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Gynecomastia (Male Breasts)

*Individual results may vary

Gynaecomastia, male breast surgery BeforeGynaecomastia, male breast surgery after

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Definition

Gynecomastia is a medical term that originates from the Greek language and signifies large breasts in a male patient. The condition could affect one or both breasts. In the majority of patients, no specific cause can be found. In some, the development of breasts has been linked to conditions such as overweight and the use of anabolic steroids that promote the growth of tissue. Various medications have also been linked to Gynecomastia. True Gynecomastia is due to enlargement of glandular breast tissue. Where there is an enlargement of the breasts as a derivative of fat accumulations, the condition is known as pseudo Gynecomastia. Mixed Gynecomastia on the other hand is a result of the accumulation of both glandular elements and fat.

Plastic Surgery

The intention of the surgical treatment of Gynecomastia is remove any pathological breast tissue, such as tumours, and to restore the aesthetics and appearance of the normal male chest. The exclusion of pathological cause of Gynecomastia requires a detailed history, physical examination and sometimes laboratory tests that may determine whether there is an abnormal oestrogen/androgen balance in the patient.

Gynecomastia in adolescence

Gynecomastia is a widespread condition with a general incidence of over 30% in males between the ages of 10 and 16 years. A number of boys going through puberty experience an increase in breast size during this sensitive period. The occurrence of Gynecomastia could be as high as 65% at the age of 14 and it reduce to 14% by the age of 16. Most cases of Gynecomastia in adolescence are bilateral but it could affect only one breast, or each breast to a different degree. Peri pubertal Gynecomastia often slows down spontaneously. 75% of cases are resolved within two years after the onset of puberty and up to 90% resolve within three years of onset without treatment.

Gynecomastia in adults

In several adults, Gynecomastia has been a direct result of increased body fat and a change in the oestrogen/androgen ratio. In exceptional cases, Gynecomastia results from hormone secreting tumours, predominantly testicular and adrenal tumours. Male breast cancer is an extremely rare cause for breast enlargement, and usually occurs in only one breast.

Purpose

The procedure serves to reduce large breasts and in so doing, improve the male chest aesthetic.

Plastic Surgery length

The procedure lasts for between 1 and 1 ½ hours.

Anaesthesia

The procedure can be performed under conscious sedation with local anaesthesia or under general anaesthesia.

Facility

The patient may have to stay overnight or may be a day case candidate.

Recovery

The recovery process will entail some bruising, swelling, tenderness and numbness of the chest skin.*

Costs

Costs differ and are dependant on the technique used, the extent of procedure and type of facility