Gynecomastia in Seoul – Can medications, including blood pressure drugs, cause gynecomastia? | Lesarts Plastic Surgery
Patient Registration Info
| Age | Weight | Height | BMI |
|---|---|---|---|
|
30s |
84kg |
180cm |
26 |
Surgical site
gynecomastia
2-A
The causes of gynecomastia are diverse —
it can occur due to hormonal changes during adolescence or menopause,
endocrine disorders, or as a side effect of certain medications.
Among the well-known causes is hair loss medication,
but drugs such as spironolactone,
a common treatment for high blood pressure,
can also potentially contribute.
For this reason, if you experience symptoms of gynecomastia,
it is essential to inform your doctor
about any medications you are currently taking.
These medications can suppress male hormones
while enhancing female hormone activity,
which may stimulate breast gland tissue growth,
leading to true gynecomastia.
The patient featured in today’s case had been
taking antihypertensive medication,
so a thorough preoperative evaluation was conducted.
Although the specific drug was determined
not to be the direct cause,
the surgery and treatment plan
were carefully tailored to the patient’s overall health condition,
ensuring a safe and effective gynecomastia correction.
This patient, a 30s office worker,
had experienced chest enlargement and nipple protrusion
since his teenage years.
Despite maintaining a stable body weight
and engaging in regular exercise to manage his physique,
there was no significant change in chest size,
and the protruding appearance persisted over time.
He also reported feeling firm lumps beneath the nipples,
which caused considerable discomfort in daily life.
To identify the exact cause of his gynecomastia symptoms
and explore the possibility of surgical correction,
the patient visited Lesarts Plastic Surgery
for a detailed consultation and evaluation.
In this case, the patient showed
a visibly enlarged chest contour,
with significant nipple protrusion
even upon visual inspection.
During palpation, a tender palpable mass
was identified in the chest area.
In addition, excess fat accumulation
was noted in the lower and lateral chest,
which contributed to the enlarged appearance.
To determine the exact cause
of the chest enlargement,
a gynecomastia ultrasound scan
was conducted. Results confirmed
glandular tissue hypertrophy
on both sides of the chest.
Based on a comprehensive evaluation,
the patient was diagnosed with
Simon Grade 2A true gynecomastia,
and surgical treatment was recommended.
The patient, in his 30s, is a working professional
with a history of hypertension,
so we ensured detailed preoperative planning,
including medication review,
blood pressure control, and bleeding prevention.
1.Gland Removal
Through a minimal periareolar incision,
we remove the glandular tissue causing
chest enlargement and correct
the nipple protrusion.
2.Liposuction: Lower & Lateral Chest
To refine the chest contour,
liposuction is performed on the
lower and lateral chest areas,
which helps smooth the shape
after gland removal.
3.Adhesion and Depression Prevention
To prevent postoperative complications
such as nipple depression or skin adhesion,
deep tissue layers are precisely repositioned
and treated with anti-adhesion measures.
Our goal is to achieve
a natural and stable chest contour.
Now, let’s take a closer look at
how much the patient’s initial discomfort
has improved two months after surgery.
Before the gynecomastia surgery,
the patient showed a noticeable protrusion
in the chest area, with a distinct bulge
around the nipple region.
Because the patient had a naturally
slim upper body, the enlarged chest
and nipple projection were more prominent.
Two months after surgery, the chest appears
flatter and more balanced,
with the previously enlarged breast volume
and nipple protrusion neatly corrected.
There is no awkwardness in the upper body,
and the chest contour now appears natural
and appropriate for the patient’s frame.
This clear before-and-after difference confirms
that a combination of gland removal,
chest liposuction, and tissue repositioning
was effectively executed in this case.
Photos of the patient wearing a white T-shirt
clearly highlight the before-and-after changes
achieved through gynecomastia surgery.
Before surgery, the T-shirt fit appeared awkward
due to excess chest volume and
nipple protrusion, which drew unwanted attention.
However, two months post-surgery, the chest
has a noticeably flatter and firmer appearance,
and the unnatural T-shirt lines
seen before have been eliminated.
The once prominent nipple area
has been smoothed, creating a natural contour
with no visible signs of discomfort or distortion.
The patient expressed high satisfaction
not only with the cosmetic improvement
but also with the resolution of
tightness, discomfort, and chest heaviness.
Because of his underlying hypertension,
careful planning and monitoring were essential
throughout surgery and recovery,
all managed under close supervision by the Lesarts team.
The operation was completed safely,
and the patient is now back to daily life
without major issues or complications.
More than just an external change,
this procedure helped the patient feel
relieved from long-standing discomfort
and self-consciousness in public.
True gynecomastia caused by glandular hypertrophy
cannot be fully resolved through exercise
or weight loss alone—surgical treatment
with proper diagnosis is crucial.
With the right medical approach that
takes overall health into account,
as in this case, gynecomastia surgery
can deliver safe and meaningful results.
If you’ve been considering treatment for gynecomastia,
we recommend starting with a consultation
to discuss a personalized plan for recovery.
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