Gynaecomastia surgery

Gynaecomastia refers to breast enlargement in men. It may be due to excess breast gland, excess fat, or most often both. Common in adolescence, it often disappears on its own; when it persists into adulthood, it can be very troublesome in daily life: clothes, sport, the beach, how others look at you. Before any surgery, a cause is looked for: certain medicines, anabolic steroids, a hormonal imbalance or an illness may be involved. A clinical examination, sometimes hormonal blood tests and an ultrasound scan, help to clarify the situation. If a cause is found, it is treated first. Depending on the case, the procedure combines liposuction to remove the fat and removal of the gland through a small incision at the lower edge of the areola. When the skin is very stretched, for example after significant weight loss, skin removal may be needed, with longer scars. The choice of technique is explained in consultation. At Clinique Pasteur Tunis, gynaecomastia surgery is performed by a plastic surgeon, most often as a day case or with one night in hospital, with follow-up until healing.