gynecomastia

• breast augmentation
• breast lift (mastopexy)
• breast reduction
• gynecomastia
• revision breast surgery
• breast reconstruction (cancer)

Gynecomastia is breast tissue or fullness in men.  Breast fullness is common in adolescence.  Usually it improves with time.  If it does not, it can be socially difficult.  True gynecomastia is a combination of glandular breast tissue, fat, and skin.

Obesity is the most common cause of gynecomastia / chest fullness in men.  If the issue is only fat, not glandular tissue, it may be called “pseudogynecomastia” or “lipomastia.”  Gynecomastia from fat tends not to have much droopiness or “ptosis,” the areola are normal sized, and it is easier to correct.  Usually I correct this with simple liposuction.  As the fat in the breast tends to be fibrous and tough, I prefer to use ultrasonic UAL liposuction in addition to traditional liposuction for fat removal.  Many believe the ultrasonic energy also helps the skin retract better.

If it is true gynecomastia with a glandular component, there are other causes that need to be evaluated:  puberty, anabolic steroids, marijuana use, genetic disorders and syndromes, chronic liver disease, tumors, and some medications.

To treat gynecomastia with a glandular component, a combination of excision of the breast tissue with liposuction is done.  If the areola is enlarged, its size can be reduced.