Gynecomastia is a condition where males have enlarged breasts. The most common cause of Gynecomastia is an imbalance of hormones; more specifically higher amounts of oestrogen relative to androgens. This may look like fat under the skin, but it is actually breast tissue.

Procedure

A small incision-the periareolar approach-is made around the areola. Excess breast tissue and fat are removed with liposuction, gland excision, or a combination of both. Excess skin may be removed if needed. The final stitch is placed inside the breast tissue. Gynecomastia is usually performed under general anaesthesia, but it can be done under sedation and local anaesthesia.

Getting back to normal

Most patients are discharged within several hours after the procedure. A compression vest is usually indicated for 2 to 3 weeks after surgery. Drains are rarely needed, but if required, small tubes may be placed near the surgery site to drain off excess fluid. Final results are seen within about 2 months for grade II gynecomastia and 5-6 months for grade III gynecomastia. Results for Grade I gynecomastia are seen relatively early.