Do I have gynecomastia? (Photo)
Doctor Answers 10
Diagnosis of gynecomastia
My practicce sub-specialty is treatment of gynecomastia. You can read much more about it on my website (captioned below).
Elliot W. Jacobs, MD, FACS
NEw York City
Who is a Gynecomastia Surgery Candidate
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.
What is gynecomastia?
Gynecomastia or breast enlargement in men can be corrected by a variety of plastic surgical techniques. This condition often creates a psychological poor self perception and many males of all ages do not take their shirts off because of this stigma. Candidates are men who have over-developed or enlarged breasts which may occur as the result of hormonal changes or hereditary conditions.
Candidates are healthy men, whose condition cannot be corrected through exercise, weight reduction or other non-surgical treatments. Appropriate preconditions for surgery are the stabilization of breast development (no further breast enlargement) and localized areas of excess breast tissue and fat.
The procedure intends to reduce the breast size and redundant breast tissue to enhance the contours of the chest. The surgery often reduces physical discomfort associated with the area, as well as physiological and emotional dissatisfaction with the area.
General, Intravenous or local anesthesia are used for this procedure depending on the severity and type of procedure(s) selected by your plastic surgeon. It is performed on an outpatient basis. For males with very large breasts staged procedures (more than one procedure) may be required. For example, the first procedure may be liposuction, then several weeks to months later after skin contraction has occurred, a separate procedure is done to remove excess skin. By doing a staged procedure, often the final scars are less.
Oftentimes, specific types of liposuction cannulas are used and often in conjunction with direct removal of excess breast glandular tissue through small incisions for mild to moderate gynecomastia. Other specific techniques can reduce the areola when needed or reposition the nipple to create the appearance of a more natural contour.
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Do I have Gynecomastia?
Thank you for your question. It appears that you have a well-defined chest with normal breast/pectoral muscle shape, however an in-person exam with a board certified Plastic Surgeon will be the best way to find out.
An excess growth of breast tissue and herniated/puffy areolas cannot be reduced with weight/fat loss. Gynecomastia affects all shapes and sizes of men- slim ones as well. The surgical techniques used to address this can be quite simple and relatively minor. I recommend that you book your in-person consultation with a Plastic Surgeon who specialises in this procedure and find out about your options.
All the best
Do I have gynecomastia?
My best suggestion: if your chest wall is still of concern, seek consultation with board-certified plastic surgeons who can demonstrate significant experience achieving the types of outcomes you will be pleased with.
You may find the attached link helpful to you as you learn more. Best