What is Gynecomastia?
The enlargement of the gland tissue of the male breast is known as gynecomastia. Gynecomastia is common in men who are in the infancy, puberty and also in their middle or old age. However this condition must be distinguished from lipomastia or pseudogynecomastia which is different, and refers to fat deposit in the breast are of men.
Although gynecomastia is the most common reason for medical examination of male breasts, but true gynecomastia is only present in very small percentage of men.Gynecomastia is a condition that happens because of imbalance in the estrogen and androgen hormones in men. When the secretion of estrogen (female hormone) in men becomes relatively high than androgen (male hormone) this condition occurs in the male anatomy. Gynecomastia that happens in boys during their puberty and in normally growing infants often gets resolved on its own as hence is also known as psychologic gynecomastia.
Some of the reasons that causes this condition are:
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Pubertal gynecomastia most often gets resolved by its own and so in very rare cases they persists and require treatment. However gynecomastia that remains present over a long period of time (for 24 months or more) may undergo fibrosis and so it gets hard to be recovered with medications and so is at times a source of social embarrassment. For complicated and severe gynecomastia cases in which the breast tissue has undergone fibrosis and has become scarred, it’s most often surgical techniques that can only bring back normalcy. But, in general gynecomastia in never a long term problem.
Experts are of the opinion, that patients who have true gynecomastia have about five times more risk of developing breast cancer, compared to other men. It is because this condition happens due to hormonal changes in the male body, which enhances the risk of developing breast cancer in adult men.
Are you thinking of undergoing a surgical procedure to get rid of your enlarged breasts? This condition, which involves the enlargement of the breast tissue in men is known as gynecomastia. It is commonly referred to as ‘man boobs’. The condition is not always permanent, but is quite embarrassing for any man to face. Among the various modes of treatment of gynecomastia, surgery is considered to be an ideal method after taking into consideration long-term results.
Pros and Cons of Gynecomastia surgery
However, there are several side effects that are associated with a gynecomastia surgery. Although there are many options for the management of gynecomastia, such as following a strict diet plan, working out regularly, and making other lifestyle modifications, a surgery is effective for a fast removal of the breast tissues. It is more long-term than any other treatment when followed properly.
Although the breasts are one of the most significant contributors of a woman’s physical beauty, a man with breasts not only looks awkward but feels clumsy and graceless as well. An individual who is suffering from such problems which are referred to as gynecomastia in medical terms, should not neglect the problem but consider opting for male breast reduction surgery. In this surgical intervention, a qualified doctor would help in restoring your natural masculine looks around the chest. And there is nothing to be anxious about as there are advanced techniques which would help you recover quickly and result in virtually invisible scars.
What is gynecomastia?
Gynecomastia can be described as an enlargement of male breasts which can be effectively removed with the aid of male breast reduction surgery. This process helps in removal of excess fat as well as glandular tissue for the restoration of a flatter and firmer contour to the chest of the male.
Although it may appear strange, there are some men all over the world who have such development due to genetic conditions or side effects of certain medicines or some other unspecified reasons. Gynecomastia can happen at any age, and the male breast reduction surgery can be safely performed on both teenagers and adult men.,
Why is it important to have male breast reduction surgery?
Though weight loss can assist the reduction of the appearance of male breasts for some individuals, in some instances it has been speculated that the excess glandular tissue which may result in noticeably large breasts even in men with a lean body. In the present scenario, the male breast reduction surgery is the only method for alleviating the problem with long-lasting results. Most individuals who have undergone this surgery report that they feel comfortable without the shirt and also experience enhanced self-confidence.
If an individual is uncomfortable or self-conscious regarding the appearance of the chest or when he is compelled to avoid certain activities where he may have to go shirtless, the male breast reduction surgery is an option that deserves consideration. When there is an experienced and professional surgeon to carry out the process, the affected individual would be able to see dramatic improvements with nominal scars.
Liposuction is yet another option that deserves special mention in this respect. This is owing to the advancement of liposuction technology which has proffered the surgeons with a wider selection of comparatively less invasive methodologies. The recovery period is shorter compared to conventional surgeries, and the patients are given a compression garment which they are required to wear for the first few couple of weeks which helps in reduction of swelling and offer support for the healing tissues.
It is important to note here that vigorous exercises must not be performed within three weeks after the treatment. But it is crucial to understand that each and every person heals at a unique pace, the cosmetic surgeon would give the patient insight into the treatment so that he can set realistic expectations.
The body functions are controlled by hormones which are produced by various endocrine glands (named so because these glands secrete hormones directly into the body). There are various endocrine glands, and these are controlled by the master endocrine gland which is the pituitary gland.
The pituitary gland is attached to the base of the brain. It also produces prolactin which helps regulate milk production when a woman is breast-feeding. To a smaller extent, it also has some effect on other hormones.
Prolactinoma is a benign tumour of the pituitary gland which produces large amount of prolactin. The cells in the pituitary gland multiply to produce large amounts of prolactin. In people with prolactinoma, there are reduced amounts of oestrogen in females and testosterones in males.
Causes: Though the cause is unknown, a genetic connection believed to exist. Also, people who are hypothyroidic, pregnant, and/or breast-feeding have a higher chance of developing this condition. They can develop in men as well. Interestingly, this is the most common form of pituitary gland tumour.
Types: Depending on the size of the tumour, the tumour is of two main types—microprolactinoma (when the tumour measures less than 10 mm) and macroprolactinoma (when the tumour measures more than 10 mm).
Signs and symptoms: Though the most important function of prolactin is the regulation of breast milk production, it also has various other functions in both men and women. The symptoms, therefore, would depend on the gender and the age group.
If teenagers are affected, there could be reduced growth and delayed puberty.
In addition to the above symptoms, as the tumour continues to grow, there could be pressure on the surrounding nerves, leading to headaches, blurred of vision, and even double vision. As the tumour grows, the normal pituitary functioning may be affected, and other hormones may not be produced and accordingly the symptoms would appear.
Treatment: One of the main reasons it gets diagnosed is infertility. When ruling out causes for infertility, prolactinoma is suspected and to rule this out blood tests are done. Increased amounts of the hormone would lead to undergoing MRI scans and other tests to confirm the diagnosis.
Once confirmed, the treatment would depend on the symptoms and the patient. It causes reduced amounts of oestrogen and testosterone, which is usually harmless. Unless required, some people can choose to go without any treatment. Hormone supplements can be used to restore the normal hormone levels. Dopamine antagonists can be used to suppress the production of prolactin from the pituitary gland. If you wish to discuss about any specific problem, you can consult an Endocrinologist.
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:
The causes that trigger gynecomastia include:
Gynecomastia can be cured either with medication or surgery. Surgical options for gynecomastia are, however, limited.
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. If you wish to discuss about any specific problem, you can consult a Cosmetic/Plastic Surgeon.
The development of breasts is one of the most prominent physical difference between the structure of a man and a woman. In some cases, hormonal imbalances can cause enlargement of the male breast gland, which is known as gynecomastia. Apart from being a cause for embarrassment, it is also associated with a number of medical conditions such as kidney failure and liver cirrhosis. However, there is little need to worry if you have been diagnosed with such a condition as it can easily be treated with dietary changes, medication and surgery. Among these, surgery is the only method of treatment that guarantees a permanent and immediate solution to the problem.
Surgical treatment for gynecomastia is of two types
The type of surgery suitable for you will depend on a number of factors including the extent and type of gynecomastia.
Liposuction involves the removal of fat from the breast, but does not touch the breast tissue itself. For this surgery, a surgeon makes a small incision on either side of the chest or along the edge of the areola. Excessive fat is then removed through these incisions and the skin and remaining tissue is then restructured. Liposuction can take anywhere between a week and 3 weeks for complete recovery. In the meanwhile, the patient must wear a compression garment to minimize the swelling and support the chest tissue as it heals.
What is Gynecomastia?
Some of the reasons that causes this condition are:
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