The causes of gynecomastia can be the development of a massive gland, increased fat accumulation or a combination of both factors. This results in the breasts being visibly hypertrophied.
Gynecomastia usually occurs in adolescence. It affects more than 65% of adolescents and more than 40% of adults. In most cases, gynecomastia is idiopathic as no cause can be found.
Some factors that may cause it are: birth defects, syndromes caused by genes (e.g. Klinefelter's syndrome), the use of steroid drugs and antidepressants, obesity, chronic liver disease, genital dysfunction, hormonal disorders, and ageing.
Gynecomastia can also be treated with medication. This is done when it is due to hormonal and endocrinological causes. Drug treatment of gynecomastia should be done in collaboration with the endocrinologist specialist and involves the administration of drugs such as testosterone, clomiphene, danazole, tamoxifen.
Before the treatment of gynecomastia, an ultrasound examination of both breasts is performed in order to assess the composition of the breasts. The breasts may consist mainly of adipose tissue with a normal mass gland or there may be excess adipose tissue with an enlarged mass gland. The surgical treatment differs in these two cases.
In the case of excess adipose tissue with a normal mass gland, liposuction is practically carried out in the breast area. In our clinic we apply the minimally invasive liposuction under local anesthesia using a 1% xylocaine solution with adrenaline 1:200000. After a hole is opened in the submammary fold (which is then healed and invisible), local anesthesia is performed on the fatty and massive tissue and then the optical fiber of the laser is inserted which melts and liquefies the fat locally. During the second stage, a small cannula is inserted and sucks up the fat which is then expelled.