Gynecomastia is due to imbalance in sex hormones estrogen and testosterone in the body. Males produce testosterone in there testes. When there is estrogen excess or deficiency of testosterone will lead to gynecomastia. Male breast increase in elderly due to testosterone deficiency Common causes in early age include testicular failure, liver and kidneys drug disorders, some drugs, anabolic steroids, obesity. In most people exact cause cannot be made out.
Pubertal Gyncecomastia will regress by itself in some males. But if you have problem since 10 -12 months some amount of fibrosis sets in which make it resistant to medical management. Many men have tried every form of intense chest exercises and low fat diets to alleviate their gynecomastia to no avail. Determination alone is not effective, and many men become frustrated by the amount of effort they’ve put forth. Only surgery can correct gynecomastia.
Medical treatments are available to treat gynecomastia, but data on their effectiveness are limited. No drugs have been approved by the FDA for the treatment of gynecomastia; however, medications that have been used to treat the condition include testiclular replacement in case of testicular failure (not effective in normal male ), few antioestrogen durgs such as tamoxifen. But drugs has lot of adverse effects we at surgiderma use medication in some situation such as severe pain during initial presentation or with very high grade gynecomastion to reduce the size so that surgical outcome is good.
The main stay of treatment is surgery
Liposuction with gland excision is the most commonly employed surgery. we at surgiderma treat gynecomastia or man boobs always by liposuction using vaser laser with gland removal using tiny incision if required. It is almost scarless. Since our plastic surgeon is trained by renowned plastic surgeons and due to his vast experience in treating more then 200 patients he use a thin fat flap to cover above muscle thus giving better shape to chest. Most people require gland excision through a small incision around the areola.
We at surgiderma usually do gynecomastia using short general anesthesia or tumescent anesthesia. It is day care procedure. You will be discharged same day and can return to work by 2 to 3 days
Most men see an almost immediate improvement in their chest contour; however, complete results often take 4-6 months. Swelling and some bruising are normal after surgery, and the healing time will depend on the individual. Complications are rare but These included sensory changes, pain, seromas, scarring, breast asymmetry, hematomas, and wound infection.
Compression garments are given so that any residual fluid in the breast is drained. It also help in some amount of skin retraction. We advise patient to wear 24/7 for 2 to 4 weeks.