Gynecomastia or saggy male breasts is a fairly common, but rarely talked about, condition of enlarged male breasts. Sometimes overdeveloped male breasts can be linked to specific drugs or medical problems. Most commonly Gynecomastia is caused by excess glandular tissue (localized fat deposits). Male breast reduction surgery can help men feel better about their appearance by creating a more masculine chest contour.

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Gynecomastia comes from the Greek words gyne and mastos, meaning female and breasts, roughly translating to female-like breasts because they are saggy. Gynecomastia is a benign condition that accounts for 60% of all disorders of the male breast and 85% of male breast masses. It can occur in persons of any age, but 40% of cases occur in adolescent boys aged 14-15.5 years. As many as 65% of teenage boys have Gynecomastia. In 90% of those teenage boys, Gynecomastia goes away on its own in 2 to 3 years. Approximately 40% of healthy men and up to 70% of hospitalized men have palpable breast tissue. The prevalence rate increases to more than 60% in those in their seventies.

Some men and boys have fat on their chests that makes it look like they have breasts. This condition is called pseudogynecomastia (false Gynecomastia). It's not the same thing as Gynecomastia, they may just be overweight.


A reconstructive surgical procedure to reduce the size of enlarged male breasts.

Before surgery you will have a complete medical checkup to rule out any curable medical cause of your enlarged breasts. Obesity, impaired liver function, excessive use of alcohol or marijuana, estrogen containing medications and anabolic steroids can all contribute to Gynecomastia. If any of these conditions are detected, they must be corrected before surgery can be performed. Overweight men are encouraged to diet and exercise prior to their surgery.

Your surgeon will make an incision under your breasts or around the areola (the dark skin around the nipple). Liposuction is usually the treatment of choice to remove these excess localized fat deposits. Persistent excess glandular tissue, fat and skin can be surgically removed from around the areola and from the bottom and sides of the breasts to create a new smaller breast contour if liposuction is not indicated.

Swelling and bruising are normal and will subside over the next few weeks. You will need to wear an elastic bandage or pressure garment as your breasts heal. Scarring is usually minimal and will fade with time. You should avoid direct sun exposure for six months.



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