Expressions of interest
GYNECOMASTIA
Changes psychology and improves quality of life !
Gynecomastia, as the word suggests, is the feminine cheating of the male breast. By this we mean the bulging of the breasts in men, resulting in the male breast resembling a female. This is due to the hypertrophic mammary gland or excessive fat accumulation in the male breast without the presence of hypertrophic gland. Gynecomastia is usually bilateral, with similar or dissimilar breasts, and more rarely it may be one-sided and involves only one breast. The main cause of gynecomastia is the lack of balance between estrogen and testosterone. When the balance between these hormones is disturbed and on the one hand there is an increase in estrogen and on the other a decrease in testosterone there is an increase in the volume in the male breast and its feminization. 25% of cases are caused by an unknown cause and we have so-called idiopathic gynecomastia. Another 25% may be due to drug use (methadone, chemotherapy, hormone therapy, Aids).
In other cases, it may be due to health problems such as liver problems (cirrhosis of the liver, alcoholic cirrhosis), kidney (kidney failure), low testosterone levels, such as gene abnormalities and hypogonadism (the body does not produce the amount of the testosterone needed). Also, various forms of cancer can cause gynecomastia, such as testicular cancer, prostate cancer, pituitary gland, etc. Breast enlargement can even be caused by cancer in the breast itself, because breast cancer "hits" and men. Indeed, in some cases, like men with Klinefelter / Kleinfelter syndrome (a case of chromosomal abnormality), the likelihood of breast cancer increases by 20-50% compared to men who do not have this syndrome. Therefore, the material removed during gynecomastia restoration surgery should always be sent for histological examination. Even hyperthyroidism can cause gynecomastia. Even a lack of proper nutrition can cause an increase in estrogen production and a fall in testosterone production, resulting in gynecomastia. The causes that can cause this condition are many, but here are the most well-known. The diagnosis of gynaecomastia is done through the patient's complete history in conjunction with his clinical examination by the plastic surgeon, who should make the differential diagnosis between actual gynecomastia, where there is an increase in the size of the male gland, the false gynecomastia where there is deposition of large amounts of fat, sebaceous bladder, lipoma or hematoma etc. or even the existence of a breast cancer.
Accordingly, the patient should undergo a series of tests, such as hormonal testing, ultrasound in the breast, testicles, if there are findings, and once there is a clear picture of the cause that caused gynecomastia, it is treated either conservatively or surgically. There are four stages of gynecomastia in relation to the extent of the problem of breast swelling and excess skin: In the first stage there is little swelling without excess skin. In the second stage, medium swelling without excess skin. In the third stage, medium swelling with excess skin. In the fourth stage marked enlargement with excess skin. Since the possibility of a cancer has been ruled out and all non-invasive methods such as diet and exercise to reduce subcutaneous fat have been tested and the problem persists, which is usually accompanied by psychological problems as the problem self-image a man with gynecomastia can lead him to restrain his social activities, even lack the small pleasures of life, such as a bath at sea, or even have an impact on his relationship with the other sex, etc. then surgical intervention is indicated as a solution that produces permanent results. Today, rehabilitation of gynecomastia is considered a very common procedure for men. With new surgical techniques in plastic surgery, gynecomastia is treated effectively without leaving obvious signs, with small incisions, well hidden either around the boundaries of the mammary nipple complex or with tiny incisions distant from the breast so that they do not give target, depending of course on the surgical technique followed in each case. Cases of marked gynecomastia should be treated immediately after the 18th year, that is, immediately after the completion of development, in order to avoid psychological and social problems. And of course, at any point in time the patient feels the need to restore it or because it is imposed for purely medical reasons.
The surgery is done with general anesthesia or, as the case may be, with local anesthesia and drowsiness, depending on the health condition and the patient's desire. Gynecomastia is often combined with other interventions, such as with liposuction elsewhere in the body where there is asymmetric fat deposition, or with abdominoplasty and other surgery at the same surgical time. The patient, as the case may be, can return home after a few hours or the next day of surgery, wearing a special vest that immobilizes the surgical site and reduces pain to a minimum. Personally, I give a simple ponstan for the first few days, more for its anti-inflammatory action than why there is a pain reliever. During surgery, there is no blood loss, so there is no organic charge, so recovery is very fast. The result is evident immediately after surgery, but the final result will be apparent after a half-year or a year, as the case may be. The most important thing is that achieving a well-formed chest is permanent, which gives the man the masculine look he desires, changes his psychology and improves the quality of his life.
