Surgery for gynecomastia (large breasts in men)


Today we can say with confidence that the expression “a man should be a little more handsome than a monkey” is shamelessly outdated. A modern man not only wants, but also strives to be attractive. The range of services in the field of beauty and aesthetic surgery has expanded significantly due to the fact that now not only women, but also men regularly turn to specialists in these areas in an effort to look better and younger.

There is nothing reprehensible in this. Any person – and in many languages ​​the words “man” and “man” sound the same! - has the right to be attractive. If previously only women resorted to hair coloring, nail services, cosmetic procedures and aesthetic surgery, then the realities of our time require men to take no less care of themselves. The conversation is not about those sugary boys who need their appearance only to seduce potential partners, but about quite respectable men for whom unkemptness can cost their position in society and significantly affect their business.

In fact, is it really pleasant to do business with a person who has hair growing out of his nose and centuries-old dirt accumulated under his nails? This appearance speaks only of one thing - this type does not even have a general idea of ​​neatness, or does not have enough time for even basic self-care. How much work will such a “handsome guy” produce? Can he be trusted with something serious? The answer suggests itself...

Even in the wild, the appearance of a male indicates his competitiveness. The best results are achieved only by those males whose appearance speaks of their health, strength and confidence. All these concepts harmoniously add up to two simple words - male beauty.

Plastic surgery for men: build yourself

It is clear that in the understanding of most, the true beauty of a man lies in his physical form. That's why gyms around the world are filled with men of all ages who desperately want to achieve a beautiful, strong body. However, in reality, beauty and strength are far from the same thing. Sometimes a very strong muscle does not look attractive.

Unfortunately, individual physiology does not always allow one to develop aesthetically attractive muscles through long and grueling training. The most “insidious” in this sense are the muscles of the calves and chest. Sometimes a person spends long hours trying to pump up these muscles, but they are still not defined enough despite their overall strength and endurance. Often, in order to enlarge a man's breasts, more radical measures are required, for example, pectoral implants. The fact is that breast enlargement in men depends on many factors, such as training regimen, lifestyle, diet, and, of course, congenital characteristics. Sometimes even the notorious “cubes” on the torso are much easier to pump up than to stimulate breast enlargement. Reviews suggest that there are several basic techniques to achieve good results.

How to treat gynecomastia?

In treatment, it is fundamental to find out what became the root cause of the pathology. Gynecomastia occurs both at a young age (including adolescents) and in adulthood and old age. If female breast enlargement occurs as a result of endocrine disorders, then, first of all, you need to undergo examination by an endocrinologist, who will prescribe effective treatment tactics. In some cases, drug therapy can give a positive result, and after a few months the patient will notice favorable dynamics.

In most cases, the aesthetic side of the issue is dealt with by a plastic surgeon. The Pirogov Clinic has specialists in all popular medical fields, so we approach the issue of solving the problem of gynecomastia in men in a comprehensive manner with concern for health and beauty.

A little breast anatomy in men

The chest muscles consist of 3 groups of 2 muscles. However, the main muscles responsible for breast enlargement in men are the pectoralis major and minor muscles.

  • Pectoralis major muscle

It is located on the front of the chest and is attached in a fan-shaped manner to the bones of the center of the chest and on the shoulder. This muscle provides flexion.

  • Pectoralis minor muscle

This muscle is located directly under the pectoralis major and stretches from the middle of the chest to the shoulder blade. It allows the shoulder to move forward.

Like any other large muscles, the pectoral muscles are composed of bundles located at different angles. The pectoralis major muscle is divided into 3 bundles (heads), which are attached to the skeleton:

  • clavicular (upper);
  • sternal (middle);
  • abdominal (lower).

In order to enlarge a man’s breasts, it is necessary to systematically develop all the bundles, training them in different directions. Let's look at what methods are used in bodybuilding to develop chest muscles.

exercises for breast enlargement in men

  • Barbell

Most often, barbell exercises are used for maximum load, which allows you to develop muscles and build muscle mass. It is better to lift the barbell at the very beginning of the workout, immediately after warming up, because later such a large weight will be debilitating.

The best results are achieved by exercises performed with a medium grip – i.e. slightly wider than shoulder width, keeping your arms perpendicular to the floor as you lower the barbell toward your chest. Elbows should not be fully straightened.

  • Dumbbells

Exercises with dumbbells allow you to alternately load the muscles, forcing them to work interdependently. These are very affordable workouts that you can do even at home. There are detailed exercise courses designed specifically for working with dumbbells.

When working out with dumbbells, you can imitate a barbell press by lowering your arms to your chest and not straightening your elbows. The main thing is not to touch the dumbbells, keep your arms parallel. The best load is provided by a distance between the hands of 15–20 cm.

  • Butterfly trainer

A very popular exercise machine that even women use to enlarge their breasts. A man, of course, will need more intense loads.

The main condition is to straighten the shoulder girdle and open the chest wide. This will allow you to increase the load in the right areas, avoiding “pumping” the shoulder muscles. It is necessary to linger at the point of contact, intensely squeezing the muscles.

  • Crossover on blocks

Also a good method for developing the pectoral muscles. Putting one leg forward, you need to spread your arms wide and bring them in an arched manner to your belt. This exercise develops the lower and inner parts of the chest well.

  • Push ups

A very simple exercise that has long been used for the comprehensive development of the torso muscles and the main exercise for breast enlargement. Push-ups allow you to strengthen not only the shoulder girdle and chest, but also the muscles of the arms, back and abs.

To develop your chest, it’s good to do push-ups from the floor at the end of your workout, with your hands at medium width.

  • Dips

Typically, parallel bars are used to develop the triceps, but with a little modification they can also be used to train the pectoral muscles.

The best combination is with your hands shoulder-width apart, and when going down, you need to lean forward and spread your elbows. The main thing is to monitor which muscles contract when performing this exercise.

  • Pullover

Another great exercise for breast enlargement, which develops the pectoralis minor muscle. It is performed with both dumbbells and a barbell.

The pullover can be performed both on a longitudinal and transverse bench. Hands with a barbell or dumbbells are placed behind your head on bent elbows. The arms rise upward as you inhale, and the reverse movement as you exhale.

  • Training plan

It is better to conduct classes a couple of times a week, taking breaks of at least 4 days. This regimen will allow the muscles to recover, which ensures the best results. It is optimal to perform 2 sets of 10-15 repetitions (superset), and then move on to the next exercise with a light load.

Progress of the operation

The method of performing plastic surgery to correct the nipples is chosen by the plastic surgeon during the patient’s initial consultation. Here the doctor takes into account information about whether the woman plans to breastfeed in the future or not, since during breast surgery there is a high risk of damage to the milk ducts.

Surgical correction of an inverted nipple can be performed in 2 ways:

  • With preservation of the integrity of the milk ducts. During surgery, the plastic surgeon uses special equipment (microscope), which allows you to correct the inverted nipple by removing connective tissue without damaging the milk ducts. In the process of surgical correction of the nipple-areolar complex, the surgeon makes a small skin incision within the areola, after which he excises the connective tissue (cords) that retracts the nipple. After this, a suture is placed on the wound, which remains almost invisible after correcting the shape of the nipples.
  • The second method is associated with a violation of the integrity of the milk ducts, so the plastic surgeon uses this method only for those women who do not plan to breastfeed their child after surgery. After administering local anesthesia, the doctor pulls out the nipple, which is cut in the middle with a scalpel from the beginning to the base (areola). The connective tissue is cut off from the nipple along with the milk ducts. To prevent relapse of the nipple, the surgeon additionally fixes the tissue by suturing. After the new shape of the nipple is formed, the doctor stitches the wound.

Breast areola reduction

- plastic surgery, no less popular among patients, which allows you to adjust the size of the pigmented part of the mammary gland. Areola plastic surgery can be performed as an independent operation, or in combination with other types of surgical breast correction: increasing the size of the mammary glands, bust lifting, etc.

Nipple plastic surgery
in men
is an operation that eliminates gynecomastia. During correction, a plastic surgeon removes excess connective and fatty tissue in the breast through liposuction, and corrects the mammary glands by tightening the skin (if there are indications for this).

Correction of the shape of the areola and nipple

- a complex operation, therefore it can be performed using either local anesthesia or intravenous anesthesia. The duration of the surgical intervention is 40 minutes - 1 hour.

What most often prevents you from gaining beautiful muscles?

85% of men seeking chest development mention several main reasons for their disappointment:

  • Training does not allow you to develop volumetric relief of the chest muscles;
  • The pectoralis major muscle has congenital weakness;
  • The chest muscles develop well, but do not have a beautiful volume;
  • The body is not genetically disposed towards prominent muscles;
  • The configuration of the chest does not allow the development of prominent muscles;
  • The muscles are asymmetrical;
  • Muscles are lost due to injury or surgery.

In such cases, unfortunately, neither intensive training nor athletic nutrition helps a man to enlarge his breasts - nothing. Breast augmentation in men is a complex process that requires an integrated approach. But sometimes breast enlargement (reviews tell us this) is impossible without resorting to plastic surgery. The best way out of this situation is pectoral implants.

How to save the results of an operation

It is recommended to reduce your male breast size only after you have reached a stable target weight. Continued weight loss can lead to disproportion and additional weight loss, and weight gain can cause breast enlargement again.

To maintain the results achieved through plastic surgery, you must maintain your weight. This can be done through a healthy lifestyle that includes a balanced diet and adequate exercise. In the case of gynecomastia, if the operation is performed correctly and the recommendations are followed, there is no return of an increase in the volume of glandular tissue.

The specialists of our Health and Wellness Complex “Healthy Sports” will help you keep in shape.

Plastic breast augmentation in men

In general, you should not be too upset because breast enlargement in men with the help of exercise does not go very smoothly. At almost any age, a man can have his breasts enlarged, no matter what his build is - plastic surgery for men can do this.

Most often, middle-aged men turn to surgeons for breast surgery. The operation can be performed no earlier than upon reaching the age of 18. In guys who are too young, muscle formation has not yet been completed, so pectoral implants may not be useful in the future. Adult men over 50 also undergo breast augmentation; reviews of such operations are very positive, as they allow them to visually rejuvenate the body, remove sagging skin, and tighten muscles.

Special breast muscle implants - pectoral implants - are selected individually, based on the constitutional characteristics of the patient and the shape of his chest. Breast augmentation for men is somewhat different from similar operations for women, but there are few fundamental differences.

It is necessary to understand that, like any other operation, breast augmentation has some contraindications. These include primarily diseases of the cardiovascular system, decreased blood clotting, low skin elasticity, hyperfunction of the thyroid gland, hypertension, diabetes, and tumor processes. It is not recommended to undergo pectoral augmentation surgery after injuries or surgical interventions on the lymph nodes in the axillary region, as well as if there is a tendency to form keloid scars.

The operation itself for breast augmentation in men is not too complicated and lengthy. As a rule, the operation lasts no more than two hours.

Through small incisions near the armpits, the pectoralis major and minor muscles are separated and pectoral implants (muscle implants) are placed into the resulting pocket and secured with special sutures. Such an implant does not move, does not interfere with movements, and does not disrupt the blood supply. After implantation, the incisions are sutured and secured with a tight bandage. In some cases, anesthetic drugs are introduced along with the implant to facilitate the initial postoperative period.

After the operation, the patient remains in the clinic for about a day, but if desired, can go home after 6-10 hours. You need to stay in bed for a couple of days. After the operation, you must sleep sitting for half a month and avoid sudden movements with your hands. After the initial examination on the third day, you must return for dressings for several days, and the stitches can be removed after a week. It is best if the patient wears compression garments for about a month after surgery.

How is surgery performed for gynecomastia or excess skin in the breast area?

If there is an excess of adipose tissue and elastic skin in the mammary gland area, it is possible to remove fat using liposuction. In this case, through a small puncture, adipose tissue is removed using a special device.

If there is significant stretching of the skin, or the amount of fat or glandular tissue is significant, as well as gynecomastia associated with an increase in the amount of glandular tissue, the operation is performed surgically. And it may require not only the removal of excess fat and glandular tissue, but also the removal of excess skin in the breast area.

After breast surgery for men

After pectoral augmentation surgery, you can go to work within a week, but if the work involves physical activity, then after 2-3 weeks. In general, exercise should be avoided for about 3 months until the body has fully recovered. It is also necessary to refrain from visiting a bathhouse or sauna.

At first, the patient may feel some discomfort and bloating in the chest. This is understandable - after all, the skin has not yet stretched to the required extent. These sensations usually go away after a few weeks.

Some complications such as numbness or hematomas are possible. These are temporary phenomena that disappear within a few weeks. A more serious complication may be an inflammatory process. In this case, the implant must be removed and treated with antibiotics. After inflammation, pectoral implants are reinstalled after six months. If the implant is displaced, the surgeon can correct its position.

A common side effect such as capsular contracture, which is often observed with breast augmentation in women, is extremely rare in men. The fact is that placing the implant under the pectoralis major muscle significantly reduces the risk of such a pathology.

Scars after surgery gradually lighten and after six months they become almost invisible, although initially stretching the skin can lead to a visual enlargement of the scar.

In principle, an operation such as breast augmentation in men (reviews allow us to judge this) is painless and without any consequences. However, it must be remembered that only a qualified surgeon can perform a high-quality operation.

Gynecomastia

Gynecomastia is a pathological condition characterized by enlargement of the mammary glands in men. However, sometimes there are cases of gynecomastia in women. This pathology brings aesthetic dissatisfaction to the patient, which affects his psychological state and interaction with society. Therefore, to correct this imperfection, you can turn to plastic surgeons who, in one operation, will help restore your breasts to their natural appearance.

However, physiological causes of gynecomastia should not be ruled out: if the pathology is associated with a hormonal disorder, then for treatment to be effective, you need to be examined by an endocrinologist.

TREATMENT OF GYNECOMASTIA AT THE PIROGOV CLINIC IS AN OPERATION IN THE BEST PLASTIC SURGERY CLINIC IN ST. PETERSBURG.

*according to the ratings of the portals “Doctor Peter” and “Fontanka.ru” in 2021. Read more.

Important: before breast surgery for men

When deciding to undergo surgery, the patient must speak frankly with the surgeon, informing him about chronic diseases, bad habits, lifestyle and taking any medications, dietary supplements or other drugs.

Anesthesia is selected individually, based on the physical characteristics of the patient - his weight, age, state of the cardiovascular system. As a rule, in order to enlarge a man's breasts, combined anesthesia is used, which does not put the patient into deep sleep, but simply relaxes him to the desired degree.

Don't be afraid of surgery. Breast enlargement in men is quite easy and almost painless. Surgical intervention helps achieve perfection, which is sometimes unattainable. Pectoral implants are completely safe and do not cause harm to health. Of course, it is necessary to follow a certain regime both before and after the operation. However, after some time you can return to the previous pace of life, go to the gym again, now without being embarrassed or complex about muscle defects.

How to prepare for gynecomastia surgery?

Plastic surgery requires preparation of the patient, because the intervention is performed under general anesthesia for the surgeon’s comfort and the patient’s peace of mind. In this regard, all patients undergo preoperative examination, which includes:

  • Blood test: clinical, biochemistry, coagulation parameters, blood group
  • Analysis of urine
  • Blood test for HIV, syphilis, hepatitis B and C
  • ECG
  • Ultrasound of the mammary glands (if necessary, ultrasound of the veins of the lower extremities)
  • X-rays of light
  • Consultation with a therapist and anesthesiologist

The patient enters the clinic based on the surgical plan, usually in the first half of the day. It is important to note that the last meal should take place no later than 12 hours before surgery. You can't eat in the morning, but you can drink some water.

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