Gynecomastia

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Gynecomastia– “woman breast” – is the overdevelopment of breast tissue in men.  There are several causes for gynecomastia which includes drug induced, tumor in the hormones producing glands i.e. the pituitary, adrenal or the testes, alcoholism, and marijuana abuse. However, the most frequent finding is that there is no specific cause. The condition is rarely talked about because men are very self conscious of this condition. As a matter of fact, the condition is quite common in men ranging from 40 to 60% of men.  Since obesity is on the rise, so does gynecomastia. It has become the most common breast surgery procedures in men. In my practice, I have come across patients who wear two to three shirts to hide their breasts. Especially for adolescents and teenagers, they often refuse to take their shirts off in PE classes.

What are the treatments for gynecomastia?

The treatment for gynecomastia is male breast reduction. There are a variety of treatment options for gynecomastia. They range from direct excision of breast tissue, lipsuction combine with direct excision of breast tissue, to a complete breast reduction. Direct excision of breast tissue is often performed using a small incision around the dark skin area around the nipple. Dr. Goldberg will help you determine which technique best fits her patient based on amount of breast tissue and skin needed to be removed.

The surgery is performed on an outpatient setting. It usually takes about 1 to 2 hours under general anesthesia. Patient is required to wear a compression garments after the surgery to prevent fluid collection and assist with skin reshaping to the chest. Patients may return to light exercise at 1 week and full vigorous work out at 2-3 weeks.



Am I a candidate for male breast reduction?

Surgery to correct gynecomastia can be performed on healthy men of any age.  It is best suited in men with firm, elastic skin that will reshape to the new body’s contours. In obese or overweight men, the first option in correcting gynecomastia is through weight loss and exercise. After weight loss, the residual breast tissue and skin can be treated with surgery.

Overall the surgery can enhance your appearance and self confidence, but it will not necessarily change your looks to match your ideal. The results of the procedure are significant and permanent. With realistic expectations, chances are you will be very satisfied with your new look.

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