Gynecomastia, is breast enlargement that can be seen in men at any age. This situation is resulting of hormonal changes, inheritance, obesity or use of certain drugs.

Gynecomastia can be cause problems with self-confidence and mental deterioration.Some men to hide this case avoide from the special relationship of physical activity.

Gynecomastia,

• Localized fat gain,
• Increase in breast tissue,
• In some cases, is characterized excess in breast skin.

Breast size is reduced and provide properly the anterior chest wall with gynecomastia surgery. In severe cases of gynecomastia, the weight of excess breast tissue in the breasts can cause to sag and the areola stress (the dark area around the nipple). In these patients, may be necessary with surgical correction of the position and size of the areola and toreduce the excess skin.

• If you're uncomfortable with your breast size,
• If you are healthy and do not have any health problems preventing wound healing,
• If you do not smoke,
• If you have not excess weight,
• If your breast development has stabilized,
• If you have realistic expectations,
• If you have a positive outlook and if you want an improvement in your view You can be an appropriate candidate.

To decision for aesthetic surgery is very personal. Therefore, necessarily must be understood and accepted in a good way benefits and risks before the operation.

Gynecomastia surgery involves the following risks;

• Bleeding 
• Infections
• Nerves, blood vessels, blood, or damage to internal organs, such as the deep structure
• Accumulation of fluid under the skin
• Breast asymmetry
• Irregular shape of the breast
• Sensation changes of breast or nipple
• Die of fat tissue in the breast (fat necrosis)
• Unwanted marks
• Blood clots, deep vein thrombosis (DVT) and pulmonary embolism
• Risks related to anesthesia
• Need for repeat surgery

In the first meeting with your doctor, you must specify explicitly what you expect from the operation and after the operation how you want to look like. Share your wishes and expectations with your doctor.

To decision for aesthetic surgery is very personal. Therefore, necessarily must be understood and accepted in a good way benefits and risks before the operation.

Your doctor will want to know before the operation, your existing illness, allergies, your medicines. If you smoke will be wanted to leave for a certain period before the operation.Aspirin and some analgesics who increase bleeding will cut by your doctor.

Surgery can do under general anesthesia or sedation anesthesia. Patients can usually go home the same day, but in some cases may be asked to stay in the hospital overnight from patients.

• Liposuction Technique:

Gynecomastia in patients mainly caused by excess adipose tissue in the breast liposuction technique is used alone.  

A thin cannula is inserted subcutaneously through small incisions. With controlled reciprocal movement the fatty tissue is freed and then removed with vacuo from the body.From the different liposuction techniques most appropriate is selected for the patient. 

• Excision Technique:

Excision techniques, recommende for to correct the gynecomastia in glandular breast tissue or for take more skin. Excision technique at the same time use for teat will be reduce or position of the nipple will change.

Incision forms can changes may vary depending on the surgeon's preference, the patient or or the degree of gynecomastia.

• Combination of Excision and Liposuction Technique:

Some cases can be treated in combination.

After the operation; to support and reduce swelling in the breast have require corset.

Under the skin for to prevent the collection of blood and excess liquid, temporarily can be inserted a small resistance. Gynecomastia surgery in most cases the results are permanent.

But if gynecomastia is resulting of the overweight or use of some drug, after the operation to need avoid them for protecte positive results.