What is Gynecomastia ?

Gynecomastia is the enlargement of male breast tissue, a condition that affects men of all ages and often leads to physical discomfort and emotional distress. This condition occurs due to an imbalance of estrogen and testosterone, which can cause the glandular tissue in the male chest to swell. It can affect one or both breasts and may develop for several reasons, including hormonal changes, genetic factors, certain medications, and lifestyle influences.

Symptoms of Gynecomastia

Symptoms of Gynecomastia Patients with gynecomastia may notice a firm, rubbery mass underneath the nipple area, which can sometimes be sensitive or tender to touch. In some cases, excess fat also contributes to an enlarged appearance, which can lead to social discomfort and impact self-esteem. For men experiencing these symptoms, gynecomastia surgery provides a highly effective solution, restoring a more masculine chest contour.

Causes of Gynecomastia

Gynecomastia is often a result of hormonal shifts, but it can also be triggered by specific factors, including:

  • Hormonal Imbalance
    A fluctuation in estrogen and testosterone levels can lead to the development of breast tissue in men.
  • Medication Side Effect:
    Certain medications, including anti-androgens, anabolic steroids, antidepressants, and heart medications, can lead to gynecomastia as a side effect.
  • Health Conditions:
    Conditions like liver disease, kidney failure, or thyroid imbalances can also contribute to gynecomastia.
  • Lifestyle Factors:
    Weight gain and the use of substances such as alcohol and recreational drugs can also influence gynecomastia development.

With his specialized approach and extensive experience, Dr. Lari works closely with patients to address these root causes, ensuring treatment is not only effective but also tailored to the individual.

Gynecomastia Grades: Classification and Treatment Options

Gynecomastia is classified into different grades based on the severity of breast tissue enlargement and the presence of excess skin. Understanding the grade of gynecomastia helps determine the most appropriate treatment approach, ensuring optimal outcomes.

Grade - 1

Description:

Often presents as a slight protrusion around the nipples. Patients are usually younger, lean, and have a defined chest contour with visible pectoral muscles.

Treatment:

Often presents as a slight protrusion around the nipples. Patients are usually younger, lean, and have a defined chest contour with visible pectoral muscles.

Grade - 2

Description:

Excess breast tissue growth located around the lower chest with relatively tight skin. This grade often causes visible enlargement that can be challenging to conceal, even under clothing.

Treatment:

Combination of liposuction and direct excision techniques to effectively remove the glandular tissue while preserving the natural contour of the chest. Scarring remains minimal.

Grade - 3

Description:

Significant gland and fat growth, along with some excess skin that impacts the chest’s shape. This condition is often more visible and can affect the patient’s posture.

Treatment:

Advanced excision techniques with careful skin tightening techniques to remove excess tissue and skin. The goal is a flatter, more masculine chest contour with discreet scarring.

Grade - 4

Description:

The most advanced form, with substantial breast tissue enlargement and a significant amount of excess skin and nipple ptosis, sometimes resembling female-like breasts.

Treatment:

Grade 4 cases may require a more complex surgical approach, including a combination of excision and skin removal.