What causes gynecomastia?
Most of the time there is no identifiable trigger. There may be a hormonal imbalance that causes the finding. Some medications, particularly in older men, may cause gynecomastia. Smoking marijuana can cause gynecomastia. More concerning causes are typically associated with other medical conditions that are going on. Dr. Shermak will determine if more studies or further workup are needed.
What can I expect from male breast reduction surgery?
Gynecomastia is a condition in men describing the presence of breast tissue – either fatty or glandular – in one or both sides of the chest. Gynecomastia treatment ranges from liposuction, to removal of the breast tissue through an incision around the nipple, to larger excisional procedures of breast tissue and skin that may be necessary for massive weight loss patients in particular. Nipple reduction may also be necessary.
Most often, only small, inconspicuous incisions are necessary to achieve a flatter chest and a more satisfying contour, either undressed or in fitted clothing. More individualized approaches may be necessary for men who have undergone significant weight loss. For many men with gynecomastia who suffer quietly, hiding themselves under baggy shirts, male breast reduction surgery can be a powerful experience in increasing a positive self-image, helping men feel more comfortable working out at the gym or enjoying the beach with their chest exposed.