Gynaecomastia

[vc_row][vc_column][vc_empty_space][vc_row_inner][vc_column_inner][vc_column_text]Gynaecomastia is caused by additional breast tissue in a man.

Gynaecomastia can stem from an imbalance between the sex hormones testosterone, and estrogen. Estrogen, the “female” hormone, makes breast tissue grow. Testosterone, the “male” hormone, prevents the enlargement of breasts in men. All males and females have both testosterone and estrogen, but testosterone occurs in higher proportions in males. In contrast, females have higher levels of estrogen. In certain physiological conditions like puberty and old age, due to hormonal imbalance, gynecomastia occurs. In most young boys, this subsides on its post-puberty.

It can be a very distressing condition for the affected person as he becomes a laughing stock among peers, and some of them have a severe lack of confidence.

This condition can also happen as a side effect of taking performance-enhancing steroids. Certain hormonal disorders and liver diseases can also cause gynecomastia. These are rare presentations and will be excluded during examination in the outpatient clinic.

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Surgical removal of the gynaecomastia is a significant relief for the patient, with no significant adverse effects.

Liposuction can remove excess fatty tissue. It involves inserting a small tube through a 3- to 4-millimeter incision.

Excision means cutting out tissue with a scalpel to remove excess glandular tissue. This will generally leave a scar around the edge of the nipple. In all cases, it can be done as a daycare procedure with the patient being discharged on the same evening of the surgery or the next day. Pressure garments will need to work immediately after surgery to about 3-4 months at least. This helps to redrape the excess skin well on the chest wall to give a good contour.

There may be some numbness and red or bluish patches on the chest wall for a few days post-surgery, which typically disappear entirely in a few weeks.

If a significant reduction in tissue and skin is necessary, the incision and the scar will be larger. In some cases, both excision and liposuction will be used.[/vc_column_text][vc_empty_space][vc_column_text]

GYNAECOMASTIA

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