Gynaecomastia (Gr. gynec – female, mastos – breasts) is the enlargement of the male breasts as a result of the proliferation of glandular breast tissue. The condition is usually benign. Gynaecomastia is quite common. 60-90%. newborns have transient glandular exudation due to estrogens from the mother. Gynaecomastia occurs in 50-70% of adolescents. for boys and 30-65% for adults. Enlarged breasts can be painful for men and often cause social and psychological discomfort. Gynaecomastia may be related to obesity, a hormonal metabolic disorder, liver disease, or the effects of medications. Enlarged breasts can be formed from fatty tissue and/or glandular tissue. Usually a combination of both tissue.
The operation is performed under general anaesthesia and takes between 1 and 2 hours. During surgery, suctioning of the breast-forming fatty tissue is often performed. If the breast is enlarged due to glandular tissue, it is surgically removed together with the excess fatty tissue. The incision is made along the lower edge of the nipple areola. In severe cases of gynaecomastia, the breasts may sag and stretch the areola due to the weight of excess breast skin and subcutaneous tissue. In such cases, the position and size of the areola can be changed by a breast lift. A drain is left in place after the operation and is usually removed the following day.