Correction of gynecomastia

Gynecomastia correction is a surgical procedure aimed at eliminating enlarged glandular tissue in men. This condition causes not only aesthetic problems, but also quite strong painful sensations. Properly selected surgical intervention can restore the correct breast contour and improve the quality of life.
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What is gynecomastia and why does it occur?

Gynecomastia can be false and true. Pathology occurs at any age, for various reasons. In young children and adolescents, this condition is most often due to physiological processes and usually goes away on its own. In middle-aged and older men (40-60 years), the development of true gynecomastia is due to a natural decrease in testosterone levels.

Factors that can catalyze the development of gynecomastia in men include:

  • Diseases of internal organs
  • Excessive physical activity
  • Improper nutrition
  • Constant stress

Unlike true gynecomastia, false gynecomastia is not due to hormonal imbalance, but to environmental and lifestyle factors. Often the main cause of its development is low physical activity and obesity. In addition, some people have a genetic predisposition to fat deposits in the breast area. This makes this area vulnerable even with an active lifestyle.

What is gynecomastia and why does it occur?

How to recognize and correctly interpret symptoms?

The main sign of pathology is a change in the outer contour of the breast. The fact is that in athletic men, the pectoral muscle forms a straight line. Due to the presence of additional glandular and adipose tissue, gynecomastia makes this contour rounded.

  • Presence of seals. They are found on palpation of the chest of a man with gynecomastia. There are lumps in the nipple area and even behind them
  • Nipple areola abnormalities. As the disease progresses, the nipple-areola complex becomes more convex. It changes in size and reacts to various factors, including the emotional state of a person

Many patients complain of pain or discomfort in the breasts, as well as itching in the nipple area. However, gynecomastia often manifests itself without pain. An important symptom of pathology is discharge from the nipple. They indicate disorders in the level of prolactin in the body.

General information about the procedure

Features of surgical treatment

The growth of the mammary glands rarely stops on its own - in 90% of cases, the pathology progresses.

The following degrees of gynecomastia are distinguished:

  1. First (up to 3x3 cm). In this case, treatment is carried out on an outpatient basis. In this case, the patient returns home on the same day. Modern techniques and tools minimize the visibility of scars, and self-absorbable sutures facilitate the rehabilitation process
  2. Second. Complex surgery is required, accompanied by hospitalization. In addition to gynecomastia removal, liposuction is often required to correct the surrounding adipose tissue

There are also advanced cases. At the same time, the volume of a man's chest can be compared to a woman's size 3. Treatment in this case includes a set of measures - removal of glandular and adipose tissue, liposuction and, possibly, skin tightening. After gynecomastia surgery in men, such a patient is under the supervision of doctors for several days.

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Types of interventions

There are several approaches to surgery. Here are some of them:

  • Periareolar approach. It is an incision in the nipple area. After that, the breast tissue is removed mechanically, or using liposuction)
  • Circular excision. Here, the main focus is on de-epithelialization of the skin around the nipple, followed by the removal of glandular tissue
  • W-shaped incision. This method involves creating a specific W-shaped incision in the areola area without damaging the nipple. The next step is tissue excision

Men with particularly severe gynecomastia are recommended to undergo a subcutaneous mastectomy. As a result of such an operation, the breast tissue is almost completely removed.

Regardless of the method chosen by the surgeon, after the removal of gynecomastia in men, specialists provide hemostasis with diathermy. The wounds are then sutured using a monocryl thread.

All of the above techniques make it possible to excise a significant amount of breast tissue. A small part of it remains directly under the nipple-areola complex. This is necessary to ensure adequate blood supply to the skin and preserve its natural appearance.

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Intervention Steps

At the first stage, diagnostics are carried out using ultrasound (ultrasound). This allows you to determine the cause of the enlargement of the mammary glands. Next, the doctor discusses the course of the operation with the client and gives him the necessary recommendations.

In particular, alcohol, aspirin and other substances that affect blood clotting should be avoided before the intervention. Smoking patients need to limit their tobacco use.

A combination of local anesthesia and sedation is used as anesthesia in most cases. However, if liposuction is performed in combination with other surgeries, general anesthesia is required.

Main stages of the operation:

  1. The surgeon makes micropunctures in the chest area
  2. Special instruments are inserted at the level of adipose tissue. Next, tissues are destroyed and transformed
  3. Excess adipose tissue is removed by vacuum through a thin cannula
  4. Cosmetic sutures are applied to the puncture sites. 1-1.5 weeks after the procedure, they are removed

To prevent the formation of hematomas and fluid accumulation, a Jackson-Pratt drain is placed, which is removed after a few days.

After surgery, regular visits to the doctor are recommended to monitor and evaluate the results. Such examinations are usually carried out 3 and 6 months after the correction.

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Postoperative period

After the procedure, such phenomena as swelling, hematomas and minor pain are often observed. These are normal reactions of the body that go away over time - especially if the patient follows all the instructions of the specialist exactly.

The main result of breast liposuction is the restoration of normal contours. The first changes become noticeable about 30 days after the procedure, but the final results are formed within 6 months or even a year.

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Our doctors

Adamyan Ruben Tatevosovich
Experience 40 years
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Adamyan
Ruben Tatevosovich
Deputy Chief Physician for Plastic Surgery, Plastic Surgeon
Meloyan Mkhitar Misakovich
Experience 39 years
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Meloyan
Mkhitar Misakovich
Plastic surgeon
Gulyaev Igor Valerevich
Experience 22 years
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Gulyaev
Igor Valerevich
Plastic surgeon
Mitoyan Ruzanna Esaievna
Experience 14 years
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Mitoyan
Ruzanna Esaievna
Plastic surgeon
Telnova Galina Sergeevna
Experience 8 years
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Telnova
Galina Sergeevna
Plastic surgeon
Mithish Elena Valeryevna
Experience 15 years
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Mithish
Elena Valeryevna
Surgeon
Kapitanova Yulia Dmitrievna
Experience 8 years
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Kapitanova
Yulia Dmitrievna
Plastic surgeon
Volenko Ivan Alexandrovich
Experience 14 years
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Volenko
Ivan Alexandrovich
Surgeon-oncologist-mammologist, plastic surgeon
Sinanyan Ariana Mushegovna
Experience 3 years
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Sinanyan
Ariana Mushegovna
Plastic surgeon
Korenevich Oleg Sergeevich
Experience 8 years
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Korenevich
Oleg Sergeevich
Plastic surgeon
Djamilov Sherali Radjabalievich
Experience 9 years
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Djamilov
Sherali Radjabalievich
Surgical oncologist, mammologist, reconstructive plastic surgeon
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Reviews 10

I thank Galina Sergeevna from the bottom of my heart, because with her sensitive but firm hands my long-time dream came true! Without a second's hesitation, I trusted a wonderful specialist and a very pleasant person, and received the nose of my dreams. I thank you immensely!!
10.06.2025
Ya. Suzanna Lvovna
When I first thought about hair transplantation, I had many doubts and questions. I heard various stories - from successful to not so much. However, my intuition told me that it could change my life for the better, and I decided to have this procedure. The process was not as scary as I imagined. Alexander Gulyaev did everything carefully and thoroughly. I felt like I was in good hands. The first few days after the operation were a little uncomfortable, but this is completely natural. At first, I came to Alexander Gulyaev for injections once a week, then once a month, once every 2 months. And now, almost a year later, I look in the mirror and see a completely different person. Not just new hair, but a huge boost of confidence. The smell of fresh air for my well-being! Who would have thought that a hair transplant could be not only a physical but also an emotional transformation? I would advise everyone who is thinking about such a procedure to take a step forward. It is really worth it!
01.05.2025
Mikhail N.
Very good clinic, wonderful, friendly staff! I had an appointment with Gulyaev Alexander Valerievich and was extremely satisfied! We communicated with Alexander Valerievich more than once during the initial appointment and further consultations. Since I am a very scrupulous person, it was difficult for me to choose a clinic for transplantation. Alexander Valerievich was always friendly, explained everything clearly and in detail. The procedure itself was stress-free, calm, with conversation. Visually looked 15 years younger
25.04.2025
Denis V.
I turned to Aleksandr Valerievich for help with eyebrow transplantation. Appearance is very important for women and the choice of a doctor was very tough. But, after the initial consultation, I had no doubts. He explained everything in great detail, reasonably relieved my fears, and also answered my questions after the procedure. The result exceeded my expectations. Thank you, Aleksandr Valerievich!
23.04.2025
Natalia K.
Thanks to the reviews on the site, I went to have surgery with Ivan Aleksandrovich. I confirm every kind word about him. He is a great professional in his field. The suture looks very neat and aesthetically pleasing, he preserved the shape and volume of the mammary gland, despite the fact that he had to remove a fairly large part. The doctor inspires calm, confidence and a positive attitude. Ivan Aleksandrovich is very caring towards patients. You will definitely not feel embarrassed or afraid. Everything is very comfortable, professional and somehow very sensitive in a human way. A great doctor and person!
07.04.2025
F. Svetlana
I had bald spots on my bangs since childhood, and about 5 years ago I thought about a transplant, read about different methods and, as a result, the results, recently hair transplantation in Turkey has begun to gain popularity - I read, weighed the pros and cons. I analyzed the market in Moscow, found a clinic on recommendation where Alexander works, held a meeting - received detailed information and a description of my case. One clinic indicated 3500 FUE, another 4800 grafts. Alexander indicated that there is no point in doing more than 2800 grafts (FUE), i.e. the issue of profit and earnings was not in the first place. The choice was obvious. The operation went off without a hitch, Alexander masterfully conjured over the head, the assistant girls constantly encouraged and communicated. From the very first week, regular relief of the patient's condition and well-being, ozone weekly, after 3 months they began to inject vitamins. And the complexity of my case is that the hair is light (blond), thin and low hair density. After 5 months the result is super: clear contour, density, absence of any hints of hair loss of transplanted hair. I definitely recommend it!
21.03.2025
Oleg T.
I would like to express my deepest gratitude to my doctor, Alexander Valerievich Gulyaev, for the excellent result! I came to him with a problem of hair loss. 3,000 grafts were transplanted. The result after 5 months was already amazing! Many thanks for the professionalism in the operation and advice on maintaining the result. Special attention should be paid to the fact that the doctor is always in touch and, either himself or through the clinic staff, always answered all questions.
14.03.2025
Vladimir A.
Проходила операцию по поводу фиброаденомы молочной железы у Ивана Александровича, и он впечатлил меня на всех этапах: от диагностики и консультации до подготовки к операции и внимательного наблюдения после неё. Его аккуратность в перевязках, готовность помочь и внимание к восстановлению — это настоящий эталон для врача. Операция была проведена настолько профессионально и ювелирно, что иногда даже другие врачи не могут сразу найти шов! Огромная благодарность! Если вы выбираете врача, могу смело рекомендовать Ивана Александровича.
02.03.2025
Софья К.
Уважаемый Шерали Раджабалиевич! Огромное спасибо за быстрое, четкое и безболезненное удаление фиброаденомы из груди. Все прошло очень быстро и психологически комфортно, после операции я даже не потребовала обезболивающих. Вы внимательно и чутко отнеслись к моим просьбам, и я безмерно благодарна за то, как гладко прошел весь процесс. Шов получился аккуратный, ровный и зажил без проблем. Два разных врача на перевязках сделали комплимент вашему мастерству! Желаю вам всего наилучшего и удачи в вашей работе!
20.02.2025
Екатерина Ч.
Рак правой молочной железы — операцию проводил Иван Александрович. Это действительно врач от Бога, с золотыми руками! Работа на высшем уровне, швов почти не видно, все сделано ювелирно. Он очень внимателен, даже когда был уставшим после нескольких операций, приходил в палату по несколько раз, чтобы узнать, как я себя чувствую. Желаю, чтобы таких врачей было больше!
15.02.2025
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