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GYNECOMASTY
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What is gynecomastia?
Gynecomastia is the name given to the development of abnormally large breasts in males, it is due to the excessive growth of breast tissue and not to excess adipose tissue, the latter is recognized under the term lipomastia.
In what situations does gynecomastia develop?
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Gynecomastia literally means "woman's breast." This increased tissue commonly occurs during periods when men experience hormonal changes, such as childhood, adolescence, and old age.
What important facts should you consider about gynecomastia?
About 65 percent of 14-year-old male adolescents have gynecomastia. Babies can have a transient form of the disease that is often related to maternal hormones. Of the boys who have this condition at puberty, about 90 percent will have a natural regression of the breast tissue.
What Causes Gynecomastia?
It is usually a benign (non-cancerous) condition, it can usually present itself due to many different hormonal changes, or the cause may be unknown. Changes in hormones usually include an increase in estrogens (the predominant hormone in women) or a decrease in androgens (testosterone).
Less frequently, this condition may be associated with other diseases that must be ruled out in order to make a diagnosis, in which it constitutes a symptom of the disease, such as: breast cancer, liver disease, lung cancer , testicular cancer, tumors of the adrenal gland or pituitary gland, drug use, certain congenital syndromes (present at birth).
In what form does gynecomastia present?
There are different classifications of the degrees of gynecomastia. One of these classifications is:
Grade I: There is a slight increase in breast tissue without extra skin. Grade II: can be given a moderate enlargement of the sinus conoskin
extra.
Grade III: exceptional breast enlargement with extra skin.
How is gynecomastia diagnosed?
In addition to a complete medical history and physical examination, diagnostic procedures for gynecomastia may include the following:
Blood tests: including liver function tests, hormonal studies and others that your endocrinologist (hormone specialist) deems necessary.
Breast ultrasound and mammography (a low-dose x-ray of the breast).
What is the treatment for gynecomastia?
Specific treatment for gynecomastia will be determined by your doctor based on the following:
Your age, general health, and medical history.
How much the illness has progressed.
Your tolerance for certain medications, procedures, or therapies.
Expectations for the course of the disease.
Your opinion or preference.
Surgery may be an option to help remove excess tissue.
Often if gynecomastia symptoms appear for the first time
During puberty, it is advised to wait up to two years to allow the natural regression of the breast tissue. Your surgeon will help you decide if you are a candidate for surgery.
How could surgery be if your doctor deems it necessary?
The type of anesthesia used will depend on many factors, including your preference, the surgeon, the extent of growth, your age. The surgeon will often make marks on the skin before surgery to indicate the areas to be removed.
There are several types of procedures that can be used, the most frequent are:
a) Simple surgical exeresis: Indicated in cases where the increase of breast tissue itself predominates, withdrawing it.
b) Surgical excision plus liposuction: Indicated when there is excess breast tissue, but also adipose tissue.
c) Surgical excision plus skin resection: Indicated in cases with excess skin, in which it may be necessary to move the areola-
Do you still have doubts?
Keep smiling and seek the help of a certified Plastic Surgeon.
