The purpose of gynecomastia surgery is to reduce the size of the enlarged breast, removing fat and glandular tissue and thus restoring the natural contour of the male breast.

To identify gynecomastia, we only have to  look at the size and shape of the male chest. Breast augmentation is often disturbing and shameful for men, as it is associated with psychological factors, such as embarrassment in intimate life, sports and other social activities.

Before gynecomastia surgery, it is examined whether the enlarged breast is made up primarily of fat, or glandular tissue.

Accumulations of fat can be removed by liposuction. This is done through small incisions in the skin, which may be in the nipple area, axillary cavity or in the sternal region, which, normally, are barely seen later. If the breast enlargement is essentially made up of mamary gland, than the tissue will be removed by making a small incision in the areola margin.

The types of gynecomastia:

• Grade 1 gynecomastia, in which the appearance of a mass of concentrated glandular tissue, like a button around the areola, with no accumulation of skin or fat;
• Grade 2 gynecomastia, in which the mass of breast tissue is diffuse, and fat may accumulate;
• Grade 3 gynecomastia, in which the mass of breast tissue is quite diffuse, and there is also, in addition to fat, excess skin at the site.

The greater the degree of the type of gynecomastia, the more complex the surgical procedure is.

In the preoperative period it is recommended to decrease (or stop) the habit of smoking and using aspirin or medications containing acetyl salicylic acid, which affect the bleeding and clotting time.

It is also recommended to stop taking weight loss medications and to consume alcoholic beverages 10 days before surgery.

Any changes in physical condition (flu or illness) should be reported to the doctor.

On the eve, eat lightly and fast absolutely from midnight on the day of surgery.

In the postoperative period, you will be able to walk, shower, drive and do almost everything from the next day. Activities that require more physical effort only 3 to 4 weeks later.