Gynecomastia is a disorder in which there is a non-cancerous increase in the size of male breast(s). According to some research studies, almost half of the men are considered to have gynecomastia. Patients who have gynecomastia are often ashamed of walking on the beach, for instance, without a T-shirt, and in some cases the condition may be so severe that wearing a t-shirt might not be sufficient coverage for the patient.

Certain medications, hormonal disorders, breast cancers, mass formation, and gaining weight may result in gynecomastia. The given reasons constitute only 10% of the disorder, though, because it is essentially idiopathic in 90% of the cases. If idiopathic gynecomastia is still on the table even after eliminating other reasons with a set of analyses and anamnesis (mammary ultrasonography, endocrinology consultation, blood and hormone tests) prior to a surgical operation, then a surgical operation is considered and planned accordingly. Otherwise, if the actual reason is determined (i.e. hormonal disorder), a surgical operation cannot be performed unless the actual reason is corrected first.

A set of techniques are available for this operation and a decision is best made depending on the size and density of the breasts. The most suitable method is liposuction especially for breasts that are small in size and have more fat content. It does not scar as it involves no incision, and the recovery period is a short one. If breasts are small in size and contain more glands, liposuction cannot and should not be used. In this case, fat tissues can be extruded through a small incision called pull-through. If breasts are large in size, then the surgery will involve an intervention from the nipples with a classical gynecomastia surgery in which fat tissues are extruded.

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