Popular reasons for gynecomastia include:
- Remove firm tissue/lump behind the nipple.
- Improve chest contour and profile.
- Restore self-confidence.
Gynecomastia is thought to result from an imbalance in the ratio of estrogen to androgen (testosterone), whereby the relative excess in estrogen causes enlargement of male breast tissue. This typically manifests in a firm, often tender, mass of tissue behind the nipple that can persist in post-adolescent males and even become apparent in older men (senile gynecomastia).
Numerous medications can result in breast gland enlargement as well and male bodybuilders are often vilified in this regard. In these individuals, a high testosterone state is achieved through diet, exercise, supplementation and exogenous use of anabolic steroids. When the male body is overwhelmed by testosterone, the excess is converted to estrogen and estrone, which are potent stimulants of breast gland growth. Irrespective of the underlying etiology, removal of the enlarged glandular tissue provides patients with significant relief both physically and psychologically as breast gland enlargement often causes substantial social embarrassment and anxiety.
Excess chest wall fat surrounding the firm gland behind the nipple is common. This must be simultaneously addressed via liposuction so that a dent does not result following removal of the glandular tissue. It is important that gynecomastia surgery is performed carefully by an experienced plastic surgeon so that post-operative deformities are avoided, many of which are challenging to correct.
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