Breast augmentation at puberty causes joy among the fair sex, but a completely opposite reaction in the strong half of society. Growth in both cases is due to hormonal fluctuations, adolescent boys produce a lot of estrogen, which provokes age-related gynecomastia. However, if after a few years the mammary glands have not regained their normal shape, or they have begun to increase in a mature man, the issue will have to be resolved with a doctor, including a plastic surgeon. Read more about gynecomastia in men at estet-portal.com.
Causes of gynecomastia in men of different ages
Enlargement of the mammary glands in men (gynecomastia) – this is a pathology in which glandular or adipose tissue begins to grow hypertrophied. In this case, the glands can reach 10 cm in diameter. The problems of gynecomastia are not only that this condition gives a man certain psychological troubles and physical discomfort.
The continued presence of gynecomastia becomes a significant risk factor for the development of a malignant tumor of the breast. Therefore, the correction of gynecomastia in men has not only aesthetic, but also medical indications.
Gynecomastia in men is divided into true and false. True gynecomastia as a variant of the physiological norm can develop in newborns, adolescents and older men. In all cases, the cause is an excess of the hormone estrogen in the body. In newborns, he, who got in utero, still persists for 2-4 weeks. In adolescents 13-14 years old, due to the immaturity of the male reproductive system, female hormones predominate in the body for some time, and this disappears after 1-2 years. In older men, hormone production decreases due to age, and testosterone synthesis fades faster than estrogen. In all these cases, gynecomastia in men – a temporary phenomenon that passes on its own and does not require correction.
Pathological gynecomastia is usually caused by an imbalanced ratio of various hormones, which happens:
• with hormonally active tumors (prostate adenoma, etc.),
• with some endocrine diseases associated with metabolic disorders (diabetes mellitus, obesity),
• for non-endocrine diseases (intoxication, liver cirrhosis, renal failure),
• when taking certain medications (steroids, antidepressants, etc.),
• with alcoholism, drug use.
With gynecomastia in men, the mammary glands may increase equally or asymmetrically. Gynecomastia is considered false, due to massive deposits of adipose tissue, which happens in men with obesity.
Possibilities of various types of correction of gynecomastia in men
The choice of tactics for the treatment of gynecomastia in men directly depends on the reasons for its development. Physiological gynecomastia resolves on its own. The pathology caused by medication also disappears when the drugs that provoked breast enlargement are discontinued.
If gynecomastia is caused by an excess of estrogen in the male body, the doctor prescribes conservative testosterone therapy, but it is effective only in the first 4 months after the onset of the pathology. It may also be recommended to take drugs that block the sensitivity of the male mammary glands to estrogens.
If drug therapy has not been successful in gynecomastia in men, surgical removal of excess glandular tissue and fat in the adjacent areas is carried out with the restoration of the physiological contour of the breast.
In case of mild breast enlargement, an endoscopic mastectomy may be recommended. If the glands are hypertrophied, a subcutaneous mastectomy is performed from the paraareolar access, if necessary, liposuction is added.
The operation is usually well tolerated and does not require long-term rehabilitation. The patient will have to wear compression underwear for 3 weeks in order to form the correct muscle contour and shrink the skin on the mammary glands. A month after the operation, you can return to your usual lifestyle, including sports training.
Share:
Add a comment