How Can I Get Rid Of Gynecomastia?

man mirrorBreast prominence in men can result from excess glandular tissue, excess fatty tissue, or a combination of the two. Though the cause of most gynecomastia is benign and unknown, some patients have a family history of the condition. In very rare cases, testicular tumors, adrenocortical tumors, pituitary gland tumors, or bronchogenic carcinoma may produce hormones that can alter the male-female hormone balance and result in gynecomastia. In addition, syndromes of hypogonadism, such as Klinefelter syndrome, can lead to the appearance of gynecomastia. Very rarely, breast cancer can also cause gynecomastia.

As each patient presents differently with his individual case of gynecomastia, each male breast reduction surgery is tailored to that particular patient. Though gynecomastia usually involves both breasts, it can manifest unilaterally. Most of my patients are treated with a combination of breast tissue excision and removal of the fatty tissue with liposuction. Occasionally, there are patients with advanced gynecomastia who have an overabundance of skin complicating the condition. These patients often require a skin-reducing procedure in addition to tissue removal to optimize the outcome. Some patients also benefit from nipple grafting, which requires an even more advanced technique. Generally, the order in which I perform these techniques is first determined by the proportion of glandular versus fatty tissue.

Ultimately, the volume of tissue removed from each patient must be custom-tailored to achieve superior results. One of the keys to successful gynecomastia treatment is to find a plastic surgeon with the expertise to address the variety of ways in which the condition can present itself. However, I also believe that an artistic approach to the male chest is equally necessary to create a cosmetically pleasing contour. Over the course of my career, I have combined my years of surgical experience with an aesthetic sensibility to achieve results that appear toned, natural, and masculine.

Dr. Steven Holzman

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