Just as women, men also have fatty tissue under their nipple, which under certain conditions can grow and in combination with the adipose tissue that surrounds it – which in turn can overgrow – can form a large breast, without this being due to a specific cause in the case of idiopathic gynecomastia. Gynecomastia can also be the result of a hormonal disorder, certain medications, alcohol or even aging. The composition of breast enlargement may be due primarily to fat or tissue mass or a combination of both. Plastic surgeon who specializes in gynecomastia correction techniques must preoperatively identify the cause that may have caused gynecomastia and advise the patient on the diagnosis and treatment. Gynecomastia can occur at any age, -most commonly in adolescent boys in the form of idiopathic gynecomastia-, and although in some cases the condition may be improved or even cured on its own, it often remains for life if left untreated for more than a year without signs of regression.
The size of the breast can vary from a small and very hard lump to a fully developed and shaped “feminine” breast. When the swelling of the breast is due to a small piece of massive tissue, it is considered better to correct it through a small incision that will be made under the nipple, while if it consists mainly of fat, liposuction is applied.
The procedure involves the use of small holes of some mm each made in places that are not immediately visible and from where fat is suctioned from the breast. In cases where the problem of hyperplasia of the mammary gland is more extensive, it is often necessary to remove a larger area of breast tissue. This surgery practically develops into a subcutaneous mastectomy (removal of the gland with preservation of the skin and the nipple) and is usually performed through a crescent incision under the nipple. In very rare cases, where there is a large excess of skin and sagging breast, the incisions need to be larger and extend more circularly around the nipple.
FACT
The procedure involves the use of small holes of some mm each made in places that are not immediately visible and from where fat is suctioned from the breast.
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