Gynecomastia and Adipomastia

Gynecomastia, a little-known pathology requiring specialist consultation…

Gynecomastia: Dr Smarrito has been treating a problem specific to men for many years, which is breast enlargement… 

Some definitions about gynecomastia:

   “Adipomastia” in the case of excess fat or “gynecomastia” in the case of glandular excess or even glandular excess associated with excess fat.

First of all, it is a question of taking stock of excess breasts in men or young men. Indeed, the therapeutic assessment (especially hormonal) and diagnostic differs depending on age.

Check for breast enlargement:

   Indeed, hypertrophy of the mammary gland is enough common and benign in adolescents. In this context, it is rather necessary to carry out a hormonal assessment. We will prescribe it to you at the office in partnership with your family doctor or even an ultrasound check.

This examination of the area is often associated with a check of the radiological testicular area.

So, the whole purpose of this medical consultation is not to miss a cause. For example, taking medication or a breast tumor or a testicular tumor in a young child.

Finally, the hormonal assessment can also make it possible to detect and treat hormonal disturbances in young children.

Check for breast enlargement:

             In most cases, it is not necessary to operate during adolescence unless the social and indirectly psychological context of the child is disrupted.

In this context, with the agreement of the various doctors involved in the file, the gynecomastia treatment is carried out. Moreover, it is generally extremely beneficial both in terms of the aesthetic aspect and the psychological comfort of the young child. With age, if this aspect has not regressed, it will not regress, we then speak of fixed gynecomastia.

It is sometimes possible to vary the fat but again given its very fibrous appearance, fat accumulated in the breast is extremely hard to remove. Finally, it is in this context that Dr. Smarrito after the initial diagnosis and the initial consultation will be able to perform liposuction or an cryoliposuction. In summary, breast liposuction allows fat to be removed while completely solving the problem of adipomastia (fatty breast).

Surgical technique for gynecomastia:

This then involves making a micro-incision allowing liposuction of the area. Note that convalescence is marked by little pain but on the other hand bruising which is quite present for 15 days to 3 weeks.

Furthermore, if a glans is present, a barely visible scar in contact with the areola will be carried out in order to remove this gland which will itself be sent to histological analysis to be able to diagnose a breast cyst or tumor.

Le unilateral side on the other hand is quite suggestive of a doubtful lesion and it is then necessary to consult the doctor very quickly to carry out a hormonal radiological assessment and extract the tissue for rapid analysis.

Gynecomastia scars are generally discreet, in fact the liposuction cannulas are very thin. We place these scars so that they are as little visible as possible.

Should skin be removed when treating gynecomastia:

With a experience of more than 20 years on the subject, it is quite rare to have to redrape the skin.

At the beginning of my experience, when I was Head in a pediatric aesthetic hospital, we tended to make scars in circles around the areola and the vascularization was then quite precarious with the risk of losing the nipple.

In the end, with my experience I realized that we could achieve very important liposuction, on average 0.4 liters sometimes up to 1 liter, with skin which rather than relaxing, tightens.

In some cases, it will be necessary to do a secondary skin lift at the cost of scarring but this is really no longer the rule at present.

Therefore, you can come for a consultation on this subject with Dr. Smarrito either directly for an opinion, or through your family doctor after hormonal and radiological assessment.