In some boys during adolescence, breasts develop to a notable size. This can cause psychological problems and causes the boys to the embarrassed to remove their clothes in front of others, like in the locker rooms or in the swimming pools. But, the breasts become normal and almost flat in most of these boys, in two or three years from the time they had developed the breasts. In a few persons the enlarged breasts persist, requiring surgical correction. On rare occasions, breasts could develop in adult males also, and sometimes it could be associated with hormonal problems.

SURGICAL PROCEDURE:

In smaller gynaecomastia the surgery could be performed under local anaesthesia without any hospital stay. But most of the patients require general anaesthesia and 1 day stay in the hospital. To do both sides it takes 2 hours (longer if the breast are to be tightened at the same time).

An incision (cut) is made at the margin of the lower areola (the dark skin that surrounds the nipple). The skin and the areola are lifted up and the breast tissue with surrounding fat is removed. A suction drain is placed before suturing the wounds.

For large gynaecomastia, either liposuction with excision in done. Through a small stab incision in side of the chest, a cannula is introduced and the fatty component of the breast is suctioned out. This reduces the size considerably. If the glandular component is still present then it is excised through a separate incision made at the margin of the lower areola (the dark skin that surrounds the nipple). This procedure has reduced the need for skin resection and tightening even in large gynaecomastia.