In my Beverly Hills office I saw a man who had gynecomastia, also referred to as man breasts, or as colleague and good friend Dr. Billi Gordon would call them, ‘MWTs” (you can ask him about the meaning of his acronym). Gynecomastia is the abnormal development of large mammary glands in men resulting in enlarged breasts. It is most often seen in male adolescence, and in the elderly. When it occurs in adolescent boys, for the large majority the condition the breast development shrinks or disappears within a couple of years. For young and older men, the causes may be related to several known factors, or no known factors at all!
Although the exact causes of common gynecomastia remain uknown, it has generally been attributed to an imbalance of sex hormones. However, for most cases, a definitive cause of the gynecomastia is not determined for individual cases. This is often referred to as idiopathic gynecomastia. Up to to 10% of gynecomastia cases are due to drugs such as Spironolactone (Aldactone), Digoxin and Furosemide. Other well known causes of gynecomastia include steroid abuse, obesity, marijuana use (maybe), tumors, genetic disorders, liver disease, and aging. If obesity is the culprit for the gynecomastia, sometimes weght loss alone can correct it. If medications are thought to be the cause of the enalrged male breasts, then changes in medication can sometimes resolve the condition. However, for any people, the only good remedy is plastic surgery.
With both liposuction and excisional surgery, the results can be immediate and fantastic with very little post operative pain and downtime. And importantly, the results can be permanent. For more information about gynecomastia, the following is a useful site: http://www.medicinenet.com/gynecomastia/article.htm