Why Do Some Men Have 'Boobs'? And How To Get Rid Of The Problem.

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What Exactly Is Gynecomastia and How Does It Affect You?

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A lot of causes might contribute to gynecomastia.

Gynecomastia can occur at any age in men and is typically caused by hormonal changes. Because of the oestrogen left over from their mother's pregnancy, newborn males usually have bigger breasts after birth. It is possible that a hormonal imbalance will reoccur during adolescence or as an older man, resulting in a higher oestrogen to testosterone ratio.


Most boys who are born with enlarged breast tissue due to oestrogen in their mother's placenta will find that the swelling has gone a few weeks after birth. Pubertal gynecomastia, on the other hand, affects young guys during puberty, beginning as early as the age of ten and lasting up to the age of eighteen. In certain circumstances, gynecomastia recurs later in life. As men age, their testosterone levels fall and their fatty tissue grows, which can lead to senile gynecomastia (male breast enlargement).


Hormones, on the other hand, are not the main factor. Obesity, malnutrition, liver disease, hyperthyroidism, hypogonadism, prostate cancer, and renal failure are just a few of the medical conditions that can induce gynecomastia. It can also be caused by drugs like marijuana or heroin, prescription medications like anabolic steroids, corticosteroids, digoxin, and calcium channel blockers, as well as over-the-counter medications like Flagyl, Propecia, Spironolactone, Valium, and Zantac, and herbal remedies like lavender or tea tree oil. The source of a disease does not always result in a noticeable change in appearance.


How to Identify and Treat Gynecomastia

The pain in the breasts when gynecomastia first occurs can be excruciating. A bulge of fatty tissue could be the first sign of a disease. The lump may become more sensitive to touch as the swelling continues, however this sensitivity may eventually fade. While one breast may appear larger than the other at initially, the proportions gradually even out.


Gynecomastia is described as any extension of the male breast; however, multiple grading systems exist to differentiate between the various degrees of enlargement that can occur. A shortened version of the Simon and Rohrich classification models is provided below:


Grade I: Minor breast growth with no extra skin (250g breast tissue)

Grade IIa: Moderate enlargement with no extra skin (250 to 500g of breast tissue)

Grade IIb: Moderate enlargement with slight extra skin (250 to 500g of breast tissue)

Grade III: Severe hypertrophy (more than 500g of breast tissue) with grade I ptosis

Grade IV enlargement is severe, with grade II or grade III ptosis.


Gynecomastia Surgery is a surgical treatment for treating the disorder.

While gynecomastia is not always a medical concern, male breast reduction surgery is becoming more popular as a way to alleviate the disease's visual and psychological impacts on the male breast. Liposuction and excision, either alone or in combination, are the two most popular and effective procedures.


Liposuction is advised for people with mild to moderate gynecomastia, which is characterized as breast enlargement with small gland hypertrophy and little excess skin. Another common discovery is that many individuals have a little amount of fibrous glandular tissue under the nipple, which can be removed by direct excision by a small incision around the areola. When performing liposuction for gynecomastia, procedures such as power-assisted liposuction (PAL) or ultrasound-assisted liposuction (UAL) can help to remove fibrous tissue more efficiently.


In more severe cases, more intrusive procedures may be required. For extreme gynecomastia, skin excision is required to address the ptosis and excess skin. Liposuction will not suffice on its own. Following the removal of drooping skin and tissue from the chest, it is usual for the nipple-areola to be temporarily removed and returned as a graft in a more appropriate location on the chest after many severe cases have occurred.


During the recovery period, patients frequently wear bandages and support garments to prevent edoema and give support for the chest as it heals. Depending on the procedure, a catheter may be momentarily put beneath the skin to remove any excess fluid. Most people can resume their normal habits within a few days, however some patients may experience edoema for several weeks following the treatment.


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Alternative treatments for gynecomastia that do not include surgery

According to a recent study, non-invasive treatments for gynecomastia do not have the same level of success as surgical procedures. Androgens (such as testosterone, dihydrotestosterone, and danazol), anti-estrogens (such as clomiphene citrate and tamoxifen), and aromatase inhibitors (such as abiraterone acetate) are examples of these (letrozole and anastrozole). Many patients report no meaningful improvement as a result of the treatment.


It is possible to give testosterone to people who have an abnormally low level of the hormone, and danazol, a synthetic testosterone that suppresses oestrogen synthesis, may be helpful in some cases. Gynecomastia is a medical disorder for which there is now no effective treatment.


It may be best to address any underlying reasons of gynecomastia that can be addressed through a change in lifestyle before resorting to prescription medication. If gynecomastia is not caused by hormones, the first step in treating it is to identify and treat the underlying reason. The therapy of underlying systemic disease comprises the removal of a tumor as well as the treatment of any offending chemicals, such as medications or illicit narcotics, as well as the discontinuation of any offending agents.


The essential point to remember.

Men who have enormous breast tissue may seek treatment to shrink the size of their chest. Gynecomastia affects a huge proportion of the male population during the course of their lives, and while the medical issues linked with the illness are minor, men with enlarged breast tissue may seek treatment to lower the size of their chest.


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Dr Siddharth Prakash is an Internationally trained, award winning Cosmetic Surgeon practicing in the vibrant city of Mumbai. He is a member of the International Society of Aesthetic Plastic Surgeons (ISAPS) and is associated with top hospitals in Mumbai. Dr Siddharth Prakash specializes in all cosmetic surgeries including Liposuction, Tummy Tuck Surgery, Fat Grafting, Blephroplasty and Rhinoplasty. His special interest is Breast Augmentation, Facelift, Body Contouring, Dimple Creation, Breast Reduction and Breast Lift.
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