Gynecomastia (Male Breasts)

Enlargement of breasts in male is very common anomaly. More than 30 percent boys have this problem starting during adolescence. It often leads to social embarrassment and boys are hesitant to go to swimming pool or gyms.

Commonest cause is some kind of transitory hormonal imbalance during early teens. Obesity is another important cause. Rarely, some liver disorders, drugs like anabolic steroids can also cause this problem. There is increase in the glandular tissue and fat in varying amounts leading to the increase in size, in some cases the nipple and areola also become large.

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Considering a surgery?
This operative procedure is absolutely painless and is usually done under local or general anesthesia. The results are very good and are permanent. No fatal complications are there because of surgery. Collection of blood requiring aspiration or drainage, mild skin irregularities, depression of nipple region, temporary loss of sensations over the nipples are some of the correctable complications that might occur in small percentage of the cases.


Gynecomastia is the development of abnormally large breast tissue in males. Gynecomastia can result from an imbalance in sex hormones which can be caused by a wide range of conditions such as liver disease, kidney disease, certain genetic disorders, steroid use, and certain tumours or as a side effect of certain medications. In many cases no known cause is found for the breast enlargement and the condition is then often described as idiopathic gynecomastia.
If you think that you may be suffering from gynecomastia, they should consult with your doctor to confirm the diagnosis. If the diagnosis is confirmed the physician will then look for any underlying cause for the condition which if found should then be treated appropriately.
If an underlying condition is found for the gynecomastia it should firstly be treated. However in many cases no underlying condition is found for the breast enlargement or the underlying cause is treated but then the patient is left with enlarged breasts which although not directly harmful to the patients health can have a massive psychological impact on the patients wellbeing. In such cases plastic surgery can be a suitable solution as it can help reduce and reshape the breasts to give then a more pleasing appearance.
The surgery primarily involves the removal of fatty tissue and glandular tissue. The fatty tissue can be removed by liposuction alone. The removal of glandular tissue may involve excision. Incisions will be made around the breast region to perform the surgery which is usually very inconspicuous. The exact locations of the incisions will depend on the extent of the surgery and if very large amounts of breast tissue need to be removed it may be necessary to remove the extra skin too. Gynecomastia surgery can be performed under both general and local anaesthesia. It is necessary to ensure that there is no underlying condition causing the gynecomastia before operating.
You may have drains, if the original grade of enlargement is grade III or IV. You will need to wear pressure garments for two to three weeks. You will be able to get back to work in a weeks time.
Most common side effects include delay in wound healing, pigmentary changes and loss of fullness beneath the nipple. Other complications which occur very infrequently are bleeding, seroma, infection and anaesthesia risk.