This is a procedure undertaken by men with gynecomastia (breast-like developments on a man’s chest). It can occur on one or both sides of the chest. There are many causes of gynecomastia. Some men develop gynecomastia during puberty. Gynecomastia in puberty nearly always resolves itself within a year but in around 10%-20% of cases it does not. This can cause anguish and self-consciousness in the teenage years. Mild cases of gynecomastia in adolescence may be treated with diet and exercise. Reassurance is a very important factor in resolving the psychological reaction to gynecomastia.
Later in life Gynecomastia can result from hormone imbalances. Weight gain can trigger gynecomastia and weight loss may help but it will not address the glandular element of gynecomastia. It may also signal an underling pathology. Gynecomastia is not in itself dangerous, but in some rare cases it may signal that a test for testicular cancer should be performed. This is best done early and testicular cancer has an excellent survival rate if caught early. It is important to note that gynecomastia is very common and resolvable. Medications typically work well in the first 2 years of the appearance of the tissue. The medications used can be hormone related or drugs used to treat breast cancer such as tamoxifen. Surgical options include chest reduction surgery if the condition proves chronic (long lasting).
WHAT TO EXPECT
Surgical removal of glandular breast tissue including subcutaneous mastectomy, liposuction-assisted mastectomy, laser-assisted liposuction, and laser-lipolysis without liposuction. Of these the subcutaneous mastectomy is the most radical. Newer treatments such as liposuction-assisted mastectomy, laser-assisted liposuction, and laser-lipolysis without liposuction are less invasive.
The liposuction techniques such as laser lipo or laser-assisted liposuction use a laser to heat and liquefy the fat for easier removal. Liposuction is generally conducted under a general anaesthetic and requires a recovery period of about 2 weeks. Some scarring, often minor, will probably occur.
The presence of so many treatments should be reassuring. The variety of treatments means that help is on hand. As it is a medical condition it is usually covered by health insurance and the public health system so cost should not be a factor. Treatments are effective and usually permanent.
Life style changes require effort and require the patient having faith in their effectiveness to be maintained. Medications have side effects, but these can be managed. Surgery carries with it all the associated risk of invasive procedures such as blood clots and infections.