Kenalog injections possible for Gynecomastia?

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?

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8 answers to “Kenalog injections possible for...”

A: Conservative treatment of Gynecomastia

Raffy Karamanoukian, MD

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.

A: Kenalog for gynecomastia is not a good idea

Jeffrey Zwiren, MD

This would be way to unpredictable and could result in associated thinning of your skin, stretch marks, spider veins, as well as uneven contour. If your gynecomastia is small it is mostly likely dense breast tissue and would not respond at all to a Kenalog injection. A surgical excision, typically under... more

A: No to steroids for gynecomastia

Otto Joseph Placik, MD

This is not recommended and may result in disproportionate atrophy of the fat and skin with little effect on the breast. This has the potential to make your condition even more prominent with a lumpy-bumpy appearance. However, if you are expereiencing some degree of post-surgical fibrosis, Kenlaog may be... more

A: Kenalog injection for the treatment of male gynecomastia is definitely ill-advised

Stephen A. Goldstein, MD

Injection of Kenalog for the treatment of male gynecomastia is definitely ill-advised. Please do not do it! I can assure you that the outcomes are fraught with potential adverse outcomes and complications. I would recommend that you see a board certified/eligible plastic surgeon experienced in body... more

A: Do not do this.

Scott E. Kasden, MD

This is not a good idea for the atrophy reason and others. Get liposuctioned out or directly excised. Either can be a small office procedure. But, do not do kenalog.

A: Steroid injection for Gynecomastia does NOT work!

S. Sean Younai, MD

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!

A: Liposuction or direct excision

Hisham Seify, MD, PhD

The short answer is no. First the steroids will work on the fat portion but not the glandular elements. But most importantly there is no way to control the effect from this injection. I would not do that! Liposuction, direct excision, or both works well.

A: Terrible idea.

Steven H. Williams, MD

Thanks for the question - "Over-injecting" any medication is dangerous. Steroids can cause tissue atrophy as you've noted but it can cause atrophy to skin and is somewhat unpredictable. At best you'd get uneven lumpy results, at worse, open wounds, infection and tissue necrosis.  Large doses of... more

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