Gynecomastia TreatmentAll diseases cause some form of distress or the other. However, one of the most embarrassing of all diseases is Gynecomastia. Gynecomastia is a non-malignant enlargement of breasts in males. This may occur briefly in newborns and most boys may have this during their adolescence for a couple of years. However, in older males this may be due to side effects of a range of certain medicines or reduced testosterone in older men usually when they are over sixty years of age. Men with prostate cancer may be treated with medication to suppress androgens in order to slow down or stop cancer growth but this may have an undesirable effect of Gynecomastia. Hyperthyroidism and kidney or liver failure can also bring this about. It has also been found that malnourished persons who start getting proper nutrition may have these symptoms which generally fade away within two years. So while the disease itself is not dangerous, it happens as a side effect of other dangerous scenarios.

Pseudogynecomastia And The Effect Of Diet And Exercise

One encouraging piece of information is that for the majority of cases the problem may be due to pseudogynecomastia which is caused by the deposit of fat. The fatty layers are caused by poor diet resulting in excess calories as well as by poor exercise. Fat develops over a period of time and when it crosses 30% body fat, the body starts releasing increased estrogen and this may cause the onslaught of the regular Gynecomastia. Therefore, while the body is still in pseudogynecomastia state, a program of diet and exercise should be initiated. The exercises are quite light and composed of around 40 minutes of jogging, walking, rowing and cycling. In some cases, this may need to be stepped up. Weight training can also be used and dumbbells and the inclined bench press are usually the key components. Weight training progressively puts on more muscle and these results in burning of more fat and increase the level of testosterone.

Most doctors put patients through a regimen of diet and exercise first whether the problem is pseudogynecomastia or true Gynecomastia. One way of identifying which of the two is present is to pinch the chest and see if there is a hard lump under the nipple. If it is present then the cause is probably true Gynecomastia. If, however, there is no difference to other parts of the body like the stomach, then the chances are it is pseudogynecomastia. In addition to the exercises described here, doctors will also control the diet by identifying items that are contributing to increased fat. Alcohol is a major culprit which causes increased estrogen levels thus increasing fat. Lean protein is excellent for raising metabolism and getting rid of fat. A healthy diet is the first weapon that doctors use in fighting Gynecomastia.

Gynecomastia PillsGynecomastia Treatment Using Pills And Creams

For those who are lazy or unwilling to go through the rigors of controlled diet and exercise, there are many pills and creams available in the market with claims to dramatically reduce Gynecomastia. Some pills like Gynexin claim to treat the disease by increasing testosterone levels while, at the same time, lowering estrogen levels which contribute to Gynecomastia, and cause reduced appetite. There has been no study of the effects of these pills and medication and so there is no evidence to support or deny such claims. Since, there does not seem to be any harmful effects of these medication, most people tend to try them first and then, if not satisfied, proceed to more rigorous treatment.

Surgical Treatment Of Gynecomastia

If non-surgical methods have been tried for over a year with no improvement, then surgery is the only option available. Surgical methods are broadly divided into those treatment methods that require skin removal and those that do not.  Subcutaneous mastectomy is the most common surgical treatment requiring skin removal.  Ultrasonic liposuction is one of the popular methods with excellent results without removing the skin. There are several risks present in these surgical options such as wound infections, variation in sensation, scars and deformities and non-symmetrical breast results.

Gynecomastia is, in most cases, not dangerous or harmful but is usually an indication of the presence of other lethal diseases like cancer or tumors. Hence, medical attention is strongly recommended at the earliest opportunity.

Gynecomastia Surgery 2Gynecomastia is defined as the excessive growth of glandular tissue in the breasts of men. It normally presents as unilateral and is seldom diagnosed promptly. Given the limited amount of soft tissue and the unexpected nature of the disease, locally advanced presentations are much more common.

When breast cancer among males is matched with that of the females when it comes to stage and age, its overall prognosis and gynecomastia surgery side effects are just the same. Even if it is unilateral in the majority of cases, it still requires immediate attention and careful work-up plans like biopsy, especially if the patient is 40 years old and above.

Conversely, bilateral breast development rarely represents malignancy and is usually caused by an endocrine disease or as a side effect of specific drugs. Remember, nonetheless, that the risk of cancer is higher in men with gynecomastia.

 How to Treat Gynecomastia

 Gynecomastia is best managed by surgery, termed as mastectomy and lymph node dissection in the axillary area. Those with advanced disease or involvement of nodes must also undergo irradiation. The majority of male breast cancers involve estrogen receptors and more than half are metastases, which are responsive to endocrine therapy.

The possible sites of relapse and spectrum of response of several chemotherapeutic drugs are the same for breast cancers in both sexes.

Surgery

This treatment entails removal of glandular tissue and excess fats from men’s breasts. In some cases, surfeit skin will also be removed to make the chest firmer. Patients, before undergoing surgery, are counseled to assume a good and healthy way of life before taking into consideration such major operation as a perfect solution or alternative.

This is an outpatient procedure, but for more serious cases, an overnight stay may be necessary to watch out for any gynecomastia surgery side effects. Patients are sedated and anesthetized. The process normally lasts for a little more than an hour.

 Post Operation Effects

 Once done, patients may experience some gynecomastia surgery side effects like bruising and discomfort. This can be lessened by drugs; just consult your doctor. Patients are advised not to do the heavy lifting and sexual activities for the first 2 weeks after the procedure.

It is also advisable to desist from any sports or any other situations that can affect the chest region negatively. Patients are expected to be fully recovered within a month’s time.

 surgery side effectsOther Possible Side Effects

 Just like any other medical treatments, there can be some gynecomastia surgery side effects and these include the following:

  • Excessive fluid loss
  • Asymmetry of the chest
  • Scaring
  • Skin rippling
  • Pigmentation or variation in skin color
  • Loss of sensation in the affected area

Proper assessment by an expert can help if you are in danger of any gynecomastia surgery side effects. If you think you are prone to any of these, consult your doctor immediately.

Also, to lessen your risk, it is best to choose a good plastic surgeon. By getting care from someone who specializes in your case, your chances for post operation problems are way lesser.

Gynecomastia Surgery UK

January 27, 2014

gynecomastia surgeryWhen there is an enlargement of breast tissues in males and it is benign, the condition is known as Gynecomastia. Often, during puberty, quite a few adolescent boys develop this condition but it will subside on its own within a couple of years. By, Gynecomastia can occur due to some metabolic disorders or because of the reduction in the production of testosterone in men, when they grow older. Sometimes, certain medication could also lead to this condition. When, estrogen, in the male, exceeds the ratio to androgen in males, Gynecomastia can result.

Often Gynecomastia has psychological impact on men. It leads to social anxiety as well as physical discomfort. If reduction in abnormal breast size does not decrease with chest exercises, then surgery to remove excess glandular breast tissue will have to be considered.

The kind of breast reduction surgery depends on what causes the enlargement. If it is because of excessive fat deposits, then liposuction could be undertaken. Ultrasonography could determine the diagnosis of Gynecomastia. Not too many patients can be considered for only Liposuction-assisted mastectomy. Ultrasonic liposuction has had better results for this kind of reduction. Here, the complications after surgery do not exist. There is no danger of infection or hematoma or necrosis. Unfortunately, liposuction is not the treatment for glandular Gynecomastia. It can be combined with mastectomy known as liposuction-assisted mastectomy.

There is a choice in types of surgical techniques. Generally, surgery involves the Webster incision or an intra-aureolar incision. Here, the surgical cut is made in the circumference of the pigmented area of the aureole and the glandular tissue removed. The kind of incision depends on the severity of the case. In moderate-severe Gynecomastia, there exists the option of a two stage procedure in surgery. In the first stage, liposuction is performed and a Webster incision is made to remove the fat, the gland and the tissue, which can result in a good contour. After four to six months, the second stage is undertaken, because the intervening period ensures the re-establishment of blood supply. But this leaves the area with laxity of skin. So the second stage involves the perireola donut mastopexy, where the skin laxity is improved.

In selected patients, a pull-through technique of surgical procedure is done, which is minimally invasive. Here a very tiny incision of just about 5 mm is made near the edge of the aureole and liposuction is done. Following this, the glandular tissue is pulled through the incisions.

Surgeons will be able to decide on the best surgical procedure depending on the severity of the condition. The cost of the surgery again depends on the amount of glandular tissue to be removed as well as the type of surgery opted for and whether liposuction is included. It can vary anywhere between £ 2000 to £ 5500. The surgery falls under the cosmetic surgery category. Financial aid is offered by many surgeries now in the UK with the “Buy Now, Pay Later” Scheme. And the cost of the surgery can be spread over a 9, 10 or 12 month time frame.

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