Gynecomastia usually involves hypertrophy of the fat and mass gland in men and occurs during puberty.
98% of the cases do not imply a hormonal disorder, but are the result of a hormonal failure during puberty when the sexes begin to hormonally differentiate and form secondary gender characters.
The best is when the problem first appears be checked by the endocrinologist to rule out any hormonal problem. Many times boys who have this problem, in an attempt to camouflage it, are allowed to get fat so that the swelling of the breasts appears to be a result of the fat, but this will add an extra looseness to the skin in the event of weight loss.
The correction is surgical. Depending on the percentage of fat or mass gland in the breast, either liposuction or removal of the mass gland is recommended. In most cases, a semicircular incision is made in the lower half of the nipple and after the nipple is raised like a flap to the right thickness, the rest of the mass gland is removed.
In cases where there is also a lot of skin loosening, then a circular incision is made around the nipple and at the same time the breast is tightened.
Sedation is usually local or combined with intoxication and hospitalisation is from a few hours to a maximum of one day. The bandage is a special pressure bandage, it is not visible through the clothes and remains on the chest for 10 days, after which the stitches are removed.
The chest will take its final shape in 4 to 6 months when the swelling has completely subsided. The scars in most cases disappear almost completely and since most men have chest hair, they can appear after six months without fear of someone spotting traces of the surgery.