Gynecomastia Surgeryin Seoul

Gynecomastia (male breast enlargement) has three tissue patterns. In the glandular type, a rubbery disc of breast tissue sits under the nipple and areola. In the fatty type, sometimes called pseudogynecomastia, the fullness is fat alone. The mixed type has both. Surgeons have proposed several grading systems for size, sagging, tissue type and excess skin, yet a 2017 review found that none of them covers every point a surgical plan needs (Waltho, 2017), so the examination of your own chest carries more weight than a label.

The cause matters before any operation. Puberty, hormone shifts, some prescription drugs, anabolic steroids and weight change can all enlarge male breast tissue. Pubertal gynecomastia can settle or be managed with medication (Fagerlund, 2015), and a new lump on one side needs a medical check before anyone talks about surgery.

The items listed under waiting are reasons to hold off for now. Most come down to timing: if the cause is still active, tissue can return after it is removed.

The operation works on two kinds of tissue with two different tools. Soft fat across the chest and toward the armpit can be suctioned out through small openings with a cannula, the method used in liposuction. Glandular tissue is dense and fibrous, and a cannula tends to slide over it, so a firm disc under the nipple is cut out through a short incision, in published approaches placed at the edge of the areola.

A systematic review of gynecomastia treatment found that removing the gland and adding liposuction gave the most consistent results with low complication rates (Fagerlund, 2015). A later review of liposuction-assisted surgery through a minimal incision at the areola reported steady gains in quality of life, while noting that the studies behind it were of low quality (Prasetyono, 2021). Across 53 studies of surgical approaches, results were mostly good, and the authors suggested minimally invasive techniques as one way to keep complications down (Prasetyono, 2022).

How much fat and how much gland your chest holds decides the mix used. Dr. Jongkeun Song, a Korean board-certified plastic surgeon, examines the chest by touch and performs the surgery.

The clinic's price list gives gynecomastia surgery as one fee for the operation. The figures on the cards leave out VAT; Korea's 10% VAT is added when you pay, and the second line on each card shows that total.

Anesthesia lines are printed separately on the price list. IV sedation is the method the clinic lists for this surgery, and local anesthesia appears as its own add-on. What the surgery fee covers, such as the compression garment and follow-up checks, is not spelled out on the price list, so ask for each item to be named in your written quote before you book.

Chest surgery in men carries the risks of any operation that removes tissue under the skin:

• Hematoma, a collection of blood under the skin that may need draining.
• Seroma, a pocket of fluid that can form as the area heals.
• Contour irregularity or a difference between the two sides.
• A dip or a crater-like look under the nipple if too much tissue is removed, or leftover fullness if too little is.
• Numbness or changed feeling in the nipple and the chest skin, which may last for months.
• Visible scars where incisions were made, and loose skin in large or sagging chests.
• Infection, delayed wound healing, and side effects of IV sedation.

Repeat surgery is uncommon in pooled series, at about 1% overall; leftover tissue (under-correction) is the main reason, and over the long term the fatty type returns more than the glandular type. The clinic notes that results last long term while the chance of recurrence differs from person to person.

Message the clinic straight away if one side swells quickly or turns tense and painful, you develop a fever, or a wound starts to leak.