DEFINITION
Gynecomastia is defined as enlarged male breasts.
Excess glandular tissue is considered real gynecomastia. Collection of fatty tissue is considered pseudo gynecomastia.
ADOLESCENT GYNECOMASTIA
During puberty 65% of adolescents have temporary enlargement of the breast. This is the consequence of the elevated hormone levels and it occurs parallel to the sexual development from the age of 12 years. In the majority of cases it regresses after 1-2 years. Obese patients have larger breasts.
ADULT GYNECOMASTIA
Breast deformity persists into adulthood. It can be disturbing because of its size and form or because it causes pain. It can also be developed by bodybuilders who use anabolic steroids, Hormones and different medications, or by users of Marijuana.
SENESCENT GYNECOMASTIA
After the age of 50, Male Hormone levels decline and larger amounts of fat will be deposited in the breasts and around the abdomen.
PATHOLOGICAL GYNECOMASTIA
The sudden development of breast enlargement at any age. Most patients are 30-40 years old males without change in medication or drug history. The tumor is fibrous and it is located in the lower part of the breast. It is often painful and bilateral. It might secrete hormone-like substances.
TREATMENT
> Excision
> Liposuction
> Skin Retailoring
COMPLICATIONS
> Hematoma,
> Excess Skin
> Insufficient Excision
These complications occur in less than 1% of the cases.