Are you a male with a pronounced breast enlargement that result into a terrible embarrassment, teasing, and some social trauma? In that case, you may be having what we call Gynecomastia, which is a very common condition in men, thank God you’re not alone. Along with the rest , you may try to hide this abnormality with thick shirts, and resort to inconveniences such as avoiding bare chested activities (like that great pool party), and withdrawing from public exposure. Good thing is, you don’t have to go through all of that.
Gynecomastia is a scientific term that is derived from the Greek words for “women-like breasts.” Although this oddly named condition is rarely talked about, and we can only imagine why, it’s actually quite common among men. As a matter of fact, Gynecomastia affects an estimated 40 to 60 percent of men. It is a normal transient occurrence in about 70% of boys who are going through puberty, though it is present in only about 1% of adult men. However, what makes it sad is that when it does occur, it may not only affect one breast but could also be prevalent on both. Inspite of scientific advances in research about this phenomenon, certain drugs and medical problems could have not been the only link with male breast overdevelopment. It turns out that there is really no known cause for Gynecomastia, considering the vast majority of cases. There is too the complication that true enlargement of the breast glands needs to be distinguished from excess fat in the breast area that occurs with weight gain.
However, even though Science can help us only a little as to enlighten us in the cause of Gynecomastia, Science can certainly help us in its cure. For men who feel self-conscious about their appearance, the breast-reduction surgery can help. It was known that the enlarged breast tissues can consist of fat, gland or a combination and where the gland can be a solid button or small fingers spreading into the chest fat.
The procedure of the surgery removes fat and or glandular tissue from the breasts. However, in extreme cases it also removes excess skin, resulting in a chest that is flatter, firmer, and better contoured. As well all know, the normal male breast has a contour made by muscle, fat,, skin and there can also be glandular tissue that can range from a very small to quite large mass. Because of this, it is the excess fat or gland along the lower breast can make the chest have a “female” contour. Though muscles are involved in the elements of male muscle contour, diet and exercise can help little with breast reduction. Although it can help with generalized fat, this cannot however be directed to the specific shape of the chest fat. As a result, neither diet nor exercise will help with glandular tissues. In fact, as the muscle size increases, fat and gland are pushed further towards the surface making them more obvious. That is why surgery is the only option for gynecomastia. It can generally be performed on healthy, emotionally stable men of any age. The best candidates for surgery however should have firm, elastic skin that will reshape to the body’s new contours.
In line with this, I am sorry to say that this surgery is discouraged for obese men, or for overweight men who have not first attempted to correct the problem with exercise or weight loss. As it turn out, one can never escape for exercise and diet. Also, individuals who drink alcohol beverages in excess or smoke marijuana are also not considered for surgery. There are some cases where these drugs, along with anabolic steroids, may be the cause gynecomastia. Knowing all of this, the initial consultation with your doctor therefore is very important. You need to resent a complete medical history, and provide any information asked of you to avoid mistakes.
As mentioned previously, there are actually many medical problems and conditions that can cause gynecomastia which includes impaired liver function, the use of estrogen containing medications as well as other medications. Add up to that is the use of anabolic steroids and drugs as well as having herbal testosterone additives and problems of testicular hormone production. There still are many other underlying causes and in cases that a medical problem is the suspected cause, then you are better off with an appropriate specialist than a surgeon.
Uncertainty and Risk
Male breast-reduction surgery and its complications are infrequent and usually minor. These can include some infection, skin injury, excessive bleeding, adverse reaction to anesthesia, and excessive fluid loss or accumulation. As with any surgery, the procedure may also result in noticeable scars. And because we are dealing with a sensitive area here it can also lead to permanent pigment changes in the breast area, or slightly mismatched breasts or nipples.
However, one temporary effect of breast reduction is the loss of breast sensation or numbness, which may last up to a year. But more to this, there can also be a permanent alteration in nipple sensation as a result of when the nerve gets damaged. When this happens, this could result in either decreased feeling or hypersensitivity. You’d better hope it’s the previous (although girlfriend could certainly not tease you in that area no more!) because if it’s the latter, you’re in big trouble. There are actually patients in which their nipples became so sensitive that they have to wear bandaids just to avoid rubbing it against their shirt.
However, not to scare you away, Gynecomastia surgery really can enhance your appearance and self-confidence. Just keep in mind that the procedure is not perfect so before you decide to have surgery, do think carefully about your expectations and discuss them frankly with your plastic surgeon. A liposuction works well on fat alone but does not manage your glandular tissue well so there will still be a significant gland, a lump or mass that will remain after liposuction. Glandular mass is best remo