Gynecomastia is a condition characterized by an abnormal development of the breasts in men. Based on its origin, gynecomastia is classified as:

  • Gynecomastia puberale: is a physiological process that occurs in puberty (12-17 years) when the intense hormone production causes an excessive development of the mammary glands. This disorder generally goes away within a couple of years;
  • Congenital gynecomastia: the primary cause is the altered hormonal balance that may have a familial connotation (inheritance);
  • Induced gynecomastia: in these cases the causes are to be sought in the intake of certain drugs that can compromise natural hormonal function.


How gynecomastia surgery is performed

Depending on the distinctive traits, gynecomastia can be classified into:

  • Gynecomastia vera: the increase in volume of the breasts is caused by the increase of the glandular component;
  • False gynecomastia: the increase in the volume of the breasts is caused by the increase of adipose tissue in the mammary area;
  • Mixed gynecomastia: the increase in breast volume is caused by the interaction of the two factors described above.

In the event of true or mixed gynecomastia, we can intervene surgically to eliminate excess breast volume. The surgeon will examine the patient by palpation in order to assess whether or not there is hypertrophy of the gland, excess fat, or both.

If the gynecomastia is caused by an excess of adipose tissue, the surgeon will remove it by liposuction; if it is glandular and / or adipose tissue it may be necessary to perform, in addition to liposuction, the surgical removal of glandular tissue through an incision on the lower edge of the areola. The scar will be almost invisible.

Post-operative recovery

Following surgery, the patient may have a slight swelling in the pectoral region, which will disappear after three or four days. The patient will be able to resume his usual work activities after a week, avoiding anything strenuous, including sports, for at least 4 weeks.