When there is an enlargement of breast tissues in males and it is benign, the condition is known as Gynecomastia. Often, during puberty, quite a few adolescent boys develop this condition but it will subside on its own within a couple of years. By, Gynecomastia can occur due to some metabolic disorders or because of the reduction in the production of testosterone in men, when they grow older. Sometimes, certain medication could also lead to this condition. When, estrogen, in the male, exceeds the ratio to androgen in males, Gynecomastia can result.
Often Gynecomastia has psychological impact on men. It leads to social anxiety as well as physical discomfort. If reduction in abnormal breast size does not decrease with chest exercises, then surgery to remove excess glandular breast tissue will have to be considered.
The kind of breast reduction surgery depends on what causes the enlargement. If it is because of excessive fat deposits, then liposuction could be undertaken. Ultrasonography could determine the diagnosis of Gynecomastia. Not too many patients can be considered for only Liposuction-assisted mastectomy. Ultrasonic liposuction has had better results for this kind of reduction. Here, the complications after surgery do not exist. There is no danger of infection or hematoma or necrosis. Unfortunately, liposuction is not the treatment for glandular Gynecomastia. It can be combined with mastectomy known as liposuction-assisted mastectomy.
There is a choice in types of surgical techniques. Generally, surgery involves the Webster incision or an intra-aureolar incision. Here, the surgical cut is made in the circumference of the pigmented area of the aureole and the glandular tissue removed. The kind of incision depends on the severity of the case. In moderate-severe Gynecomastia, there exists the option of a two stage procedure in surgery. In the first stage, liposuction is performed and a Webster incision is made to remove the fat, the gland and the tissue, which can result in a good contour. After four to six months, the second stage is undertaken, because the intervening period ensures the re-establishment of blood supply. But this leaves the area with laxity of skin. So the second stage involves the perireola donut mastopexy, where the skin laxity is improved.
In selected patients, a pull-through technique of surgical procedure is done, which is minimally invasive. Here a very tiny incision of just about 5 mm is made near the edge of the aureole and liposuction is done. Following this, the glandular tissue is pulled through the incisions.
Surgeons will be able to decide on the best surgical procedure depending on the severity of the condition. The cost of the surgery again depends on the amount of glandular tissue to be removed as well as the type of surgery opted for and whether liposuction is included. It can vary anywhere between £ 2000 to £ 5500. The surgery falls under the cosmetic surgery category. Financial aid is offered by many surgeries now in the UK with the “Buy Now, Pay Later” Scheme. And the cost of the surgery can be spread over a 9, 10 or 12 month time frame.