General Health

Introduction of Gynecomastia (Enlarged Breasts in Men) | Causes of Gynecomastia | Surgery

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Overview

Male chests that are very big might generate emotional problems and low self-esteem in males.

Gynecomastia correction, often known as a male breast reduction, is a surgical surgery that involves incisions in the chest to remove extra chest tissue. In addition to the reduction, the operation also raises the nipples and can lower their size to a proportionate size for your body, easing the pain associated with too big breasts.

Gynecomastia repair can remove a lot of the excess skin on the chest, as well as the sides of the chest, after a significant weight reduction.

Epidemiology

Gynecomastia affects men of all ages, however it is thought to be trimodal in nature (i.e., in newborns, adolescents, and the elderly). Due to prenatal oestrogen transfer, it is observed in 60 percent to 90 percent of neonates and is a very typical occurrence in pubertal boys, with a frequency of up to 70%.

However, after one to three years following commencement, the swollen breasts normally diminish or vanish without therapy. Gynecomastia is also frequent around the age of 50, when androgen production declines as a natural part of ageing, especially if weight gain is present.

Gynecomastia is thought to affect more than 40% of postpubescent boys at some point during their life. In postadolescent boys, medications are responsible for roughly 10% to 20% of gynecomastia occurrences. About a quarter of all cases have no obvious cause.

What is the Definition of Gynecomastia?

Gynecomastia is a disorder in which men develop hard breast tissue. The breast tissue, which is positioned just behind the nipple, is generally less than 1-1/2 inches across. Gynecomastia can affect one or both sides of the body. The breasts may become sensitive as a result of this disorder.

Some men and boys have fat on their chests, giving them the appearance of having breasts. Pseudogynecomastia is the medical term for this disorder (false gynecomastia). It is not to be confused with gynecomastia.

Introduction of Gynecomastia | Causes of Gynecomastia | Surgery 2021
Gynecomastia 

Gynecomastia is a disorder in which a boy or man’s breast tissue grows excessively. Breast enlargement is caused by tissue overgrowth. Gynecomastia isn’t cancer; it’s a benign disorder that can happen for a variety of causes.

It’s not ordinary for newborn males to have minor gynecomastia, and it’s also not uncommon for adolescent guys to have it. Changing hormones are frequently the cause of breast growth in these cases. Breast form returns to normal when hormone levels normalise.

Men of all ages can have breast augmentation, as has been demonstrated. The disease might be linked to the testosterone reduction that occurs in middle age during maturity.

Treatments and medicines, such as antibiotics and antidepressants, can cause breast enlargement. Gynecomastia can also be caused by recreational substances like anabolic steroids and marijuana.

It might be tough to contour the chest with food and exercise when breast tissue develops excessively. Many men have tried and failed, leaving them disillusioned and despairing. In recent years, cosmetic surgery has created more effective treatments for gynecomastia, such as chest liposuction.

Is Gynecomastia a common Problem?

The most frequent male breast condition is gynecomastia. Around 50 to 65 percent of boys and men throughout the world are affected by it.

Causes

The majority of the time, it’s due to increased oestrogen levels throughout puberty. Gynecomastia of this type usually typically fades away on its own with time.

Other factors can also have a role:

  • Medication that is prescribed
  • Medications available over-the-counter
  • Drunkenness (such as marijuana and steroids)
  • Tumors
  • Klinefelter Syndrome and other genetic illnesses and problems

A natural imbalance between the hormones oestrogen and testosterone is often the cause of gynecomastia, especially after birth, during puberty, and as a man ages.

Introduction of Gynecomastia | Causes of Gynecomastia | Surgery 2021
Gynecomastia 

Hormone-disrupting medications can potentially induce gynecomastia. Anabolic steroids, heart medications, antibiotics, chemotherapy medications, and medications for depression, high blood pressure, stomach ulcers, and prostate cancer are among them.

Both marijuana and alcohol can cause breast tissue to grow. Stopping taking a medicines may assist with gynecomastia, but you should never stop taking a medicine without first consulting your doctor.

Other causes of gynecomastia include Klinefelter syndrome, kidney or liver problems, and tumours in the testicles or adrenal gland. It can also be caused by an excess of the hormone prolactin, which is produced by the pituitary gland.

This can occur as a result of a tumour, antipsychotic or anti-nausea medicine, an underactive thyroid, renal or liver problems, or marijuana usage.

Who is Affected by Gynecomastia?

Natural pubertal males may be at risk for gynecomastia, which is a normal part of the growth process. Gynecomastia can also affect normal male neonates.

Other aspects to consider are:

  • Aging, since it is thought that ageing causes a decrease in testosterone production, which can lead to the problem.
  • The same risk factors that lead to certain illnesses and ailments (such as cirrhosis of the liver) also predispose to having larger male breasts.
  • Taking some medicines may raise your chances of getting sick.

Symptoms

The following are some of the signs and symptoms of gynecomastia:

  • Breasts that are enlarged
  • Discharge from the breasts
  • Soreness in the breasts

Other symptoms may be present depending on the reason. If you’re experiencing signs of male breast enlargement, see your doctor to find out what’s causing it.

Introduction of Gynecomastia | Causes of Gynecomastia | Surgery 2021
Gynecomastia 

Gynecomastia can affect one or both breasts. It may begin as a lump or fatty tissue beneath the nipple that is sensitive to the touch. Breasts often grow in an irregular pattern.

The signs and symptoms of gynecomastia might be mistaken for those of other health issues. Always seek medical advice from a qualified professional.

Gynecomastia Surgery

When patients present with a gynecomastia complaint, they typically complain of lumps in their breasts, as well as extra fat in the breasts. Liposuction of extra fat, surgical removal of excess glandular breast tissue by an incision at the nipple-areolar complex edge, and/or skin excision are the most common procedures used to remove breast tissues (in very large male breasts).

To confirm gynecomastia and rule out the possibility of male breast cancer, your surgeon should undertake a thorough physical examination of your breasts.

Introduction of Gynecomastia | Causes of Gynecomastia | Surgery 2021
Gynecomastia 

Preparing for surgery include discontinuing any medicines that raise your chance of bleeding, quitting smoking, and improving your nutrition to aid in your healing and recovery.

Although most surgeons do the treatment under general anaesthesia, it is also possible to execute it under oral sedation or local anaesthetic. Many surgeons utilise drains after surgery to prevent fluid accumulation.

Compression vests and ice are also commonly used to relieve discomfort, decrease swelling, and prevent bruising.

How Long Does Gynecomastia Surgery Take to Recover From?

Male breast reduction patients might expect minor pain after surgery that responds well to oral narcotic pain medications. For support, a compression garment will be utilised, which must be worn for at least two weeks after surgery.

Sutures are usually removed on day #7 if they are present. Many patients report being able to resume normal activity after 10 days, with more strenuous activity (exercise and lifting) restricted for three to four weeks.

Diagnose

A physical exam and medical history are generally enough to diagnose gynecomastia. In the vast majority of situations, testing are not required.

A biopsy may be performed to rule out other diseases if the breast lump is especially big, one-sided, painful, or hard and fixed.

If a man discovers a one-sided breast lump, he should tell his doctor if he has close relatives who have been diagnosed with breast cancer (mother, sister, or daughter). If there is any concern about cancer, a lump can be checked with a biopsy & surgery.

Treatment

Gynecomastia normally resolves on its own without the need for medical intervention. Within a few months to a few years, the breasts flatten down.

There is medication that can assist if gynecomastia is severe. If gynecomastia persists beyond puberty, surgery might be used to shrink the breasts.

Gynecomastia normally resolves on its own without the need for medical intervention. Within a few months to a few years, the breasts flatten down.

There is medication that can assist if gynecomastia is severe. If gynecomastia persists beyond puberty, surgery might be used to shrink the breasts.

What am I able to do?

Even while most teenagers’ gynecomastia is only a transient development, some men with the condition may be uncomfortable or self-conscious about their looks. Many men find that wearing loose-fitting shirts conceals their breasts until they shrink.

If you have gynecomastia that is bothering you or has persisted more than two years, speak with your doctor about treatment options.

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