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Gynecomastia and gynecomastia photos

Gynecomastia is a condition in which there is excessive development of the breasts on a male body, usually the result of hormonal imbalance or treatment with certain drugs.

Fortunately, gynecomastia doesn’t have to be a permanent condition. These excess “breasts” can be removed through l iposuction. Liposuction involves removing as much fat as possible from the breast area without causing any damage to the surrounding skin or muscles.

What can I expect during liposuction of the male breast?

Male patients with excessive fat in their breasts can expect significant improvement with tumescent liposuction, a liposuction technique in which the surgeon injects large volumes of very dilute local anesthesia into the fat, causing the targeted areas to become tumescent, or swollen and firm.

Tumescent liposuction of the male breast can be achieved completely by local anesthesia. After gently injecting local anesthesia into selected areas of the skin overlying the breasts, the surgeon makes multiple 1.5 mm incisions. Then, a large volume of tumescent local anesthesia is injected into the breasts. The resistance of glandular breast tissue to penetration by a stainless steel tube called a cannula can be reduced by infiltrating a large volume of tumescent local anesthesia. The smaller the cannula diameter, the easier it can penetrate the dense tissues.

Anatomy of the male breast

The normal male breast contains both adipose tissue (more commonly known as fat tissue) and fibrous glandular tissue. True breast tissue in males is typically a small, localized mass under the nipple, firmer than the surrounding fatty tissue. Fatty breast tissue can be easily removed by liposuction; glandular tissue poses a challenge. The surgeon will usually need to conduct an in-depth evaluation to discover exactly how much of each tissue a patient has. A mammogram can help provide this information to the surgeon.

Pseudo-gynecomastia versus true gynecomastia

Pseudo-gynecomastia is an enlargement of male breast(s) caused by an excessive amount of fat tissue, but a normal amount of glandular breast tissue. Most male breasts that appear unusually large are the result of excessive fat in the region. A mild but cosmetically undesirable degree of pseudo-gynecomastia occurs in a large number of men as they grow older. Pseudo-gynecomastia is also common in obese or overweight younger men.

True gynecomastia, however,is an enlargement of male breast(s) caused by an excessive amount of glandular breast tissue. This excess amount is usually caused by alcoholism, medications, or failure of the testicles to produce sufficient amounts of the hormone testosterone.

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