Gynaecomastia
(Male Breast Development)
Gynaecomastia
Gynaecomastia is a benign condition that results in the enlargement of male breast gland tissue and is quite common, more than half of all healthy males will develop gynaecomastia during puberty but the enlarged breast tissue generally reduces in size with time.
About one-third of older men will develop gynaecomastia and while it can develop in males of any age or weight, the condition often arises around puberty as hormonal changes affect breast development. Large breasts seen on obese men are generally due to an accumulation of excess fat and not the breast gland tissue, so it is sometimes called pseudogynaecomastia as it is not true gynaecomastia.
Gynaecomastia can appear as a firm or rubbery mass that starts from underneath the nipple and spreads out over the breast area. It generally affects both breasts simultaneously but often in varying amounts resulting in asymmetry, or the condition may only affect one breast. Some men experience pain or tenderness with the growing tissue and gynaecomastia can also result in significant social and psychological stress, leading to embarrassment and anxiety.
Causes:
- Hereditary
- Obesity
- Drugs …anabolic steroids, testosterone etc…
- Tumours
Surgical Treatment:
It is mandatory that the cause of the gynecomastia is determined.
Your surgeon will take an elaborate history, examine you and carry out investigations if necessary.
Surgical treatments vary according to :
- Fatty adipose component
- Breast tissue component
- Skin excess and elasticity
The surgical choice will be explained to you at the time of your consultation.
Procedure:
Liposuction alone: Liposuction is performed if the abnormality is solely due to fat adipose tissue with small amounts of breast tissue. Surgical excision/removal of the breast tissue combined with liposuction: This option is applicable to excess fat AND breast tissue. The incision will be placed at the junction of the lower half of the areola and chest skin. Drains will be used and a pressure garment will be applied.
Duration of Procedure:
1-3 hours depending on the size and content of the breasts.
Anaesthesia:
General anaesthesia is the preferred choice. Local anaesthesia with or without intravenous sedation may be requested if suitable.
Recovery:
Small reduction: Discharged on the same day. Larger reduction: Discharged the next day. Back to work within 3-7 days. Gentle exercise within 10 days of Strenuous exercise within 6 weeks. Exercise depends on the extent of the surgery.
Results:
Permanent reduction of breast size. Small feint scars at the base of the areola. Improved self-esteem and confidence. You will wear tight T-shirts and go to the beach feeling good.
