Male Breast Reduction (Gynaecomastia)
Male Breast Reduction (Gynaecomastia):
Gynaecomastia Causes:
Gynaecomastia is an enlargement of breast tissue in men, which is problematic as can easily be noticed by other people. The enlarged tissue can be mammary gland tissue, fatty tissue, or a combination of both. This leads to significant functional and psychological limitations. The physical deformation can also be painful. Glandular tissue is usually more painful than fatty tissue. In situations such as physical education class, children and young people may need to remove their shirts in front of other students is often very embarrassing. After the first presentation, boys are often advised to ignore gynecomastia and assured that it will pass. Fortunately, cases of minimal subareolar gynecomastia that occur during puberty resolve in most cases as puberty progresses.
Gynaecomastia Treatment: Liposuction-assisted mastectomy with or without adenectomy in patients with gynecomastia can be performed under local, intravenous sedation, or general anesthesia. For Gynaecomastia Surgery, the choice of sedative must be decided between the doctor and the patient before the operation. Rapid or unusual progression or occurrence of the disease may require an endocrine evaluation, which is best done before any surgery. If the etiology of gynecomastia is related to a tumor of the adrenal gland or pituitary gland, that tumor should be treated before attempting to correct gynecomastia. If gynecomastia is associated with the drug use then that drug should be discontinued before surgery.
The goal of surgical treatment of breast gynecomastia is to (1) restore the normal shape of the male breast and (2) correct the deformities of the breast, nipple and areola. The surgical options for a patient with gynecomastia are a mastectomy, liposuction assisted mastectomy, or a combination of both. Most patients benefit maximally from the combination therapy. It should be emphasized that the glandular tissue of the breast is very thick and often difficult to remove without direct excision.
The compression garment should be worn for at least 4 weeks. The patient can resume physical activity within a few days. Exercise can be resumed 3 weeks after surgery and gradually increased over time. Patients usually return to work after 1 to 2 days.