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Gynecomastia is the growth of breast tissue in men. There are several different causes of gynecomastia, and it is important to understand the probable cause and the extent of tissue growth in order to receive the most effective treatment. For patients struggling with this condition, gynecomastia surgery may be a treatment option.
Gynecomastia involves the growth of glandular breast tissue, similar to breast tissue in females, and may be caused by an imbalance of hormones. Sometimes there is also increased fat or adipose tissue in the chest area, further contributing to the appearance of male breasts.
This condition can be normal in infants, adolescents undergoing puberty and in the elderly. In some men, gynecomastia of adolescence can persist into adulthood. Other known causes of gynecomastia include medications, steroids, marijuana, androgen (hormone imbalance) deficiency, testicular tumors, excess weight, liver disease and kidney disease.
Treatment options for gynecomastia include waiting for spontaneous resolution, discontinuing drugs or offending agents, medications, weight loss and surgery. Your doctor can help you decide which option is best for you.
Patients who have completed puberty and have had persistent gynecomastia for more than a year are unlikely to have a full reversal of gynecomastia with medical treatment alone due to permanent fibrosis, and therefore are good candidates for surgery. Other characteristics that make someone a better candidate for surgery include:
Patients who have breast tenderness, are unable to discontinue offending agents, and who have a medical condition that makes surgery unsafe should not undergo surgery for gynecomastia.
Gynecomastia surgery involves the removal of excess tissue and possibly skin, and a plastic surgeon may remove three different types of tissue depending on the nature and extent of the gynecomastia.
After your gynecomastia reduction surgery is complete, your surgeon will wrap your chest with dressings to facilitate optimal healing. Small tubes may be placed in your chest to drain excess fluid and minimize swelling. Your surgeon will discuss proper dressing care with you before you go home.
You will need to limit physical activity for at least two weeks after surgery, and limit upper body exercise for at least four weeks after surgery. It may take six months or longer for the swelling to go down completely and reveal your final result. You will have some scarring where incisions were made for the surgeon to get under your skin, which will heal to become less noticeable throughout the first year.
The views expressed in this blog are those of the author and do not necessarily reflect the opinions of the American Society of Plastic Surgeons.