Gynecomastia Marbella Madrid

The causes of gynecomastia can be numerous. The most common is the idiopathic form, i.e. there is no clear and unique medical cause to be found. More often the causes are endocrinologic disorders, massive weight change, abuse of diverse addictive substances, medical drugs, anabolic etc. Less likely is the presence of certain hormone producing tumors (testicles). In case of doubt, this form of gynecomastia should be evaluated by sonography and its cause addressed by related specialities like endocrinologists. 

Excision of the glandular tissue beneath the nipple is the most common treatment. The scar is semicircular in the hyper pigmented area of the areola and virtually invisible.

Liposuction is often an additional measure in order to achieve a harmonic and symmetric chest contour. Further improvement is often advantageous as skin shrinkage occurs during the following weeks and months after the intervention. In case of pseudogynecomastia, a liposuction through a stab incision of 2 mm may be sufficient.

Periareolar mastopexy or periareolar breast uplift
May be necessary in more advanced forms of gynecomastia, where the skin is not likely to retract post-operatively. In this case a circle of skin will be excised around the newly formed nipple. The nipple itself will be adjusted to its naturally oval shape and reduced in size. In this case, the scars are exactly between the hyperpigmented ring of the areola (red) and normal skin, hence barely noticeable.