The most common causes that can cause it are:
- Heredity and genetic predisposition
- Hormonal reasons
- Liver diseases such as cirrhosis of the liver
- Chronic kidney failure
- Marijuana and steroid use
It occurs mainly in men in adolescence and to a certain extent continues into adulthood.
When the causes of gynecomastia are of hormonal origin or due to some other underlying disease, the treatment is pharmacological. When gynecomastia is due to drugs, as it is very likely, it is good to stop them and to monitor the patient for the course and development and in the second year if it is deemed necessary to have surgery.
However, when there is a genetic predisposition or heredity and gynecomastia persists after adolescence, then it is successfully treated surgically in the following ways:
a) Mass hypertrophy is successfully treated by surgical removal, through a small semicircular incision in the lower half of the other nipple, at the border between skin and other. The wound is indistinguishable and the sutures do not need to be removed because they are absorbable.
The average duration of the operation is about 1-2 hours, under general anesthesia.
The above operation can also be combined with liposuction.
If the amount of mammary gland is small, we can treat gynecomastia effectively only with liposuction, through very small holes in the skin and with the help of a special solution that we inject into the tissues for analgesia and hemostasis.
b) In the case of the so-called “pseudo-gynecomastia”, ie where there is no hypertrophy (swelling) of the mammary gland, but only more fat, then we intervene with the classic technique of liposuction of excess adipose tissue, through very small incisions of the skin.
In all the above methods mentioned for the surgical treatment of gynecomastia, the patient returns home the same day and always what is removed from the gland or adipose tissue of the breast is sent for biopsy.
Postoperatively, there is swelling and bruising in the breast area that gradually subsides in the following days.
- bleeding – hematoma
- nipple aesthetic disorders
- collection of serous fluid