In the case of true gynaecomastia, in addition to the enlarged volume, the patient complains of a feeling of tension and pain in the breast.
Gynaecomastia typically develops during puberty and is due to an enlargement of the mammary gland, which is also present in men. Hormonal disorders can also be the cause of gynaecomastia. In most cases, however, the exact cause cannot be clearly determined.
Lipomastia can also be the result of obesity. The breast grows because the subcutaneous fatty tissue around the nipple and on the pectoral muscle increases. In most cases, lipomastia can be positively influenced by exercise, strength training and a change in diet.
If you notice a growth in your own breasts, you should always consult an internal medicine specialist. You will be asked about any medication you are taking and any known liver diseases. A detailed examination of the breasts and testicles may also be part of the examination, as well as a blood test to determine the hormone status and liver values. An ultrasound examination and a mammogram may also be necessary for the diagnosis.
The operation
In the case of gynaecomastia, the breasts can be reduced in size and the appearance optimised through targeted surgery. Depending on the cause, surgical correction involves the surgical removal of the mammary gland or the reduction of the fat layer. In more pronounced cases, a skin tightening procedure must be performed. The result is usually permanent. The mammary glands very rarely enlarge again.
Aftercare
It is recommended to wear a compression garment for around four weeks. Depending on your occupation, you may be unable to work for up to four weeks. Light physical activities can be resumed relatively quickly, within days. Sport should normally only be resumed after four weeks.
