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Gynecomastia Surgery – Emancipating the Males from Enlarged Breasts

Gynecomastia – its Specifications and Reasons

Gynecomastia is a physical condition from which almost 50 to 65% males around the world. In this condition, males suffer from significantly enlarged breasts causing embarrassment and low self-esteem for them. It can cause emotional discomfort as well. Even some men avoid certain physical activities to conceal their condition. Gynecomastia surgery, technically called reduction mammoplasty reduces breast size in men and enhances the chest contour as firm and flat. In some severe cases, the weight of breast tissues may cause the breast to sag and stretch the areola. In these cases, the excess skin is removed and the position and size of the areola is surgically improved.

Specifications and Reasons

The fundamental cause of this condition is an imbalance between estrogen, testosterone and androgen hormones. Estrogen is the hormone that makes breast tissues grow, while testosterone stops estrogen from making breast tissue grow. Testosterone is typically higher in males and estrogen is higher in females. When men’s bodies produce too much estrogen or less testosterone then they may have large breasts. It can occur in both the breasts (bilateral) though some patients may have unilateral breasts (asymmetry between both the breasts). This condition is specified by---excess fat, excess glandular tissue development, excess breast skin or uneven growth of both the breasts.

Sometimes people have enlarged breasts due to obesity, not based on the glandular tissue then this condition is called Pseudogynecomastia.

Enlarged breasts or overdeveloped breasts in men can be the result of hormonal changes, puberty, heredity, excess weight gain, due to the usage of steroids and certain drugs like marijuana. This condition can occur at any age in men.

At infant age:-More than half of infants are born with enlarged breasts or breast buds and the reason behind this is the mother’s estrogen levels. Usually, these swollen breast tissues go away within the period of two to three weeks after birth.

During Puberty:- this condition is quite common at this stage of a male’s life. There is a lot of hormonal fluctuation in the body during puberty. There is a significant surge in estrogen and drop in testosterone hormones that cause growth in breast tissues. When hormone levels even out, it may go away without treatment within six months to two years.

Adulthood:- enlarged breasts are common in men approaching older age. Men’s bodies produce less testosterone at older age. They can become obese as well which stimulates estrogen production and breast tissue growth.

Newborns, boys going through puberty and older men may develop gynecomastia as a result of normal changes in hormone levels, though other causes also exist. It may go away with time. But if it persists, and you feel pain and embarrassment then surgery can help you out with conditions.

Clinic Location

Find a Gynecomastia Surgeon in your Area

The right candidate for this surgery is the person:-

The techniques to resolve your condition

  • Liposuction: This technique is used to remove excess fatty tissues under local or general anesthesia. It involves a small incision on each side of the chest. Incision may be located along the edge of the areola or within the armpit. In this technique a cannula (a thin tube) is inserted through incisions and it is moved back and forth in a controlled motion to loosen the excess fat and then it is removed with the help of a vacuum suction.
  • Excision: This surgical technique is opted in more severe cases. The excess glandular tissue and skin is removed that cannot be treated successfully with liposuction. Excision is required while reducing the areola and repositioning the nipples to achieve the more natural male contour. Incisions may vary according to the condition and preferences. Patients who only need liposuction to correct their enlarged male breasts, can return to exercise and work after a period of less than one week. For patients who need surgical removal of the excess breast tissue, it can take between two to four weeks to heal enough to tolerate routine activities.

Risks and complications

Generally gynecomastia is incredibly safe and sound surgery with which patients have smooth and quick recoveries. It has very few physical complications though patients can have emotional or psychological issues after the surgery. Your surgeon can easily play the role of your counselor to overcome this emotional imbalance. Some common complications can be-

  • Pain
  • Infection
  • Bleeding
  • Scarring
  • Numbness
  • Fluid collection
  • Contour irregularities
  • Loss of nipple skin
  • Loss of breast skin and asymmetries

Most of these aftereffects are temporary and will be subsided in the period of 10 to 14 days. Undoubtedly, utmost care is required from the surgeon and patient both while choosing the technique and while following the pre/peri/post operative instructions in order to achieve the desired results and to minimize the risks and complications.

Measures to overcome all the possible after-effects

It is a permanent solution to the problem you are suffering as the root causes—fat and glandular tissues are removed therefore there are no chances of recurrence. It is vital to follow your surgeon’s instructions to avoid all the possible risks that can hinder your recovery. He will recommend you -

  • to take a bath the next day after the surgery.
  • a pressure garment to minimize the swelling and support the new contour.
  • some antibiotics and painkillers to sooth your condition
  • avoid driving for two or three days and don’t smoke for some time till you heal.
  • return to your work after one week.

Note:--It is extremely imperative that you seek the answers to all your questions from your surgeon at the time of consultation and during follow-ups as well.

SURGERY BEFORE & AFTER PHOTOS