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Guys-Do you dread the pool or locker room?

The Common, yet rarely discussed, issue for boys and men

Gynecomastia (excessive male breast tissue) is a common condition affecting males of various ages, which can make the chest area appear protruding or even feminine.  In fact, gynecomastia is the most common benign disorder of the male breast tissue.  It can have a profound negative affect on self-confidence and be a source of psychological distress.   On average, an estimated 25% of all adolescent boys and 25% of all men between the ages of 50-69 can be affected by this disorder.  Naturally occurring hormonal changes in the body can lead to this condition, along with some known prescription medications, anabolic steroids and marijuana usage. 

 There are two major types of gynecomastia:  True gynecomastia and pseudo gynecomastia.  True gynecomastia is where excess fibro glandular tissue occurs beneath the nipple region.  This tissue often feels rubbery to touch.  Fibro glandular tissue can become more prominent or noticeable during different times and at various ages.  Pseudo gynecomastia refers to fatty infiltration of the chest area even though the person is of normal weight for their height.  This usually affects the entire chest and not just beneath the nipple region.  The end effect for both types is a chest with a less than ideal contour. 

Fortunately, there are outpatient surgical solutions for both types of gynecomastia.   For true gynecomastia, where the tissue is tougher and more fibrous, a small incision at the edge of the darkened areola is made and the excess tissue is removed.  For pseudo gynecomastia, liposuction with two small incisions the width of the pinkie nail can be utilized to suction the excess fat in the chest region.  I recommend wearing a compression garment continuously for the first four weeks and then nightly for another two weeks.  Return to light aerobic exercise is encouraged after 14 days.

Both surgeries are performed on an outpatient basis, meaning you would go home the same day of surgery.  The initial recovery usually takes 4-7 days.  Often, my patients will tell me they notice an immediate improvement the day after surgery.  You should see the true aesthetic result between three and six months following surgery.  It is a very rewarding surgery, both professionally and personally, that allows men to feel better about themselves and less self-conscious in both public and private settings




American Society of Plastic Surgeons


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