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.
- 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
- 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.
- 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.
- 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
- 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. If you wish to discuss about any specific problem, you can consult a Cosmetic/Plastic Surgeon.