care set by European laws. EIPS clinics provide individualized health care in a beautiful, exclusive and luxurious environment.

Why choose Dr. Demetris Stavrou for Male Breast Reduction surgery?

Dr. Stavrou is a board-certified Plastic Surgeon leading the European Institute of Plastic Surgery since 2012. He was trained in top Medical Institutions in Greece, London, Melbourne and Israel.

He has extensive experience in all types of breast surgeries and an artistic eye. He is compassionate and always by the side of his patients to make them feel comfortable, secure and confident.

For Dr. Stavrou, paying attention to the details is what makes the difference in breast reshaping procedures.

Excellence is in the details. Give attention to the details and excellence will come.”

Dr. Demetris Stavrou

Male breast reduction (gynecomastia) surgery is a cosmetic procedure that requires a skillful plastic surgeon with outstanding experience in performing breast surgeries. Thus, the priority for every patient who wants to undergo a safe cosmetic procedure is to find a board-certified and experienced plastic surgeon.

 

The cost of male breast reduction ranges based on the country and the doctor’s experience. In general, gynecomastia procedure may include the following charges:

 

  • Tests
  • Anesthesia
  • Surgeon fee
  • Hospital costs
  • Post-surgical treatment

The risks of gynecomastia surgery are minimized if the procedure is performed by a board-certified and experienced plastic surgeon in an accredited medical health clinic.

 

Temporary side effects may involve swelling, bruising, soreness, numbness or a burning sensation.

 

Rare risks might include infection, bleeding, rippling or loss of skin, contour irregularities, breast asymmetry, excessive, visible scars and loss of nipple sensation.

 

Gynecomastia can affect men of different ages. Therefore, every man can experience gynecomastia at some point in his life, even in his 20s.

 

It depends upon the cause of the disorder if the symptoms will go away over time or if they are permanent. In the latter case, gynecomastia surgery might be an effective solution to treat the problem.

 

Patients should talk to an experienced and certified plastic surgeon to understand how the problem could be fixed.

Diet and exercise are the best ways to lose as much weight as possible.

 

However, in patients affected by gynaecomastia it may not reduce the chest despite weight loss.

 

Non-surgical techniques cannot reduce the glandular tissue that often accompanies gynaecomastia. Patients, especially those with moderate to severe excess fat and glandular tissue, will achieve the best results with surgery.

It is common for the two breasts to heal differently. One may have more swelling, the other may seem more uncomfortable, and the shapes usually differ initially.

With complete healing, they will look more similar and natural.

At your initial consultation, Dr. Stavrou will take a complete medical history and perform a physical examination of your chest to identify the reasons you are seeking gynecomastia correction.

 

As a plastic surgeon who performs a great deal of breast surgeries, Dr. Stavrou intimately understands how a man’s body image is often related to his chest contour.

 

If you are an appropriate candidate for surgery, your options will be described in detail.

 

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