Kenalog Injections Possible for Gynecomastia?

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 steroids can also cause systemic problems as well.
Determine the cause of your gynecomastia (usually idiopathic) and consider ultrasonic assisted liposuction as a treatment from a board certified plastic surgeon.
I hope this helps.

According to official statistics, 36% of adult young men and 57% of older #adult men in the United States have this medical condition in one of the four grades. About 200,000 to 3 million cases of #gynecomastia are being reported every single year. So if you have #breast #enlargement and you feel you're an exception, please understand that 1 in 3 young adult #men and 1 in 2 older adult men are just like you and have breast enlargement. Several common factors can cause gynecomastia including excessive levels of #estrogen, natural #hormone changes, use of recreational drugs or alcohol, medications and their associated side effects, and, various health conditions. Also, there are different types of #gynecomastia.There are three types of surgical #treatment #options available that treat gynecomastia. Your board-certified plastic surgeon can recommend the type best suited for you. The most important decision to be made before performing any surgical procedure is determining whether you are an ideal #candidate.

Kenalog injections would be a terrible idea and the steroid could even induce further breast tissue growth. If you are seeking non surgical options I think that Vanquish which uses RF energy, or UltraShape that uses ultrasound rather than Cool Sculpt would be the best option though all are off FDA usage.#gynecomastia#malebreastreduction

I would not recommend Kenalog injections for the purpose of reducing gynecomastia.  You will achieve better results with proven techniques such as liposuction or direct excision.  Good luck and be safe.John T.
Nguyen, MD, FACS, FICSDouble Board
Certified Plastic Surgeon

                  Although
steroid injections are very effective in treating adverse scarring, they have
no place in the management of gynecomastia. These injections would have a
minimal impact on breast tissue, while having a significant potential for
complications. Steroid injections might result in atrophy of the underlying
fat, but this would be unpredictable. In addition, kenalog injections might
result in skin atrophy, hypopigmentation and significant contour
irregularities.

                  If
you’re concerned about gynecomastia, surgical intervention is still the best
option. Consultation with a board certified plastic surgeon would be an
appropriate next step. 

Steroid injection are not the treatment for Gynecomastia and will cause problems. Steroid injections are used the reduce scarring in the incision and occasionally after surgery for deeper scarring.

Steroid injections are not appropriate for gynecomastia.  Non surgical treatment is only recommended if a known medical issue has caused the gynecomastia.  If there is no identifiable cause then a combination of removal of the glandular tissue and liposuction produce consistent results.

Dr. ES

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.

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 beneficial in small and staged doses.

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!