One of the most common cosmetic procedures performed in the world today is that of breast augmentation or reduction. This is a fairly common surgery wherein depending on the requirement of the patients; the breasts are either made bigger with the help of implants or reduced in size by excising fat and tissue. Although a majority of these patients are female, there are an increasing number of male patients, who opt for male breast surgery as well.
The need for male breast surgery-
The requirement for male breast surgery arises due to the occurrence of Gynecomastia or the development of male breasts. In this condition, fat and glandular tissues are stored within the male chest in the pattern of female breasts, thus giving it a feminine look. This is a common occurrence among men and can be a cause of social embarrassment for the man as well as affecting his self esteem. Some of the causes for gynecomastia or male breasts would be  
Excessive Weight Gain.
Hormonal changes within the body where testosterone levels drop due to conditions such as  Hypogonadism  (in men, the inability of the testicle s to function correctly) and estrogen levels increase.
Medications used to treat other disorders such as certain anti -depressants, cancer medication, and anti-anxiety medications among others.
Excess consumption of alcohol and certain drugs.
Hyperthyroidism (excess thyroid secretion by the thyroid gland).
It isn t always just fat!
While many people tend to blame male breasts due to the accumulation of fat, this may not be the case always. Even skinny or people with an athletic build may notice misshapen chest that has more of a feminine appearance and thus would like to correct that. This is obviously caused by hormonal factors and genetics of body shape as well rather than just being obese or overweight.
Types of Male Breast Surgery-
Male breast surgery revolves around breast reduction and contouring to give it a more flat and toned look. This can be achieved in either of these ways:
Liposuction   This is a fairly common procedure and is minimally invasive; meant to suck out the fat through a small opening on the skin. With the help of liposuction, doctors can easily contour your chest to have a more masculine look by removing the excess fat. This procedure is a very popular one as it takes less time to recover and also isn t invasive. However, this is used as an option for male breast surgery when the problem isn t acute.
Surgery to remove excess tissues and fat   If the male breasts have excessive glandular tissue and the problem is acute, a more extensive form of surgery wherein the glandular tissue is excised may be required. However, this is also not very invasive and you can get back to your regular routine within a few days after surgery.


Male Breast Surgery

While some people look forward to spring and the beautiful flowers that bloom, for others this is a time of extreme discomfort triggered by pollen allergies. Pollen is probably one of the most difficult allergies to fight as it is invisible and is literally present everywhere. Sneezing, coughing, a runny nose, congestion and watery eyes are the most common symptoms of a pollen allergy. However, you can minimise your troubles by following a few simple steps.

Keep an eye on the pollen count: Not every day has the same amount of pollen in the air. Pollen density is also affected by the time of the day. Pollen count refers to the amount of pollen present in the air during a specific time period. You can find out the pollen count of your area online or through a number of apps. Once you know the pollen count. You can plan your day accordingly and step out or stay in.
Plan your time spent outdoors wisely: It isn t always possible to stay indoors even if you know the pollen count is high. However, you can still plan your time so as to not be outdoors at peak pollen times. 5am to 9am are the worst times to step out as this is when most plants pollinate. Hence avoid stepping out during this time. Windy days can also worsen the situation by spreading pollen around. If you must go for a jog early morning, avoid thoroughfares and gardens and instead pick a route around residential streets.
Protect yourself: Face masks may not look very good but can help reduce the amount of pollen being inhaled. If you find yourself sneezing a lot during pollen season, consider investing in a painter s mask that can filter the air being inhaled and exhaled. If you are stepping out to do yard work or know that you re going to spend a lot of time in heavy traffic areas, take your antiallergenic medication before you step out instead of waiting for an allergic reaction to begin.
Have plenty of showers: Try making it a habit to have a shower and changing your clothes as soon as you come home. This prevents the outdoor pollen from circulating in your home. Follow this routine even if you ve simply been gardening outdoors. While showering, do not forget your hair. If you do not want to shampoo it every day, simply rinse it out to get rid of all the pollen.

Pollen Allergy - 4 Tips To Keep Yourself Safe!

Swollen breast tissues in men or boys caused by hormonal (testosterone and estrogen) imbalances is called gynecomastia. Both breasts or one breast, can be affected by gynecomastia. At any point in life, from birth to puberty, even in adulthood, you might develop gynecomastia. Most of the times, gynecomastia is caused by hormonal imbalances, but there might be some underlying causes as well.
Gynecomastia is normally not a serious condition, but it can be difficult to deal with the pain and embarrassment.

It can be cured with surgery or medication, if it doesn't go away on its own.

Symptoms and signs of gynecomastia include:

Enlarged glands in the breast tissue
Tenderness in the breast
The causes that trigger gynecomastia include:

Hormonal changes: Testosterone and estrogen control the sexual development in men and women respectively. Estrogen is not a hormone that only women produce; men produce it too. When the production of testosterone and estrogen are thrown out of balance, gynecomastia occurs.
Medication: Certain medications such as anabolic steroids, androgens, HIV/AIDS medicines, antibiotics and chemotherapy can cause gynecomastia.
Drugs and alcohol: Substances such as alcohol, marijuana, amphetamines, heroin and methadone cause gynecomastia.
Health condition: Certain factors, such as aging, hypogonadism (hormonal disorder), hyperthyroidism (overactive thyroid gland), tumors, kidney failure, cirrhosis, liver failure, malnutrition and starvation can lead to gynecomastia.
Herbal products: Essential oils derived from plants such as lavender or tea tree, used in lotions or shampoos, have weak estrogenic actives. They have been said to cause gynecomastia.
Gynecomastia can be cured either with medication or surgery. Surgical options for gynecomastia are, however, limited.

Treatment

There is no definitive medical treatment. The main answer for Gynecomastia is -SURGERY. It is a daycare procedure in most situations. It is done by a Surgeon, usually, a Plastic surgeon does a better job. 

Anesthesia- Either Local or General anesthesia is given to make it painless. 

Procedure-Through a small incision in the areola, the swelling is removed by both Liposuction of the Fat part and Excision (removal) for Breast gland part. As the incision is through the areola, the final scar is hardly visible. In extensive swellings, skin also needs to be removed, where in a scar around the areola border is visible. 

Recovery- usually can go back to work in 2-3 days time.

Treating Gynecomastia (Enlarged Breasts in Men) With Surgery

Your child is fond of nuts and has eaten a chocolate with nuts but shortly after that develops a skin rash and starts to itch. The rash may even spread to the surrounding area. This is an indication of food allergy to nuts.

What happens is simple - the body's immune system recognizes specific proteins in the food as harmful (antigens) and produces antibodies which can combat them. This leads to an allergic reaction which can vary from something as simple as a skin rash to severe breathing issues.
Though any child can develop food allergies, in most cases, there is a strong hereditary linkage. If parents have had a history of allergy to certain foods, then there is a strong likelihood that the child could have that food allergy too.

Some of the common foods that can cause allergies are as follows:
1. Cow's milk
2. Eggs
3. Nuts (peanuts, walnuts, pecans, cashews or hazelnuts)
4. Soy
5. Wheat
6. Fish (salmon, cod and others)
7. Shellfish (lobsters, shrimps and others)
Of these, peanuts, seafood, and milk are the most common food stuffs that lead to allergies.

Because the child is yet to realize that he has eaten something that his system will not readily accept, the allergic reaction can be described in various ways, as below:
1. Scratching or itching on the tongue
2. Change in the voice - can become husky or hoarse
3. Burning of the tongue
4 tingling of the tongue
5. Funny feeling in the mouth
6. Feeling of something stuck in the throat
7. Itchy feeling or bugs in the ears
8. Throat going thick
9. Bump on the back of the tongue

These are some ways that a child can describe his allergic reaction. Some of the mild symptoms of a food allergy are as follows:
1. Hives (red, swollen, itchy areas on the skin)
2. Eczema of the skin (dry, itchy rash)
3. Nasal congestion
4. Sneezing
5. Itching of the tongue and the mouth
6. Nausea or vomiting
7. Stomach pain

Severe symptoms include:
1. Severe swelling of the lips and tongue that can block breathing
2. Inability to swallow
3. Difficulty breathing
4. Turning blue
5. Dropping of pulse
6. Drowsiness

As the parent identifies a similar reaction when eating the same food item, they can suspect allergic reactions and immediately reach out to the doctor. A detailed discussion will help establish the causative agent. Once that is known, then avoiding food allergies is quite easy. In fact, a well-informed child will know that avoiding certain foods is very beneficial. This will improve the quality of life of the child, help avoid missing school due to allergic reactions, and help avoid the child (and the parent) suffering.

How to Know if Your Child Suffers From Food Allergy

Allergies are a reaction of your immune system to any foreign matter, such as pet dander, pollen or bee venom, and not everyone is affected in the same way.
Antibodies are substances produced by your immune system to protect you from harmful invaders that can cause infections or make you ill.
The immune system produces antibodies when it comes into contact with allergens. Your immune system can recognise any allergen as threatening even if it s not. As a result, your skin, airways, digestive system or sinus gets inflamed.
Allergies can vary greatly in severity from mild irritations to anaphylaxis (a likely life-threatening emergency). Allergies are mostly incurable; however, there are various treatments available to alleviate allergy symptoms.
Causes-
Common triggers of allergy include:
Airborne allergens, such as mould, dust mites, animal dander and pollen.
Certain foods, especially milk, eggs, shellfish, fish, soy, wheat, tree nuts and peanuts.
Insect bites, such as wasp stings or bee stings.
Medications, specifically penicillin-based antibiotics or penicillin.
Latex, or any allergen you touch, causes skin infections.
Symptoms-
Symptoms of allergy depend on its type.
Hay fever (allergic rhinitis) symptoms include:
Sneezing
Itching of the roof of the mouth, eyes or nose
Stuffy, runny nose
Swollen, red or watery eyes (conjunctivitis)
Symptoms of food allergy include:
Tingling mouth
Swollen throat, face, tongue or lips
Hives
Anaphylaxis (a critical, deadly allergic reaction)
An allergy caused by insect stings can manifest in symptoms such as:
Swelling at the site of the sting
Hives or itching
Breathing problems, wheezing, coughing or chest tightness
Anaphylaxis
A drug allergy can lead to symptoms such as:
Hives
Itchy skin
Rashes
Facial swelling
Wheezing
Anaphylaxis
Atopic dermatitis (skin allergy) symptoms include:
Itching
Reddened skin
Peeling or flaky skin
Treatment-
Treatments of allergy include:
Avoiding Allergens: Your doctor can help you take necessary steps to recognise and avoid the allergens that trigger allergies. This is usually the most relevant step in the prevention of allergic reactions and reduction of symptoms.
Medicines to Lower Symptoms: Eye drops, nasal sprays or oral medications are commonly prescribed to reduce reactions and alleviate symptoms.
Immunotherapy: If the allergy is severe or other treatments fail to relieve symptoms, allergen immunotherapy is recommended. In this treatment, you get injected by a number of clarified allergen extracts over the years.
Emergency Epinephrine: If your allergy is severe, your doctor will provide you with an emergency epinephrine shot that you can carry with you everywhere. 

Allergies: Causes, Symptoms and Treatments

Most men, about 60%, see some development of breast tissue in their lifetime. This growth could be round, symmetrical and occurs bilaterally. This growth of breast tissue in males is medically known as gynecomastia.

Causes:

The most common cause is an imbalance between the oestrogen and androgens, with excessive oestrogens leading to the growth of breast tissue.
Excessive use of anabolic steroids
Obesity
Unknown reasons
It can affect men of all ages, and if this presents as a serious problem, then surgery is the most definitive form of treatment.

Surgical options: There are two major options available for correcting gynecomastia   liposuction and excisive surgery.

Liposuction:

Done either under local sedation or under general anaesthesia depending on the extent of the tissue proliferation
A small incision is made either in the armpit or around the areola
Excessive fat tissue and breast gland tissue are suctioned out
The chest contour also is altered at the same time, if desirable
Post-surgery, the person is made to wear a compression garment for the first few days
This helps in keeping the tissue in place and also helps reduce swelling
Healing takes about a couple of weeks  time, depending on the person s overall health status and the extent of surgery.
Excisive surgery:

This is done when the extent of gynecomastia is more severe
These people would have sagging, stretched skin around the breast area
More amount of fat and glandular tissue can be removed through excision
This is more often done under general anaesthesia
The incision is often done around the areala (dark portion around the nipple) so it is concealed or along the natural creases which are formed due to excessive breast tissue
Excessive breast tissue is removed and the incisions are closed
There could be swelling, pain, bruising, and higher chances of post-surgical infections
Recovery will take about ten days to two weeks
Refraining from exercise is often advised for up to 2 weeks
Benefits:

Restore a masculine appearance
Shorter surgery
Faster recovery
Minimal or invisible scars
Almost immediate results that can be dramatic
Improved confidence and self-image
After the surgery:

Surgery is definitely a sure way to remove the male breast tissue, it is almost a permanent treatment for this condition.
It is very important to get a trained, experienced surgeon for the procedure
It is important to follow post-op instructions including pain management, infection control, and recovery
If it was caused by use of steroids or obesity, lifestyle modification is essential to prevent recurrence

Enlarged Breasts In Men - Surgery At Your Rescue!

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