Swollen breast tissues in men or boys caused by hormonal imbalances is called gynecomastia. Both breasts or one breast, can be affected by this. At any point in life, from birth to puberty, even in adulthood, one might develop gynecomastia. Most of the times, gynecomastia is caused by hormonal imbalance, 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. One may be advised to wait and watch for the regression the gynecomastia but surgery is often necessary to get rid of this condition.
Symptoms and signs of gynecomastia include:
The causes that trigger gynecomastia include:
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. My preferred anesthesia is general anesthesia because it makes the person very comfortable during the surgery. It can also be done under intravenous sedation combined with Local anesthesia.
Procedure- Through a small incision in the area around the breasts 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 and a small incision in the surrounding skin, the final scar is hardly visible. In post bariatric or massive weight loss patients, 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.
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