Gynecomastia

Gynecomastia

Gynecomastia is swelling of the breast tissue in boys or men, caused by an imbalance of the hormones oestrogen and testosterone. Gynecomastia can affect one or both breasts, sometimes unevenly. Newborns, boys going through puberty and older men may develop gynecomatia

What is physiological male breast enlargement?

  • Gynecomastia in infants. More than half of male infants are born with enlarged breasts due to the effects of their mother's estrogen. Generally, the swollen breast tissue goes away within two to three weeks after birth.
  • Gynecomastia during puberty. Gynecomastia caused by hormone changes during puberty is relatively common. In most cases, the swollen breast tissue will go away without treatment within six months to two years.
  • Gynecomastia in men. The prevalence of gynecomastia peaks again between the ages of 50 and 69. At least 1 in 4 men in this age group are affected.

What are the reasons for gynecomastia?

Drugs are estimated to cause 10–25% of cases of gynecomastia Medications known to cause gynecomastia include methadone, aldosterone antagonists (spironolactone and eplerenone); HIVmedication; cancer chemotherapy; hormone treatment for prostate cancer; heartburn and ulcer medications; calcium channel blockers; antifungal medications such as ketoconazole; antibiotics such as metronidazole, tricyclic antidepressants, such as amitriptyline. Certain health problems in men such as liver disease, kidney failure, or low testosterone can cause breast growth in men.

What are the psychological issues of gynecomastia surgery?

Although gynecomastia itself does not present any medical risks, gynecomastia was sufficient to cause significant deficits in general health, social functioning, mental health, self-esteem, and eating behaviours and attitudes compared with normal persons

Is this problem may corrected by doing workout or losing weight?

Doing workouts or losing weight won’t correct the problem in patients who have true glandular enlargement, or in those with a large amount of excess skin in the breast area.

What is pseudogynecomastia and how will you differentiate it from gynecomastia?

The main difference between pseudogynecomastia and gynecomastia is the type of tissue that causes the breasts to look enlarged and feminine.

Pseudogynecomastia is male breast enlargement only due to excess fat in the breast which responds to changes in diet and exercise.

In gynecomastia cases, the male chest area has excess glandular male breast tissue along with fat. Glandular tissue is firmer and more fibrous than fat tissue, and it does not respond to changes in diet or exercise.

Why should patient undergo this procedure?

Gynecomastia is not physically harmful, but it can result in psychological distress for those with the condition. Patient has to undergo this procedure to improve their self-esteem and to feel like that they are normal.

What is done during the procedure?

All the fat is removed by liposuction followed by making incision in the areolar border, the glandular structure which is resistant for liposuction is removed.The wound is sutured and suture removal done after 6 days.

What is the advantage of the procedure?

It is a day care procedure. Patient discharged on the day of surgery itself. Resume his routine activities after 48 hours.

What is the postoperative care advised to the patient?

Patient advised to wear tight lipoelastic garment for 6 to 8 weeks.This allows the contraction of the loose skin which is present in the chest after liposuction with gland removal.

Can Man Breast Grow Back after Gynecomastia?

After male breast reduction surgery, it’s quite unlikely that man breast will grow back. The surgeon will remove most of the fat cells within the breast area and they aren’t likely to regrow, which is good news for men who want long-lasting results.

Is there any nonsurgical alternative for gynecomastia?

Surgery is the permanent cure for gynecomastia. There is no other nonsurgical treatment available to get rid of this problem.