Gynecomastia, the enlargement of male breasts, is a common condition that can affect men of all ages. It is often caused by various factors such as certain illnesses, the use of specific drugs, and hormonal changes. Genetics can also play a role. Men with gynecomastia may experience emotional distress and a loss of self-confidence, sometimes avoiding intimacy and physical activities to hide their condition.
Gynecomastia can occur in one breast (unilaterally) or both breasts (bilaterally) and typically involves:
– Excess glandular tissue development
– Fat accumulation in specific areas
– A combination of fat and glandular tissue
Reduction mammoplasty, a type of surgery, is one solution for men looking to reduce their breast size. This surgery flattens and enhances the chest contour. It is crucial that the decision to undergo this surgery is personal and not influenced by others. For adolescents, the benefits are similar but they might need another procedure in the future if breast development continues. The best time for surgery is when breast development has stabilized.
Ideal candidates for this procedure are those who:
– Have no other alternative solutions
– Do not have any medical conditions that could affect healing
– Have realistic expectations about the surgery’s outcome
– Maintain a relatively normal weight
– Do not smoke or use drugs
– Are genuinely concerned about their breast size
In severe cases of gynecomastia, the excess tissue can cause breast sagging and stretching of the areola (the dark skin around the nipple). The surgeon can adjust the size and position of the areola during surgery.
**Surgical Procedures:**
**Anesthesia:** An anesthesiologist will administer anesthesia, which could be either intravenous sedation or general anesthesia.
**Excision:** If there is a need to remove glandular tissue or excess skin, reposition the nipple, or reduce the areola, the surgeon will use the excision technique.
**Liposuction:** When the gynecomastia is due to excess fatty tissue, liposuction might be used. In this procedure, a thin tube (cannula) is inserted through small incisions. The surgeon moves the cannula back and forth to loosen the fat and then removes it by suction. Sometimes, both excision and liposuction techniques are combined.
**Scarring:** While many incision lines from the surgery will be naturally hidden by the body’s contours, some scars may remain visible.
There are also various over-the-counter supplements believed to reduce gynecomastia. Research the best options and gather information before trying them.