Male Breasts Reduction

Definition - Gynecomastia is a medical term that derives from Greek and denotes large breasts in a male patient. The condition could affect one breast or both breasts. In most patients no specific cause can be found. In some, development of breasts in male patients has been linked to conditions such as overweight and use of anabolic steroids. Various other medications have been linked to Gynecomastia. True Gynecomastia is due to glandular breast tissue enlargement. Pseudo Gynecomastia refers to enlargement of breasts secondary to fat accumulations, mixed Gynecomastia is attributed to accumulation of both glandular elements and fat.

Plastic Surgery - The surgical treatment of Gynecomastia is aimed at removing pathological breast tissue such as tumors and restoring aesthetics of the normal male chest. The exclusion of pathological cause of Gynecomastia requires detailed history, physical examination and sometimes laboratory tests that could determine abnormal estrogen androgen balance in the patient.

Gynecomastia in adolescence
- Gynecomastia is a common condition with overall incidence of over 30% in males between 10 - 16 years of age. Many developing boys experience enlargement of breasts during this sensitive period. Incidence could be as high as 65% at the age of 14 and it drops to 14% by the age of 16. Most cases of Gynecomastia in adolescence are bilateral but it could affect each breast to a different degree. Peri pubertal Gynecomastia often regresses spontaneously. 75% of cases resolved within two years after the onset and up to 90% resolve within three years of onset without treatment.

Gynecomastia in adults - In some adults Gynecomastia has been attributed to increased body fat and altered estrogen/androgen ratio. In rare occasions, Gynecomastia has been attributed to hormone secreting tumors predominantly testicular and adrenal tumors. Male breast cancer is an extremely rare cause for breast enlargement, usually unilateral.

Purpose - To improve male chest aesthetic and to reduce large breasts.
Plastic Surgery length - 1 – 1 ½ hours.
Anaesthesia - Conscious sedation with local anaesthesia or general anaesthesia.
Facility - Day case or overnight stay.
Recovery - Bruising, swelling, tenderness and numbness of the chest skin.
Costs - Costs vary according to the technique used, extent of procedure and type of facility.

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