Appropriate for
Men with breast enlargement
Gynecomastia and Male Breast Correction
Gynecomastia is a condition that affects men exclusively, caused by the abnormal presence of glandular or fatty tissue in the male chest. This alters the appearance of the torso, giving it a more feminine shape and often leading to significant physical and psychological discomfort. At Image Regenerative Clinic in Milan, we address this condition with an advanced, discreet surgical approach. Gynecomastia surgery removes excess tissue using minimally invasive techniques, reshaping the chest and restoring a firm, natural-looking contour. In recent years, more and more men have chosen to correct male breast enlargement to boost self-confidence and regain a sense of well-being—not only aesthetically, but also in their personal and social lives.
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Treatment Overview
Age
18 years and up
Procedure Details
60-90 minutes
Sessions and frequency
Single session
Precautions
Possible suspension of certain medications in agreement with the surgeon, avoid smoking for 2 weeks.
Plan Your Treatment
Select your preferred time and date
"The psychological benefit for young boys affected by gynecomastia is often moving. For this reason, I recommend not waiting too long, especially if the procedure is simple and can be completed with a single liposuction. The need to surgically remove excess glandular tissue can be evaluated later, especially after puberty."
Prof. Carlo Tremolada
About the Treatment
Causes of Gynecomastia
Gynecomastia can be classified based on the triggering cause:
- Pubertal gynecomastia: a physiological phenomenon occurring during adolescence (12-17 years) due to intense hormonal activity. Often naturally regresses within two years of puberty.
- Congenital gynecomastia: due to hormonal imbalances of genetic or familial origin
- Induced gynecomastia: linked to the use of medications or substances that interfere with hormonal function, common among bodybuilders.
Types of Gynecomastia
Diagnosis distinguishes three main types:
- True gynecomastia: caused by increased glandular component.
- Pseudo-gynecomastia: associated with accumulation of adipose tissue in the breast area.
- Mixed gynecomastia: a combination of both, the most frequent form.
Today, gynecomastia is increasingly common, particularly the false form, associated with overweight and metabolic disorders. This trend is expected to grow in industrialized countries.
Treatment and Surgical Intervention
Gynecomastia correction varies based on the severity and cause of the condition. Treatment may include:
- Liposuction: used to reduce adipose tissue and promote skin retraction. This technique, widely applied in adults, reduces the risk of post-operative complications.
- Glandular tissue removal: in cases of true gynecomastia, a periareolar incision is made to remove excess tissue and achieve a more defined chest.
At our clinic, we combine cutting-edge techniques with a personalized approach to ensure natural and harmonious results.
The Psychological Impact: Understanding Male Distress
Gynecomastia goes beyond physical appearance, creating profound psychological repercussions that many men struggle to express. Embarrassment wearing tight shirts, avoiding situations requiring shirt removal (gym, pool, beach), and anxiety in intimate relationships are common experiences. Adolescents are particularly vulnerable, often developing social isolation behaviors and "protective" postures (crossed arms, loose shirts) that become permanent habits. Recognizing these aspects is fundamental: this isn't about vanity, but legitimate distress deserving qualified medical attention.
Intervention Timing: Adolescents vs Adults
Age significantly influences therapeutic approach. In adolescents (12-18 years), pubertal gynecomastia has a 75% probability of spontaneous resolution within 2 years. We recommend observation and psychological support, intervening surgically only in severe cases with grave psychosocial impact. After 18 years, spontaneous regression becomes improbable (less than 5% of cases), making surgery the only definitive solution. For adults, there's no age limit: seventy-year-old patients can benefit as much as thirty-year-olds, provided they're in good general health.
Differential Diagnosis: True Gynecomastia vs Pseudogynecomastia
This distinction is crucial for choosing appropriate treatment. True gynecomastia: presence of mammary glandular tissue, felt as firm nodule behind areola, often tender to pressure. Pseudogynecomastia: only fatty accumulation, soft tissue, non-tender. Mixed form (most common): combination of both. Diagnosis is based on clinical examination, breast ultrasound and, if necessary, hormonal tests. Each type requires specific surgical technique: pseudogynecomastia responds to liposuction, true gynecomastia requires glandular excision, mixed form needs combined approach.
Specific Surgical Techniques by Type
Liposuction: for pseudogynecomastia or fatty component. 3-4mm incisions, optimal results in elastic tissues. Periareolar excision: for true gynecomastia. Incision along lower areolar border, practically invisible. Combined technique: most frequent, combines liposuction for fat and excision for gland. Skin reduction: in severe cases with skin excess, may require additional incisions. Choice depends on volume, skin quality, and patient expectations.
Complication Management and Prevention
Complications are rare but possible: hematoma (2-3%), infection (1%), temporary asymmetry (5-10%), sensitivity alterations (transient in 15% of cases). Prevention begins with accurate pre-operative evaluation, identifying risk factors like coagulation disorders or specific medication use. Post-operative drainage reduces hematoma risk, while prophylactic antibiotics prevent infections. Adherence to post-operative instructions (compression garment, activity limitation) is crucial for optimal results.
Understanding the Recovery Timeline
Recovery follows predictable phases that patients should understand. Week 1: Moderate discomfort managed with oral pain medication, compression garment worn continuously. Week 2-4: Gradual return to normal activities, light exercise permitted. Month 2-3: Swelling significantly reduces, results become apparent. Month 6: Final results visible with complete tissue settling. Most patients return to desk work within 3-5 days, gym activities after 4-6 weeks. The compression garment, while initially uncomfortable, is essential for optimal healing and should be worn as directed.
Realistic Expectations and Long-Term Results
Results are permanent provided stable weight is maintained and triggering causes avoided (steroids, specific medications). Improvement is immediately visible but final result is appreciated after 3-6 months when swelling and fibrosis completely resolve. Expect a natural masculine chest, not "sculpted": the goal is eliminating feminization, not creating a bodybuilder physique. Satisfaction is extremely high: over 95% of patients would repeat the procedure, with significant improvements in quality of life and self-esteem.
Hormone Evaluation: When Testing is Necessary
Not all gynecomastia requires extensive hormonal workup, but certain indicators warrant investigation. Testing recommended for: rapid onset, very large volume, associated symptoms (decreased libido, erectile dysfunction), young age (<14 or >25), or asymmetric presentation. Common findings: testosterone deficiency, elevated estrogen, thyroid disorders, or medication effects. Treatment implications: some hormonal causes can be corrected medically, potentially avoiding surgery or improving surgical outcomes.
Why Choose Image for Gynecomastia
Psychologically Aware Approach: Understanding of emotional impact and discrete support throughout the journey.
Precise Diagnosis: Accurate distinction between types to choose optimal surgical technique.
Multiple Techniques: From simple liposuction to combined approaches for every severity grade.
Natural Results: Goal of harmonic chest masculinization, not artificial appearance.
Privacy and Discretion: Reserved environment respecting male sensitivity regarding this topic.
Comprehensive Care: From initial evaluation through long-term follow-up with attention to both physical and psychological well-being.
Plan Your Treatment
Select your preferred time and date
Frequently Asked Questions
What is gynecomastia and why correct it?
Gynecomastia is the abnormal enlargement of male breasts, often associated with psychological discomfort and social difficulties. Correcting it means regaining self-confidence and physical harmony by improving chest definition and overall well-being.
What benefits are obtained by correcting gynecomastia?
Improvement in chest aesthetics. Increased self-esteem and self-confidence. Improvement in social and relational quality of life.
Will there be visible scars?
Scars are minimal and strategically positioned, often around the areola, to be almost invisible once healed.
What's the difference between true and false gynecomastia?
True gynecomastia is caused by an increase in glandular tissue, while pseudo-gynecomastia, or false gynecomastia, is related to fat accumulation in the breast area.
How long does it take to see results after the procedure?
Results are visible immediately after the procedure, but the chest will reach its final appearance after 4-6 weeks, when swelling has completely subsided.
Want More Info?
If you need more information feel free to give us a call: +39 02 76280736, or contact us using the form below.
