Management of Gynecomastia

Gynecomastia is a common condition faced by both boys and men. Normally, it is a self-treated condition that resolves spontaneously within 3 years in 90% of patients. This happens during pubertal gynecomastia. But, in the cases where the growth exceeds the 4 cm diameter, certain medications and management are required. 

Generally, medications are short and sure ways to recess the condition but in a rare case, surgery may be required. 

A good stay of gynecomastia conditions may occur due to obesity or fatty tissues. The surgery is performed through the following procedure (either liposuction or excision).

Liposuction may be used to remove the fatty tissues present in men’s breasts. In the procedure, a small tube of 3-4 millimeters is inserted through an incision.

In excision, the tissue is cut with a scalpel to remove excess glandular tissue.

In a few cases, both liposuction and excision are required. However, excision will lead to a more prominent scar than liposuction.

Safety

• Fluid buildup
• Scarring
• Excessive bleeding
• Bruising
• Swelling
• An unevenness of breast contour and asymmetric size on both sides

Convenience

After the surgery, the breast area becomes swollen and bruised. So, doctors recommend wearing a compression garment to prevent such issues.

The complications are rare in this case but it takes a month or two to return to a normal routine. 

Post-surgery, there might arise a condition of fluid buildup for which a tube is attached for the drainage of excess blood/fluid. 

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