I'm a skinny with very mild gynecomastia. Can over-injecting Kenalog injections help cause it to atrophy a little--and thereby avoid traumatic surgery? Or does it not affect the gland tissue at all?
Steroid injection would most likely just cause fat and subcutaneous tissue atrophy, and not that of the breast gland. Unfortunately, there is no way to control the extent of atrophy of skin and subcutaneous tissue; therefore, the patient can end up with dents and areas of hypopigmentation of skin. Don't do it!
Gynecomastia should be addressed by surgical excision or liposuction depending on the degree of skin redundancy and nipple ptosis. Kenalog injections have no role in the treatment of gynecomastia.
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