Male Gynaecomastia Surgery

Gynaecomastia is breast development that occurs in male. It can happen at any age and for a number of different reasons Gynaecomastia or 'Male Breast' is the presence of glands in male chest area (where these glands are found in women which produces milk for breast feeding of baby right after pregnancy).

In the chest area some resistant fat may also get deposited giving the appearance of a female like breast. Male Breast results from an imbalance between androgen (male hormone) and estrogen (female hormone) activity. The hormonal imbalance that results in the glands being deposited in the chest areas is temporary.

It is very common among boys that reach puberty i.e. around 14 to 18 years. Once the glands are laid down in the chest area, they do not regress. Sometime the male breast develop due to obesity but cannot be treated by diet control or exercise. This condition can only be treated with surgery and since it isn't any major case of a disease there are no medications for the same.

Gynaecomastia is defined clinically by the presence of a rubbery or firm mass extending concentrically from the nipples. Although gynaecomastia is usually bilateral, it can be unilateral. At aesthetix we treat this problem by using scar-less surgery using spical technique liposuction and special cannulas.

Causes of gynecomastia
A number of factors can lead to gynecomastia. Gynecomastia can provoked from an imbalance between the hormones testosterone and estrogen. Estrogen, the hormone that makes breast tissue grow, while testosterone, the male hormone, stops the estrogen in male body from making breast tissue grow. Both males and females have testosterone and estrogen, in their body but testosterone is present in higher proportions in males, whereas females have higher levels of estrogen.
Major factors may include:

  • Kidney or liver disease
  • Alcohol abuse
  • Klinefelter's syndrome
  • Tumors of the testes, adrenal or pituitary gland
  • Hyperthyroidism and hormonally active tumors.

  • Anabolic steroids
  • Some antibiotics
  • Some ulcer medications
  • Chemotherapy
  • Tricyclic anti-depressants
  • Diazepam (Valium) and some other drugs for treating anxiety
  • Some HIV medications, including efavirenz, also known as Sustiva.

Symptoms may include swelling and tenderness in the breast gland tissue area of one or both breasts. The areola, the pigmented skin that surrounds the nipple, may increase in diameter, and the chest tissue may seem to be asymmetrical. If there is unusual swelling, tenderness, pain, or nipple discharge, or a combination of these, it is important to see a doctor

How is gynecomastia diagnosed?
The diagnosis is based on external physical symptoms, breast exam, medical history and current medication review, and added exams. Pain in breast area and tenderness are common symptoms. More often a stiff rubbery disk of tissue, situated directly underneath the nipple area, is felt during the exam. The lump is simply moveable within the breast tissue.

Your doctor will review all the medications and supplements, you take. Your doctor will also evaluate your medical history and recomend tests to determine if any other conditions are the cause of the gynecomastia. Breast imaging tests like a mammogram and/or breast ultrasound may have to be taken. Your doctor may also recomend blood tests to check your hormone levels.

Treatment options for gynecomastia
Gynecomastia in general resolves without any treatment, but if there is an fundamental condition, it may need treatment. If there is a possibility the condition stems from a medication, the patient may need to switch to a different drug. In the case the patient is using the medication for a short time only, the effects will be temporary.

If the effects of the condition does not go away within 2 years, or if it causes awkwardness, soreness or tenderness, treatment may be necessary.Treatment for this condition is rare. the available options include breast reduction surgery or hormone therapy to stop the effects of estrogens. Medications for the treatment of gynecomastia Testosterone replacement surgery can treat gynecomastia in older men with low levels of testosterone.

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