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Gynecomastia Tips

All You Must Know About Gynecomastia!

MBBS, MS - General Surgery, MCh - Plastic Surgery
Cosmetic/Plastic Surgeon, Vadodara
All You Must Know About Gynecomastia!

Gynecomastia is basically swelling of the breast tissues in boys and men. This is usually caused due to an imbalance of the hormones, estrogen, and testosterone. Gynecomastia can affect either one or both the breasts, sometimes in an uneven manner. Newborn babies, boys who go through puberty along with older men might develop this condition as a result of normal changes in the levels of the hormone.
It is not necessarily a serious problem but men might find it difficult to cope with this condition. This condition can go away on its own. In case, it persists, consultations with a cosmetic/plastic surgeon can be of great help.
Before looking at the tips from a cosmetic/plastic surgeon to come out of this problem, let us briefly talk about the symptoms and causes related to Gynecomastia.

Symptoms- 
There are certain signs and symptoms, which suggest that men could well be suffering from gynecomastia. They include the likes of:

  • Swelling of the breast gland tissue
  • Pain
  • Tenderness
  • Nipple getting discharged in either one or both the breasts

Causes -
Gynecomastia is usually triggered by a decrease in the amount of the hormone testosterone compared with estrogen. Different things can alter the hormonal balance like:

1. Natural hormonal changes

2. Several medicines including:

 

  • Anti-androgens used for treating enlarged prostate, prostate cancer
  • Anabolic steroids
  • Medicines for AIDS
  • Anti-anxiety medicines
  • Tricyclic antidepressants
  • Antibiotics

3. Consumption of alcohol
4. Heroin and other such drugs
5. Several health conditions like Hypogonadism, Hyperthyroidism, Kidney failure, Live cirrhosis, etc.

Tips From Cosmetic/Plastic Surgeon-
Consultation with Cosmetic/Plastic Surgeon can let men have useful tips as to the treatment as well as prevention of Gynecomastia. They include the following:

  • Liposuction Treatment can be an ideal way to get rid of this problem. It removes fat from the breast but leaves behind the breast gland tissue in its place. The treatment involves making two or more small incisions through narrow tubes get inserted into the chest region. The tube gets moved around gently to loosen up the excess fat tissue, which is then sucked out. The treatment involves less amount of scar.
  • Cosmetic/Plastic Surgeon can advise patients that there are iatrogenic causes behind this problem like side-effects from any medicine or health issues like an overactive thyroid or tumor.
  • Mastectomy can be another effective method of treatment. It is performed endoscopically and thus has a quicker recovery time. A patient can stay at the hospital for a few hours and go back. This involves less amount of scarring.
  • Cosmetic/Plastic Surgeons can also go for another extremely effective method in their hands to take care of this problem of Gynecomastia. It is the Excision Technique. This is recommended where glandular breast tissue or excess skin must be removed to cure this. The patterns of incision would vary depending on the specific conditions and patients’ surgical preference.
     
957 people found this helpful

Male Breast Surgery - What Should You Know?

Dr.Sumit Agrawal 87% (89ratings)
MCh - Plastic and Reconstructive Surgery, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Mumbai
Male Breast Surgery - What Should You Know?

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 –

  1. Excessive Weight Gain.

  2. 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.

  3. Medications used to treat other disorders such as certain anti -depressants, cancer medication, and anti-anxiety medications among others.

  4. Excess consumption of alcohol and certain drugs.

  5. 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:

  1. 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.

  2. 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.

4199 people found this helpful

Gynecomastia - Causes & Treatment Of It!

Dr.G.S. Kalra 86% (40ratings)
MBBS, MS - General Surgery, M.Ch. (Plastic surgery)
Cosmetic/Plastic Surgeon, Jaipur
Gynecomastia - Causes & Treatment Of It!

Gynecomastia is a condition characterized by enlargement of the breast tissue in men. It occurs when there is an imbalance of the testosterone (male sex hormone) and estrogen (female sex hormone) in the body. It may a cause of embarrassment in men.

Causes:

The primary cause for this condition is an increase in the level of estrogen in comparison with testosterone in the male body. Testosterone controls male characteristics such as body hair and muscle mass. Estrogen is responsible for controlling female characteristics such as breast enlargement. 

Men usually produce small quantities of estrogen in their body to maintain certain sexual functions. Complications occur when estrogen levels in the male body increase too much in proportion to testosterone.
The condition can be classified as follows:​

  1. Gynecomastia in infants:  Half of the infants are usually born with large breasts due to their mother's estrogen. The effect tends to wear off in a few weeks.
  2. Gynecomastia during puberty: Gynecomastia occurs during puberty due to changes in hormones. The condition goes away without any treatment in six months to 1 year.
  3. Gynecomastia in men: This condition may peak in men during the age of 50-80. Statistics show that at least 1 out of 4 men in this age group has this condition.

Some other causes for this condition in middle-aged men are as follows:

  1. Heart medications
  2. Anti-anxiety drugs
  3. Antibiotics
  4. Chemotherapy
  5. Medications that are used to treat heartburn
  6. Smoking marijuana and drinking alcohol 

Treatments:

  1. If the cause of the condition is medications, then discontinuing the medicines should stop the effects. It can also be treated by taking medicines to reduce estrogen levels in the body. 
  2. Surgery is another option where an incision is made in the chest area and the extra breast tissues are removed from the area. This also requires repositioning of the nipple in the chest. 
  3. Post-surgery, you should stick to a proper and healthy lifestyle to retain the new shape of the chest area. Weight gain or taking steroids can cause the symptoms of this condition to reappear.
2009 people found this helpful

Gynecomastia - How To Get Rid Of It?

Dr.Biswanath Gouda 88% (15ratings)
MBBS, MPH, Fellowship - Advanced Laparoscopic Surgery, DNB - General Surgery, Fellowship - Hepatobiliary and Liver Transplant Surgery, Fellowship - Bariatric Surgery, Fellow in International HPB Surgery( FIHPBA)
General Surgeon, Mumbai
Gynecomastia - How To Get Rid Of It?

Gynecomastia is a hormonal condition that causes swelling of the breast tissues in men and boys. This condition usually arises as a result of hormonal imbalance. Breasts do not form in the same pattern in males as they do in females but all males are naturally born with tiny quantities of the breast tissues. The male body produces the testosterone hormone, which plays an important role in growth during the stage of puberty. However, they also make the hormone estrogen that is instrumental for developing sexual growth in females.

When a male passing through the stage of puberty makes lesser amounts of testosterone then there is an imbalance of the hormones. As a result of the higher amount of estrogen present in men leads to swelling of the breast tissues.

Cause of imbalance-

Aside from the common reason which is the lesser production of testosterone, there are a few other reasons that can put into effect this imbalance. They are-

• Injury to the testicles that are responsible for producing testosterone
Obesity which leads to greater production of estrogen
• Taking illegal drugs
• Liver disorder
• Failure of the kidney
• Thyroid problems that result in throwing off your hormonal balance
• Medications that you might be taking for illnesses such as cancer, depression, heart disorders and ulcers

Treatment of Gynecomastia

The treatment of gynecomastia involves a general surgery which reduces the size of breasts by flattening and enhancing the contours of the chest. If in very severe cases the weight of the breast tissue has sagged and stretched the areola region, then the areola size can be improved surgically by reducing the excess skin.

• Mammaplasty

Plastic surgery, known as Mammaplasty, is also sometimes put into effect in order to treat the condition of gynecomastia.

Liposuction

In the case of liposuction, the procedure of the treatment first starts with a set of medications that need to be consumed. These medications help to reduce pain during surgery. There are two ways of taking this medication, either through intravenous sedation or via general anaesthesia. The liposuction technique involves the insertion of a hollow tube with the help of several incisions. Liposuction technique is generally prescribed if the cause of gynecomastia is excess of fatty tissues. During the procedure, the cannula or the tube will be moved back and forth in order to loosen up the excess fat. This fat is then removed via vacuum suction.

• Excision Technique

The excision technique is prescribed when the glandular breast tissue needs to be removed in order to rectify gynecomastia. In this procedure, the nipple will either be repositioned to a manlier contour or the areola size will either be lessened. In some other cases, the general surgery of gynecomastia can also involve a combination of both the excision technique as well as the liposuction technique.

Gynecomastia is a condition that can severely damage the emotional balance of a man and lessen their self-confidence. It has been also seen that many men suffering from this condition tend to avoid physical intimacy or sexual activities as a result of body-image issues. Therefore, treatment is highly recommended for those suffering from gynecomastia.

2843 people found this helpful

Gynecomastia - Know Its Causes And How Can We Treat It?

MBBS, MS - General Surgery, MCh - Plastic Surgery
Cosmetic/Plastic Surgeon, Navi Mumbai
Gynecomastia - Know Its Causes And How Can We Treat It?

Gynecomastia is a condition characterized by enlargement of the breast tissue in men. It occurs when there is an imbalance of the testosterone (male sex hormone) and estrogen (female sex hormone) in the body. It may a cause of embarrassment in men.
Causes:
The primary cause for this condition is increase in the level of estrogen in comparison with testosterone in the male body. Testosterone controls male characteristics such as body hair and muscle mass. Estrogen is responsible for controlling female characteristics such as breast enlargement. 
Men usually produce small quantities of estrogen in their body to maintain certain sexual functions. Complications occur when estrogen levels in the male body increase too much in proportion to testosterone.
The condition can be classified as follows:
1. Gynecomastia in infants:  Half of the infants are usually born with large breasts due to their mother's estrogen. The effect tends to wear of in a few weeks.
2. Gynecomastia during puberty: Gynecomastia occurs during puberty due to changes in hormones. The condition goes away without any treatment in six months to 1 year.
3. Gynecomastia in men: This condition may peak in men during the age of 50-80. Statistics show that at least 1 out of 4 men in this age group have this condition.

Some other causes for this condition in middle aged men are as follows:
1. Heart medications
2. Anti-anxiety drugs
3. Antibiotics
4. Chemotherapy
5. Medications that are used to treat heartburn
6. Smoking marijuana and drinking alcohol 

Treatments:
1.        If the cause of the condition is medications, then discontinuing the medicines should stop the effects. It can also be treated by taking medicines to reduce estrogen levels in the body. 
2.        Surgery is another option where an incision is made in the chest area and the extra breast tissues are removed from the area. This also requires repositioning of the nipple in the chest. 
3.        Post-surgery, you should stick to a proper and healthy lifestyle to retain the new shape of the chest area. Weight gain or taking steroids can cause the symptoms of this condition to reappear.
 

3885 people found this helpful

Gynecomastia - Knowing The Causes & Treatment Of It!

Dr.Sharad Daga 95% (45ratings)
DNB - General Surgery, MBBS, FMAS.Laparoscopy
General Surgeon, Jaipur
Gynecomastia - Knowing The Causes & Treatment Of It!

Gynecomastia is a hormonal condition that causes swelling of the breast tissues in men and boys. This condition usually arises as a result of hormonal imbalance. Breasts do not form in the same pattern in males as they do in females but all males are naturally born with tiny quantities of the breast tissues. The male body produces the testosterone hormone, which plays an important role for growth during the stage of puberty. However, they also make the hormone estrogen that is instrumental for developing sexual growth in females.

When a male passing through the stage of puberty makes lesser amounts of testosterone then there is an imbalance of the hormones. As a result of the higher amount of estrogen present in men leads to swelling of the breast tissues.

Cause of imbalance-

Aside from the common reason which is the lesser production of testosterone, there are a few other reasons that can put into effect this imbalance. They are-

• Injury to the testicles that are responsible for producing testosterone
Obesity which leads to greater production of estrogen
• Taking illegal drugs
• Liver disorder
• Failure of the kidney
• Thyroid problems that result in throwing off your hormonal balance
• Medications that you might be taking for illnesses such as cancer, depression, heart disorders and ulcers

Treatment of Gynecomastia

The treatment of gynecomastia involves a general surgery which reduces the size of breasts by flattening and enhancing the contours of the chest. If in very severe cases the weight of the breast tissue has sagged and stretched the areola region, then the areola size can be improved surgically by reducing the excess skin.

• Mammaplasty

Plastic surgery, known as Mammaplasty, is also sometimes put into effect in order to treat the condition of gynecomastia.

Liposuction

In the case of liposuction, the procedure of the treatment first starts with a set of medications that need to be consumed. These medications help to reduce pain during the surgery. There are two ways of taking this medication, either through intravenous sedation or via general anaesthesia. The liposuction technique involves the insertion of a hollow tube with the help of several incisions. Liposuction technique is generally prescribed if the cause of gynecomastia is excess of fatty tissues. During the procedure, the cannula or the tube will be moved back and forth in order to loosen up the excess fat. This fat is then removed via vacuum suction.

• Excision Technique

The excision technique is prescribed when the glandular breast tissue needs to be removed in order to rectify gynecomastia. In this procedure, the nipple will either be repositioned to a manlier contour or the areola size will either be lessened. In some other cases, the general surgery of gynecomastia can also involve a combination of both the excision technique as well as the liposuction technique.

Gynecomastia is a condition that can severely damage the emotional balance of a man and lessen their self-confidence. It has been also seen that many men suffering from this condition tend to avoid physical intimacy or sexual activities as a result of body-image issues. Therefore, treatment is highly recommended for those suffering from gynecomastia.

4081 people found this helpful

Gynecomastia - How Can Surgery Treat It?

DNB (Plastic Surgery), DNB General Surgery, FCPS General Surgery, MBBS
Cosmetic/Plastic Surgeon, Pune
Gynecomastia - How Can Surgery Treat It?

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:

  1. 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.
  2. Medication: Certain medications such as anabolic steroids, androgens, HIV/AIDS medicines, antibiotics and chemotherapy can cause gynecomastia.
  3. Drugs and alcohol: Substances such as alcohol, marijuana, amphetamines, heroin and methadone cause gynecomastia.
  4. Health condition: Certain factors, such as aging, hypogonadism (hormonal disorder), hyperthyroidism (overactive thyroid gland), tumorskidney failurecirrhosis, liver failure, malnutrition and starvation can lead to gynecomastia.
  5. 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.

3158 people found this helpful

Boys With Grown Breasts - What Can They Do?

MBBS, MS General Surgery, MCh Plastic Surgery
Cosmetic/Plastic Surgeon, Indore
Boys With Grown Breasts - What Can They Do?

When it comes to a man's physique, enlarged breasts can be quite embarrassing. This is a condition known as male gynecomastia and affects more men than you would imagine. Though it does not pose a significant health risk, it can affect a man's psychological health and lower his self-confidence. The good news is that men suffering from this condition do not need to live with it.

Male breast reduction surgery or gynecomastia surgery, aims at reconfiguring the contours of a man's chest by removing breast fat. The only permanent solution to this condition is surgery. This is because fat tissues are not solely responsible for enlarged breasts. Often glandular tissue is present in excessive amounts as well.

Gynecomastia surgery is usually performed under local anesthesia with liposuction being the most preferred procedure. This procedure begins when the surgeon makes a small incision on each side of the chest. These incisions are usually placed along the natural contours of the body, around the edge of the areola or near the armpit so as to reduce the visibility of scars. Excess fat and glandular tissue are then sucked out of this incision. Simultaneously, the surgeon sculpts the other tissues in the chest to redefine chest contours. Patients are usually advised to wear a compression garment after the surgery to support the healing tissues and minimize swelling.

Results of this procedure are visible almost immediately. Recovery from gynecomastia surgery is usually quick and many men find themselves back to their normal routine within a few days. However, vigorous exercising and heavy lifting should be avoided for a few weeks after the surgery. The patient may also experience slight soreness and minimal pain that can be relieved with over the counter pain killers. Some men may also experience a temporary loss of sensation in the area. Though the results of this procedure are permanent, there is no guarantee that it will not recur.

Gynecomastia may recur as a result of significant weight gain, use of steroids or as a side effect to certain types of medication. Hence, it is important to maintain a healthy lifestyle and avoid drugs that influence your testosterone levels. Regular exercise can also help tone the chest muscles and keep this condition from recurring.

3560 people found this helpful

Gynecomastia - How Can It Be Treated?

Dr.Sumit Agrawal 87% (89ratings)
MCh - Plastic and Reconstructive Surgery, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Mumbai
Gynecomastia - How Can It Be Treated?

While women strive to enhance the way their breasts look, the development of breast tissue in men can be embarrassing. This condition is known as Gynecomastia. It can affect one or both breasts in a symmetric or asymmetric manner and is caused by an imbalance of estrogen and testosterone hormones. It can also be caused due to a side effect of medication or because of other health problems such as an overactive thyroid or tumor. In some cases, this condition can get resolved on its own while in other cases, medication and surgery may be recommended.

Medications: Before undergoing treatment for Gynecomastia, it is essential to ascertain that you are in fact suffering from this condition. This is because gynecomastia and the buildup of fat tissue in the chest can look similar, but are treated differently. When treating this condition, medication needs to be supplemented with controlled calorie intake and physical exercise. It is also cheaper than surgical treatment.

Surgical Treatment: Surgery is often the preferred mode of treatment for significantly enlarged male breasts. Surgical treatment for gynecomastia is of two types:

  • LiposuctionThis removes fat from the breast, but leaves the breast gland tissue in place. Liposuction can be performed in a number of ways. It involves making two or more incisions through which narrow tubes are inserted into the chest area. This tube is gently moved around to loosen the excess fat tissue that is then sucked out.
  • Mastectomy: This procedure removes the breast gland tissue itself. It is performed endoscopically and hence has a quicker recovery time and involves less scarring.

You may feel a slight discomfort after the surgery for a few days. You will also be advised to wear a chest support brace for a few days to allow your body to heal without putting any pressure on the site of the surgery. Normal activities can be resumed within 2 to 3 days but avoid strenuous activities of heavy lifting for a month after the surgery.

As long as you follow a healthy lifestyle and have a balanced diet, either of the above surgical procedures should have a lasting effect. This makes surgery a more preferred form of treatment than medication.

Apart from this, certain exercises can also help tone chest muscles and reduce fat tissue. This includes inclines dumbbell presses, push-ups and exercises that focus on pectoral muscles. However, this is a very gradual process and hence suitable only for mild cases of gynecomastia.

3792 people found this helpful

Anabolic Steroid Use And Health Risks!

Dr.Amit Bansal 88% (235ratings)
MBBS, MS - General Surgery, MCh [Urology & Kidney Transplant]
Urologist, Faridabad
Anabolic Steroid Use And Health Risks!

I recently came across a good study highlighting the comparison of men abusing anabolic steroids in sports. The results were shocking.

1. As compared to normal male, anabolic steroid abusers had a three times higher chance of death over the same period of time.
2. Infertility was twice as common among the abusers as compared to normal men.
3. The risk of erectile dysfunction was three times higher.
4. The risk of heart disease was three times and risk of stroke and heart attack was 5 times.
5. The risk of acne and gynecomastia was 13 times.

So my sincere request to all the bodybuilders, physique athletes, both aspiring and professionals, don't screw up your future for an aesthetic present. 

2 people found this helpful
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