In men's breasts the hormone changes at puberty and medicines containing hormonal elements can lead to enlargement of the breast gland. This may be felt as a lump or swelling.
As a consequence, not just the breast gland, but the surrounding fat tissue can grow significantly, and the breast may become like a woman's breast in size and in shape. In simple cases we can excise the excess tissue, which is 1-2cm in diameter, from an incision around the nipple; this is often combined with liposuction.
After liposuction, the patient should wear a special vest for 4-5 weeks to improve the smooth retraction of the expanded skin. In certain cases liposuction solely can be effective. Before any surgery it is useful to do a pin-biopsy, where a sample is taken from the tissue by a thin pin.
Surgery is performed under general anaesthesia, followed by one night's observation. Stitches are taken out on the 7th - 10th day.