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Gynecomastia

Gynecomastia is a medical term that originates from the greek words for “women-like breasts”. This condition is far more common than many realize. Gynecomastia affects an estimated 40 to 60 percent of the male population. It may affect only one breast or both.

The normal male breast contains both fat tissue and glandular tissue. True breast tissue in males is typically a small localized lump located immediately under the nipple that is more firm than the surrounding fatty tissue. It is easy to remove fatty breast tissue by liposuction, but much more difficult to remove glandular tissue. A mammogram can help determine the amount of glandular tissue located within the surrounding fatty tissue. Pseudo-gynecomastia
Pseudo-gynecomastia is an enlarged male breast caused by excessive fat tissue, but a normal amount of glandular breast tissue. Pseudo-gynecomastia occurs in many men as they become older and in younger men who are relatively obese.
Pseudo-gynecomastia can be effectively treated by liposuction.

Gynecomastia is an enlarged male breast caused by excessive glandular tissue. Excess breast tissue occurs in about 75% of young boys during puberty. This condition is normally temporary, and only lasts a few months. In 33% of puberal cases, the condition subsided within 1 year, and in 93% of cases, the condition subsided in 3 years.
Gynecomastia can be treated by surgical excision.

Causes of gynecomastia:
• Alcoholism
• Effect of medications
• Low levels of testosterone
• Renale failure
• Testicular canceradrenal tumors
• Cirrhoses of the liver
• Severe starvation
• Lung cancer
• Tuberculosis
• Hyperthyroidism

If a man has a single enlarged breast, it may be a breast tumor and a doctor may consider a mammogram.

Time of surgery: An average of 2 hours
General or local anesthesia
Work: Within one week
Bruising, swelling, burning sensation
To assist with the healing process, the patient will wear an elastic pressure garment for 3-6 weeks and must avoid exposing scarred areas to the sun for at least 6 months.

Complications:

– Infection
– Skin damage
– Fluid accumulation
– Bleeding
– Scarring or pigment changes
– Asymmetry

Results are permanent, although subsequent obesity can create a gynecomastia-like effect. Some of the benefits of surgery include a firmer, flatter, more contoured chest which may give the male patient a boost in self-confidence.

 

FAQ:

 Am I too young to have gynecomastia surgery?

In general, we recommend you wait until the age of 18 years. There are some circumstances where a person should consider it earlier. For this you will have to consult a Plastic Surgeon.

What kind of scar should I expect?

Usually periareolar (about 1 inch scar in the lower part of the areola) that is generally inconspicuous. Sometimes, tiny scars remain in the armpit or chest after liposuction.

Will I have pain that will require medication?

Usually pain is minimal, but since we want to make sure you will be comfortable, we do provide you with a prescription for pain medication.

How much time should I take off from work or school?

This depends on the type of work you do and the extent of the surgical procedure. Usually it’s between 3 and 10 days, but healing time varies for each individual and should be discussed with your surgeon.

What types of anesthesia do you offer?

Local anesthesia is determined based on the type of surgical procedure and the patient’s tolerance. Sedation is not a general anesthesia, but the patient is asleep. This is the preferred method in my office because it is safe when done by an experienced  Board Certified Anesthesiologist

How should I prepare for the surgery?

Prior to surgery you should get detailed instructions from your surgeon’s office.  Pre-operative testing is mandatory. You should stop medications such as blood thinner, aspirin, Advil,  Vitamin E . Do not eat or drink eight 6 hours prior to surgery. Arrive on the day of surgery in comfortable clothing that is not tight or confining. Have a responsible person accompany you to and from the doctor’s office.

What type of dressing will I have?

My personal preference is an elastic or surgical vest that you have to wear for a month. Sometimes gauze dressing is all that is necessary.

 Will I have a drain?

Usually not, but in cases of excessive bleeding, a drain will be necessary. This will be removed in a 2/3 days post-operative.