What causes gynecomastia?
Gynecomastia (male breast enlargement) normally occurs during a boy’s puberty due to changes in the ratio of estrogen and testosterone. Some newborns exhibit short term gynecomastia due to the mother’s estrogen hormone traversing the blood. Aging due to hormonal imbalances can also result in gynecomstia. Numerous other conditions can result in this disorder, including thyroid and kidney diseases, some tumors, herbs and chemotherapy. Drug use including marijuana, cocaine and heroin as well as amphetamines, and other medications including antibiotics, anti-anxiety and anti-depression drugs, steroids, AIDS drugs and drugs used for heart burns can contribute to this disorder.
Dr. Sasson will perform the surgery in an outpatient surgical facility or hospital. This requires excellent surgical skills as well as artistry – knowing how much tissue to remove and how much tissue to retain. Time in surgery is typically an hour and half, but more extensive male breast reduction may take longer. The patient typically goes home the same day for recovery. The first few days of recovery are the most critical time where vigorous movements of the shoulder joints are not allowed. Within 4 to 5 weeks of the operation the patient is allowed to resume full activities.
In cases where gynecomastia is primarily the result of excess fatty tissue, liposuction techniques alone may be used.
After liposuction, the patient has a flatter chest contour.
Excision techniques are recommended when glandular breast tissue or excess skin must be removed.
Incision patterns vary depending on the specific conditions and the surgeon’s preference.
Sometimes a combined approach with both excision and liposuction is necessary.
The areola can be reduced, or the nipple repositioned for a more natural chest contour.