Gynecomastia

Gynecomastia is a somewhat confusing term, because it is commonly misused. The term gynecomastia actually refers to the presence of excess glandular breast tissue causing male breast enlargement. Incidence figures for gynecomastia frequently quoted are anywhere between 1% and 60% of the male population.

True gynecomastia probably occurs toward the lowest end of this range (1%). Pseudogynecomastia is merely a deposit of excess fat in the area of the male breasts. This pseudogynecomastia is much more common, and occurs very frequently in males (some say in up to 40-60% of men). This explains the great disparity in incidence or prevalence ( how common the condition is) figures given.

Unless actual breast tissue is present, the technically correct term for the condition is pseudogynecomastia. Because the term pseudogynecomastia is quite long, and because true gynecomastia is much more rare, most often breast enlargement in males is referred to as gynecomastia (though technically incorrect), because male breast enlargement is far more likely in any individual case to be pseudogynecomastia.

For the purpose of this site, I use the term true gynecomastia to refer to an actual increase in breast tissue (rare), and adopt the common convention of using the terms gynecomastia and pseudogynecomastia interchangeably to refer to enlarged male breasts due to an accumulation of fat in the breast area of the male chest. Also note that the term gynecomastia is commonly misspelled as gynocomastia.

Gynecomastia most commonly occurs around the time of puberty or early teen years in young men. Many patients report having tried both weight gain and weight loss, in an effort to improve gynecomastia. These rarely lead to significant improvement, however, and in fact both weight gain and weight loss often seem to make gynecomastia worse. Weight lifting in an attempt to increase the size of the pectoral muscles is often tried as well, but this also seems to worsen the appearance of gynecomastia in most cases, causing the chest fat to protrude or "stick out" even more.

Gynecomastia surgery by excision (the type due to increased fat) has been done for a long time, but can result in very unnatural looking scars, because the gynecomastia surgery incision was made in semi-circular fashion around both areola (areolae). Even with the best technique, there was always at the least the tell-tale sign of this semicircular scar in a very unusual looking spot (unlikely you could say it was your appendix operation !). Liposuction - male breast reduction FAQs

Fortunately, These scars are no longer necessary in most cases, since gynecomastia can now be safely treated and completely removed through very tiny incisions with newer liposuction techniques using just local anesthetic. The results after gynecomastia surgery by tumescent liposuction is a very natural appearance with virtually no sign that surgery was performed or that gynecomastia was ever even present.

gynecomastia surgery - male breast reduction by liposuction more information on how gynecomastia can now be treated by local anesthetic with excellent results and quick recovery (2-3 days) to your normal routine.

Gynecomastia pictures 1 gynecomastia before and after gynecomastia surgery, by tumescent liposuction with local anesthetic..

gynecomastia pictures 2: surgery, surgical correction of gynecomastia.


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	Jeffrey Melton, M.D., S.C., Chicago and Oakbrook Center Mall, Oak Brook, Illinois (630) 928-0240 www.drmelton.com