Dr. Neavin is the Go-To Surgeon in Los Angeles for Fixing Gynecomastia
When men suffer from this symptom, it literally means “feminine breasts”. It is very common for men to have a disproportionate chest size. Studies have demonstrated that 30-60% of all men have enlarged breast size to some degree. Enlarged breasts in is a common condition that affects self-esteem. Men seldom discuss their insecurities of their breasts with wives, family, or friends, and are more hesitant to see a doctor for such insecurities.
What is the appearance of the chest in someone with gynecomastia?
The male chest is large and over projecting. It may occur in one breast or both breasts. Breasts may be soft or firm. And sometimes, there are hard “knots” in the breast. Depending on the age of the individual and weight fluctuations there may be excess skin and sagging. The areolar complex is often enlarged and the nipples may protrude. Usually, there are combinations of these conditions. Often large male breasts accompanies obesity, but it doesn’t have to.
What are the signs, symptoms and social issues?
Not too surprising, teenagers with this condition often have a drop in grades. In physical education and gym exercises classes, young men may refuse to participate for fear that they might be asked to remove their shirts or shower with other classmate or fellow athletes. In some cases, teenagers suffering from “gyno” socially withdrawal from their peers and avoid dating.
In young adult males, avoidance in outdoor activities may even occur. Embarrassment may prevent young men from going to the beach or pool. Sometimes intimacy issues with sex develop. Poor body image may limit partnerships or sexual engagement. There are often religiously based feelings of guilt for being ashamed of their bodies.
What causes men to have enlarged breasts?
Most causes of enlarged breasts in men are unknown. This is referred to as idiopathic gynecomastia. It may also be caused by imbalances of testosterone to estrogen. This imbalance can result in fat deposition in greater quantity in the breasts. When this happens in puberty, there can be an increase in the development of glandular breast tissue in the teenager.
In the large majority of cases, enlarged breasts since exist since puberty. However, there are other conditions that can cause development of male breast tissue in older men. These include:
- Tumors located in the brain, testicles, or adrenal glands.
- Gym steroids
- Smoking marijuana
- Excessive alcohol consumption
- Chronic diseases like renal failure and hyperthyroidism
- Many prescribed drugs can affect a male’s hormone balance (including medicines for ulcers, gastroesophageal reflux, high blood pressure, seizures, antidepressants, and prostate enlargement)
- Liver disease
Thus, most men should be seen by their primary care doctor before considering their surgery.
Gynecomastia correction can involve liposuction or excisional surgery, or a combination of both approaches. Liposuction techniques will reduce the size of the breasts in most cases minor and moderate cases. Sometimes it may be necessary to make small incisions to remove hard glandular tissue. In greater degrees of gynecomastia, removal of excessive skin, breast tissue, and reduction of the nipple-areolar complex may be indicated. For the most part, these procedures are performed as out-patient surgeries. Most men will miss only a few days from work.
Much like other cosmetic surgeries, this is generally not covered by insurance as it is mainly a cosmetic operation despite its psychological effects on well-being.