Gynecomastia refers to enlargement of the male breast that
creates a feminine appearance that is often disturbing or embarassing to the individual. The term is used loosely to describe
enlargemnent of the breast but its true definition is enlargement of the actual glandular or breast tissue. Enlargement
may also be due to fat which though referred to in the same way, is not true gynecomastia.
Several factors have been associated with the development of gynecomastia,
including obesity or being overweight, marijuana use, steroid use, medication, endocrine or hormonal abnormailty and
in some cases testicular tumors. Gynecomastia may also develop in association with aging. It is not uncommon for
gynecomastia to develop in pre-teen males and resolve with the completion of puberty.
In some cases an endocrinology or urology evaluation is recommended.
Treatment of gynecomastia may range from simple liposuction of
fat to a combination of liposuction with excision of breast tissue through incisions around the areola, and even involve
removal of excess skin if indicated. The latter approach may involve long scars and is usually needed in individuals following
massive weight loss.
Following the surgery you will be required to wear a compression
vest of wrap for several weeks and drains may be placed at the time of the procedure depending on the extent of surgery
performed.
Breast tissue that is removed is usually sent for examination by
the pathologist.
