Gynecomastia in Gangnam: when is the right time to treat teenage gynecomastia?
Patient Registration Info
| Age | Weight | Height | BMI |
|---|---|---|---|
|
20s |
69kg |
168cm |
24 |
Surgical site
Surgical area: Gynecomastia | Grade 2-A
Recently, after the college entrance exam,
more male students
have been visiting clinics
for gynecomastia treatment.
Many students want
to resolve long-standing
appearance concerns
before starting university.
A common characteristic
of adolescent gynecomastia
is that breast enlargement
begins during puberty.
In many cases,
the condition does not
resolve naturally
over time.
The glandular development
triggered by hormonal
changes during puberty
may persist into adulthood.
As a result,
gynecomastia symptoms
often remain even
after becoming adults.
To adapt more confidently
to a new environment,
many patients hope
for early gynecomastia treatment.
When gynecomastia
is caused by
glandular tissue growth,
exercise or dieting
alone cannot
improve the condition.
Therefore, surgical removal
of the glandular tissue
is usually required
for effective treatment.
However, for patients
who are still minors,
immediate surgery
is not recommended.
Instead, a 6-month follow-up
observation period
is typically required
before determining treatment.
This case involves
a patient whose
adolescent gynecomastia
persisted into adulthood
and was treated
with surgery
in his 20s.
This patient first
developed gynecomastia symptoms
during adolescence,
and the condition
did not improve
after reaching adulthood.
Because the symptoms
persisted without improvement,
the patient visited the clinic
for gynecomastia treatment.
[Patient consultation – 20s, gynecomastia symptoms]
– First recognition of
gynecomastia during adolescence
– No reduction in
breast size
after initial enlargement
– Presence of a
palpable lump under the nipple
Based on the consultation,
the patient’s chest condition
was carefully evaluated.
There was a noticeable
increase in overall chest volume
along with enlargement
of the areola size.
During physical examination,
a firm glandular mass
was palpated beneath
the lower chest area.
In addition,
a mild case
of inverted nipple
was also identified.
Ultrasound examination
confirmed glandular tissue
hypertrophy in both sides
of the chest.
Based on these findings,
the patient was diagnosed
with gynecomastia
Simon Grade 2A.
[Mid-20s patient, true gynecomastia, Simon Grade 2A]
The gynecomastia surgery plan
for this patient
was performed
as follows.
1. Glandular tissue removal
Because glandular hypertrophy
was the primary cause
of the enlarged
male chest volume,
the glandular tissue
was removed
through a precise
periareolar incision.
2. Chest liposuction
In addition to
the glandular tissue,
excess chest fat
contributing to
the chest size
was removed through
lateral chest liposuction.
3. Adhesion prevention and tissue repositioning
After gland removal,
a potential empty space
may form beneath
the nipple area.
To prevent chest depression
and irregular contour
deformities,
anti-adhesion treatment
and tissue repositioning
were carefully performed
to stabilize the chest shape.
When comparing the
before and after results
of gynecomastia surgery,
the previously
protruding chest
caused by enlargement
has been corrected
into a firm
and well-defined chest contour.
Unlike theprevious condition,
which caused visible discomfort
in appearance, the chest now
settles into a flat
and natural shape.
In addition,
there are no signs
of depression
or irregular contour,
and the chest skin surface
appears smooth.
As a result,
the chest recovered
without visible signs
of surgery
or any
unnatural appearance.
After gynecomastia treatment,
one of the aspects
patients feel most
satisfied with
is the improvement
in T-shirt fit.
When comparing
the before and after results
while wearing a T-shirt,
the treatment effect
of gynecomastia surgery
can be clearly
and intuitively seen.
Before surgery,
the enlarged chest
and protruding nipple area
were clearly visible
through clothing,
creating an awkward
appearance.
After surgery,
the chest size reduction
and improvement of
nipple projection
resulted in a
flatter and more
natural chest contour
without the previously
bulging appearance.
Gynecomastia that
begins during
adolescence
and continues
into adulthood
is a common pattern
in true gynecomastia.
Therefore, consultation
with a specialist
to discuss appropriate
treatment timing
and surgical planning
can be very helpful.
Even though
the procedure
is performed for
medical treatment,
a plastic surgery approach
can also improve
the overall chest shape
into a more
stable and masculine contour.
This often leads
to even higher
patient satisfaction.
As mentioned earlier,
for gynecomastia
that begins in
adolescence,
accurate diagnosis
and proper planning
are more important
than rushing
into surgery.
For adolescents
or parents considering
treatment during
the winter school break,
consultation with
medical specialists
can help determine
the most appropriate
treatment method
and provide guidance
for recovery and care.
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