Gynecomastia
What is it?
Gynecomastia is a condition characterized by the enlargement of breast tissue in males. It results in a swelling or a localized increase in the size of one or both breasts. Gynecomastia can affect males of all ages, from infants to older adults.
The development of gynecomastia is typically caused by an imbalance in the hormones estrogen and testosterone. Estrogen is a female hormone that can be present in small amounts in males, while testosterone is the primary male hormone. When the estrogen levels are relatively high or the testosterone levels are low, it can lead to the growth of breast tissue.
There are various factors that can contribute to the hormonal imbalance causing gynecomastia. These factors may include:
- Hormonal changes during infancy, adolescence, or older age.
- Puberty: Gynecomastia is relatively common during puberty due to hormonal fluctuations.
- Hormonal imbalances are related to certain medical conditions, such as hypogonadism, hyperthyroidism, or liver and kidney disorders.
- Medications: Certain medications like anti-androgens, anabolic steroids, medications for prostate cancer, certain antidepressants, and some cardiovascular drugs may increase the risk of developing gynecomastia.
- Substance abuse: The use of alcohol, marijuana, and certain illicit drugs can also contribute to the development of gynecomastia.
- Hereditary factors: There may be a genetic predisposition to developing gynecomastia.
Gynecomastia itself is typically a benign condition and does not pose significant health risks. However, it can cause emotional distress, and self-consciousness, and affect an individual's body image and self-esteem.
In some cases, gynecomastia may resolve on its own over time, especially during puberty. However, if it persists or causes significant discomfort or psychological distress, medical intervention may be necessary. Treatment options for gynecomastia include medication to rebalance hormones, surgical removal of excess breast tissue, or a combination of both, depending on the underlying cause and severity of the condition.
Pseudo-gynecomastia
Pseudo-gynecomastia is an enlarged male breast caused by excessive fat tissue, but a normal amount of glandular breast tissue. Pseudo-gynecomastia occurs in many men as they become older and in younger men who are relatively obese. Pseudo-gynecomastia can also be effectively treated by liposuction.
Planning Your Gynecomastia Surgery
Gynecomastia Consultation
During a surgical consultation, a careful medical history is obtained to look for potential causes of this condition. If no reversible medical condition is found, surgical correction may be indicated.
The Gynecomastia Surgery
Surgical correction involves a small incision around the lower half of the areola, In order to maintain blood flow and preserve sensation in the nipple and areola; they remain attached to the pectoral by a thin stalk of tissue throughout this process.
Followed by a combination of liposuction and direct excision to achieve a natural chest contour.
After which the incisions are sutured, the stitches are usually located around the lower half of the areola. The scar blends in nicely at the margins of the areola and will become virtually invisible.
The procedure takes one to four hours, depending on the complexity of the case.
Liposuction of the male breast is one of the most commonly performed liposuction procedures. Men with excessive fat in their breasts are good candidates for liposuction with or without breast tissue excision.
The normal male breast contains both fat tissue and glandular tissue. True breast tissue in males is typically a small localized lump located immediately under the nipple that is firmer than the surrounding fatty tissue.
It is easy to remove fatty breast tissue by liposuction, but more difficult to remove glandular tissue by liposuction. Therefore some patients require a small incision at the margin of the nipple/areola complex to remove the excess glandular tissue just under the nipple.
After Gynecomastia Surgery
A simple dressing at the wound site with a compression bandage over the chest area must be worn on the treated area for a week after surgery.
This can be uncomfortable but is necessary for effective healing. Drainage tubes may be applied to drain off excess fluids from the wounds and reduce the formation of bruises. These are removed a few hours after surgery.
Usually, the patients are able to go home the same day.
A follow-up appointment will be arranged in a week's time after the surgery, during this visit the dressing will be taken off and the wound will be reviewed.
The sutures are always dissolvable.
Getting You Back to Work and Normal Activities After Gynecomastia
You will have to rest completely for the first 24-48 hours after surgery.
It is quite normal to experience a burning sensation during this time.
It may be possible to return to work after as little as three days but only if it does not require you to lift heavy objects.
Back to Normal activities and Gym in 2-3 weeks' time.
Gynecomastia Surgery Costs ( estimated )
Male Breast Reduction “ManBoobs”
Total Cost: $6,900 (including Surgeon’s fee, Assistant Surgeons fee, Anaesthetist’s fee, Hospital, operating theatre and all follow-up visits costs).
Medicare and/or Private health insurance will refund you some of the above total cost.
This price assumes top hospital cover with a private fund. If fund cover does not apply in your situation, plan for additional costs of $3,000.
Tips for men dealing with gynecomastia
Seek medical advice: If you notice changes in your breast tissue, consult with a healthcare professional to diagnose and determine the cause of gynecomastia.
Practice self-acceptance: Embrace your body as it is, remembering that gynecomastia is a common condition among men.
Seek support: Share your concerns with trusted individuals or support groups who can provide emotional support and understanding.
Dress strategically: Choose well-fitting clothes that flatter your body shape and consider patterns, layers, or thicker fabrics to minimize the appearance of gynecomastia.
Engage in regular exercise: Stay physically active with exercises that target the chest muscles, contributing to an overall healthier appearance.
Maintain a healthy weight: Strive for a balanced diet and regular exercise to maintain a healthy weight, which may help minimize the prominence of gynecomastia.
Avoid self-medication: Consult a healthcare professional before using any supplements or medications, as some substances may worsen gynecomastia or interact with other medications.
Focus on overall well-being: Take care of your mental and emotional health by engaging in activities you enjoy, managing stress, and seeking professional support if needed.
Remember, these tips are general suggestions, and it's important to consult with a healthcare professional for personalized advice based on your specific situation.