Gynaecomastia

Understanding Gynaecomastia

Gynaecomastia, often colloquially referred to as "man boobs", is a condition characterized by the enlargement of breast tissue in males. It can occur due to an imbalance of hormones, with an increase in estrogen or a decrease in testosterone.

When Surgery Becomes Necessary

Surgery for gynaecomastia becomes necessary when the condition does not resolve on its own or through medication, and when it causes significant discomfort, pain, or psychological distress. It can also be considered when the enlarged breasts are disproportionate and affect the person's appearance.

Overview of the Surgical Procedure

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Related Concerns

Gynaecomastia can lead to physical discomfort and psychological issues such as low self-esteem and depression. It can also be a symptom of underlying conditions like liver disease or hormonal imbalances.

Causes of the Issues

Gynaecomastia can be caused by various factors, including hormonal changes, use of certain medications, and underlying health conditions such as liver or kidney disease, tumors, or genetic disorders.

Treatment Approaches

Treatment for gynaecomastia may include lifestyle changes, medication, or surgery. The choice of treatment depends on the underlying cause, severity of symptoms, and the patient's preference.

Service Overview

Gynaecomastia surgery is a safe and effective treatment option that can provide significant relief from symptoms and improve the patient's quality of life. It involves the removal of excess breast tissue, resulting in a flatter, firmer, and more masculine chest contour.

Step-by-Step Guide to Gynaecomastia Surgery

1. The patient is placed under general anesthesia.
2. The surgeon makes an incision around the areola or under the arm.
3. Excess glandular tissue, fat, and skin are removed.
4. The incisions are closed with sutures.
5. The chest is bandaged and a compression garment is applied to minimize swelling and support the new chest contour. ### Conditions Warranting Gynaecomastia Surgery Gynaecomastia surgery is recommended for individuals experiencing physical discomfort, pain, or psychological distress due to enlarged breast tissue. It may also be considered for those with disproportionate breast size affecting their appearance. Lifestyle factors, such as maintaining a healthy weight and avoiding medications that can contribute to gynaecomastia, should be considered before opting for surgery. ### Benefits of Gynaecomastia Surgery Potential benefits of gynaecomastia surgery include:
6. Improved chest contour and appearance
7. Relief from physical discomfort and pain
8. Enhanced self-esteem and confidence
9. Better fitting clothes ### Risks of Gynaecomastia Surgery Potential risks of gynaecomastia surgery include:
10. Infection
11. Bleeding
12. Scarring
13. Asymmetry or irregularities in chest contour
14. Changes in nipple sensation ### Preparation for Surgery Before surgery, patients may be advised to:
15. Stop smoking
16. Avoid certain medications, such as aspirin or anti-inflammatory drugs
17. Maintain a stable weight
18. Obtain medical clearance from their primary care physician ### Pre-surgery Procedures and Checks At the hospital, pre-surgery procedures and checks may include:
19. Reviewing medical history and medications
20. Physical examination
21. Blood tests
22. Signing consent forms ### Postoperative Care Immediate post-surgery care includes monitoring vital signs and managing pain. At home, patients should follow their surgeon's instructions regarding wound care, activity restrictions, and medication use. Follow-up appointments will be scheduled to monitor progress and address any concerns. ### Recovery and Rehabilitation Recovery from gynaecomastia surgery typically takes several weeks. Patients may be advised to wear a compression garment, avoid strenuous activities, and gradually resume exercise as directed by their surgeon. ### Alternatives to Surgery Non-surgical treatment options for gynaecomastia include lifestyle changes, such as weight loss and exercise, and medications to address hormonal imbalances. ## References
23. Mayo Clinic. (2023). Gynecomastia.
24. NHS. (2023). Gynaecomastia (man boobs).
25. American Society of Plastic Surgeons. (2023). Gynecomastia Surgery.
26. Cleveland Clinic. (2023). Gynecomastia: Management and Treatment.
27. Mayo Clinic. (2023). Gynecomastia: Symptoms and causes.
28. NHS. (2023). Gynaecomastia (man boobs).
29. American Society of Plastic Surgeons. (2023). Gynecomastia Surgery.
30. American Society of Plastic Surgeons. (2023). Gynecomastia Surgery.

• Mayo Clinic. (2023). Gynecomastia.
• NHS. (2023). Gynaecomastia (man boobs).
• American Society of Plastic Surgeons. (2023). Gynecomastia Surgery.
• Cleveland Clinic. (2023). Gynecomastia: Management and Treatment.