Alcohol induced gynecomastia. (photos)

Question

Hi I am 6'0 and 198 pounds. From 2006-2015 I heavily abused alcohol and would have cycles of extreme binge eating followed by periods of extreme restriction and over exercise. 2014 until the end of 2015 was the most extreme binge drinking/eating cycle, causing me to go up to 300 pounds. Since January I've lost weight. Now I am noy sure whether my chest size is reversible, and if would have to be less than 180 lbs to see results. I welcome advice.

Larry S. Nichter, MD, MS, FACS · Answer

Healthy male patients with excess breast tissue or unwanted breast development who have no underlying breast disease.Men who desire improved physical and aesthetic appearance should have realistic expectations based on their condition and the procedure performed. You should meet with a board certified plastic surgeon to be able to get a formal diagnosis and to be able to decide on a course of treatment if necessary.

Jed H. Horowitz, MD, FACS · Answer

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 will 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.

Please be advised that each patient is unique and previous results are not a guarantee for individual outcomes. As with all cosmetic surgery, results will be rewarding if expectations are realistic. With any surgical procedure, there are some risks which your doctor will discuss with you during your consultation.

Ron Hazani, MD, FACS · Answer

Thank you for your question. In order for you to treat the gynecomastia you will need excision of the gland. I would recommend an in person consultation.  Please seek an experienced plastic surgeon.

Richard Silverman, MD · Answer

Based on your photos and your history, it's likely that you would benefit from excision of your gynecomastia with a procedure combining liposuction along with glandular excision.  Although you describe significant weight fluctuation, it appears that your skin elasticity is still reasonable, and a well-executed procedure by a gynecomastia specialist would give you a good result.

Andrew T. Cohen, MD, FACS · Answer

You would benefit from excision of the gynecomastia as well as liposculpture.  This would make the chest smaller and flatter. Best to go to a board certified plastic surgeon

Mordcai Blau, MD · Answer

Once you have real gynecomastia it is there to stay. The only solution is excision of the gland.

You should look for a n experienced gynecomastia surgeon

Carlos Burnett, MD, FACS · Answer

Weight loss will have a nominal effect on your chest contour. Male breast reduction surgery involves removal of glandular tissue as well as surrounding fat. Consult with a BCPS for your care. DrBurnett#realself100

Alcohol induced gynecomastia. (photos)

Answers (7)