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The word “gynecomastia” describes male breasts which are more prominent and larger than normal, i.e, breasts like those of a woman. This condition can be seen in about 30% of men, and can be extremely upsetting and embarrassing for them!
Gynecomastia may be a result of certain hormonal changes which occur during puberty. In some boys, if there are lower levels of the male hormone, androgen, as compared to the female hormone, estrogen, the breast tissue may become enlarged.
However, puberty-related gynecomastia often resolves on its own, and treatment should not be sought until you are at least 18 years of age.
Certain drugs can also be used to treat this condition. However, in some cases, this may not be effective, and then it may be necessary to remove the excess glandular and/or fatty tissue surgically.
In case surgical treatment is required, the excess tissue can be removed with liposuction,
The extent of the procedure depends upon the severity of the breast enlargement. In cases where there is also excessive fatty tissue, a combination of liposuction plus surgical removal of the glandular tissue may be required. Certain specialized instruments are available for this.
This is known as GYNECOMASTIA or “MALE BREAST KEYHOLE SURGERY”. This is an out-patient procedure and you can usually resume normal activities in a couple of days. The scars are minimal and will fade after a little while. Swelling in the area will usually reduce after approximately 20 days, and the results are permanent.
You will need to wear a specialized corset or pressure garment for about 3 weeks after the procedure to compress and support the area.
During the consultation with your surgeon, you must discuss what you expect from your surgery. Your surgeon will first confirm the underlying cause of your breast enlargement. He or she will also assess the elasticity of your skin, and the size of your breasts, as well as your general health and fitness.
What will happen During the Surgery?
The surgery is done under general anesthesia, and typically it takes about 1 to 2 hours for the procedure.
If the enlargement is due to an excess of fatty tissue, it will be removed by means of a liposuction procedure.
If excessive glandular tissue is the reason for the enlargement, it will be surgically removed along with the excess fat. The incision will be made along the lower edge of the areola, so that it will not be visible.
After the surgery, a drain may sometimes be placed in the area to prevent the accumulation of fluid. This will be removed after a day or two.
What Should You be Aware of After Surgery?
- You will experience some pain for a few days, but it will be controlled with medication.
- The stitches will be removed after about 2 weeks.
- Gynecomastia may occur again, especially among men who are using anabolic steroids, or in cases where it is caused by certain medications.