Pure breast tissue gynecomastia, or just fat? Are there any non-surgical solutions to my problem? (Photo)
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What is Gynecomastia
Particularly, Normal Gynecomastia is usually apparent in males between the ages of 12 to 15 years old. It is also common for older men 65 years old or more who experience a drop in their testosterone levels. #Normal Gynecomastia takes approximately one to two years to naturally regress on its own.
Adolescent Gynecomastia is hereditary and usually appears in 30% to 60% of boys between the ages of nine to fourteen. Many cases of adolescent gynecomastia resolve on its own as the boy grows into adulthood. Some with #Adolescent may choose to undergo surgery to correct the situation, this usually happens at the age of 18 or above. In severe cases in young boys, the physician and child development specialists will need to speak to the parents regarding the severity of the gynecomastia and if surgery is an option before the age of 18.
"Puffy Nipple Areola Complex" is among the most common forms of gynecomastia. This gland and/or adipose tissue accumulation can be located under the areola or can be slightly extended outside the areola, causing the areola to appear dome shaped.This form of #Gynecomastia can be found in all age groups but is more common in young adults.
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.
Non surgical options
Pure breast tissue gynecomastia, or just fat? Are there any non-surgical solutions to my problem?
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Treatment of gynecomastia
Gynecomastia--breast tissue or fat?
External treatments (RF, laser, ultrasonic, Cool Sculpting, or other) are designed to work with fatty tissues, and many of these treatments have mild results. They will all be ineffective for glandular or mixed fat/glandular gynecomastia. Skilled plastic surgery by an experienced ABPS-certified plastic surgeon who does lots of gynecomastia surgeries is the only solution.
There are no pills or creams or magical herbal "fat burners" that can resolve this either, especially since fat is NOT the primary component of your residual gynecomastia after weight loss. Schedule consultations with one or more ABPS-certified plastic surgeons. Best wishes! Dr. Tholen
True gynecomastia or not?
Non surgical options-- first some teaching...
True gynecomastia is a proliferation of male glandular breast tissue. This tissue lives under the nipple and is rubbery and firm. It does not come out with liposuction (any kind) and is usually removed by an incision under the areola.
Pseudo-gynecomastia is proliferation of the male breast fatty tissue. This fat tends to be more fiberous than fat in other parts of the body so many plastic surgeons use power assisted or ultrasonic liposuction to remove it.
The vast majority of male gynecomastia is actually a combination of true and Pseudo gynecomastia. Therefore a common approach is to perform liposuction as well as direct excision.
In your case, only a physical examination by a plastic surgeon can tell you if you have predominantly fatty or glandular tissue.
If it is mainly fatty tissue, liposuction alone may suffice. Unfortunately, non -invasive liposuction such as cool sculpt could help, but I don't think it does as good a job on this fiberous fat as more traditional liposuction. If there is glandular tissue it will not decrease it.
You would need to be formally evaluated, but from your pictures it looks as though your skin tone is good making all options possible, but I suspect you have mainly glandular tissue ( because of where I see the prominence) making excision your best option.
I know this may not be what you were hoping to hear, but I hope it makes sense and is of help to you in your decision making.
Male breast reduction
Your treatment would depend on what is present, whether it is fat alone, or some gland with fat. Usually both are present to some degree. If the breast if mostly fatty, we have had good success with CoolSculpting which is an office procedure. So have it checked out in person. Be sure to see only a board certified plastic surgeon (by ABPS - The American Board of Plastic Surgery) who is a member of ASAPS (The American Society for Aesthetic Plastic Surgery) and or a member of ASPS (The American Society of Plastic Surgeons). All the best, Dr. Joe
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