Gynecomastia

Gynecomastia

Gynecomastia is a condition of over-developed or enlarged breasts in men that can occur at any age. The condition can be the result of hormonal changes, heredity, obesity, or the use of certain drugs. More often it can be without any other cause. 75 – 80 % boys are affected by this condition in their pubertal life but more often it regresses by itself. those who are left with it can be treated later.

Gynecomastia can cause emotional discomfort and impair your self confidence. Some men may even avoid certain physical activities and intimacy simply to hide their condition.

Gynecomastia is characterized by:

• Excess localized fat
• Excess glandular tissue development
• Sometimes excess breast skin
• Presence unilaterally (one breast) or bilaterally (both breasts)

More often boys go to Gym thinking that this fat will be dissolved by exercise. The gynecomastia fat is hormonal and does not get dissolved by exercise. Rather it is pushed forward by developing muscle beneath.

Treatment

it was treated in past by large incisions and scars. now a days with liposuction it can be managed with very minimal scarring. gland can be removed by small incision on junction of areola ( black skin around nipple) and normal skin, which heals by very minimal scarring.

for skin retraction, patient has to wear pressure garment for a month or two.Later normal appearing chest is the result, that to without scars.

Boys can later wear tight T shirts, go to swimming or can change cloths with their buddies.

Usually it is a very safe surgery.It is a day care surgery.No full day admission is required.

patient can join duty in 2- 3 days. gyming can be joined after a month for pectoral exerciases. routine excersies like running and cycling can be strarted in a week time.