Gynecomastia

Gynecomastia is the enlargement of breasts in men or boys because of a non-cancerous breast tissue increase. It can be caused by a hormonal imbalance. The condition is not dangerous, but can make the breasts uncomfortable and lead to feelings of embarrassment and self-consciousness.

Gynecomastia can occur in newborns, boys going through puberty, and adult men. A large majority of these cases are resolved by the time the sufferer reaches adulthood. However, incidences of cases begins to rise again with age. The condition is not caused by someone being overweight. Instead, it is due to the presence of extra breast tissue. Unfortunately, this means that losing weight or exercising will not resolve the additional breast tissue problem.

Gynecomastia Surgery

Glandular tissue makes up the soft tissues of the breast. This type of tissue is dense and firm. Fatty tissue is softer. Different individuals can have a different ratio of these two. A male adult with gynecomastia may have both types present.

A liposuction procedure involves the removal of additional fatty tissue. Your surgeon forms incisions and inserts a tiny tube called a cannula into this incision. The extra fat can then be suctioned away.

Glandular tissue can be removed by excising it using a scalpel. This usually results in a scar around the nipple. If a great deal of skin and tissue removal is necessary, the resulting scar will be larger.

Some gynecomastia patients require both liposuction and incision.

Following gynecomastia surgery, you can expect your chest area to be swollen and bruised. You may need to wear some form of compression garment for a couple of weeks to help minimize swelling. Patients are typically able to resume normal activities within six weeks. It is rare to experience post-surgical complications after gynecomastia surgery. These may include uneven chest contours, inadequate breast tissue removal, and minimization of sensation of the nipples.

Gynecomastia Treatment Options

Gynecomastia is a condition that usually resolves itself with no treatment needed. However, if gynecomastia also involves an underlying condition, treatment may be required. If the condition is being caused by some type of medication, an alternate medication may be needed. If the use of the medication is temporary, ceasing its use will resolve the condition. Treatment may be necessary if gynecomastia does not resolve itself within a couple of years, or leads to the experience of tenderness, pain or embarrassment.

Good Candidates for Gynecomastia Surgery

Good candidates for gynecomastia surgery include:

* Men for whom alternative medical treatments are ineffective

* Those without medical conditions that hinder healing or are without life-threatening illnesses

* Non-smokers

* Physically healthy men who are close to their ideal weight

* Those with realistic expectations regarding results

* Men with stable breast development

* Men who are self-conscious or embarrassed about self-perceived overly large breasts

Gynecomastia Surgery Recovery

You will need to wear some form of bandages or dressings over your incisions while you are healing, in addition to some type of support garment to help reduce swelling and provide support so that the area heals properly after your procedure.

You will be provided with a detailed set of post-procedure instructions. Be sure to go over them carefully and follow them faithfully so that you have the best chance of fully recovering in a short period of time. Take any medications as directed, and follow instructions for surgical site care.

Over time, any discomfort and swelling should resolve itself, as well as the fading of incision lines. Most patients who have undergone gynecomastia surgery are highly satisfied with their enhanced appearance and gratified by their new image. It may take anywhere from three to six months for the full results of your gynecomastia surgery to become evident. Although incision lines are permanent, they can be expected to fade over time.

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Dr. Rafael Antun