Pseudo-gynecomastia is the enlargement of male breasts caused by an excess amount of tissue in the fatty region below the nipple. This can be due to excessive weight gain and is commonly found in younger obese males.
True gynecomastia is the enlargement of male breasts caused by an excess amount of tissue in the glandular breast region. Excess tissue development is uncommon in this region.
Causes of gynecomastia include:
This condition can occur in one or both breasts as small benign lumps beneath the nipple. Gynecomastia is not uncommon and usually goes away after a period of months, during which the lumps may be tender. This condition persists in about five percent of males. An abnormal increase in male breast mass, such as gynecomastia, has been correlated to body mass index (BMI), a calculation used to measure the healthiness of one’s height to weight.
* This is before and after of minimally invasive lipo of neck and jawline done under local anesthesia. Results are significant with minimal downtime.
Tamoxifen and raloxifene are two common drugs can be used to treat men with enlarged breasts. Liposuction can also be performed in order to reduce the excess male breast tissue for those more drastic cases.
Pseudogynecomastia persists similar symptoms but is a fat deposit without glandular proliferation and is increasing at the same rate as the incidence of obesity in American men.
Liposuction is a common procedure to eliminate the fat deposits left behind for those suffering from gynecomastia. During the procedure, small incisions are made over the breast area. Small tubes called cannulas are inserted into the incisions and fat is extracted through the tubes attached to a pump. The gentle fat extraction leaves behind minimal scarring and a few weeks of recovery time.
Liposculpture relies on the technology of tumescent fluid that numbs and liquefies the fat, allowing easier removal through tiny incisions. The tumescent method of lipoplasty is the most effective form of liposuction because a fluid containing anesthetic and capillary minimizer which limits blood loss is injected into the fatty tissue and then removed. Results are more even using this technique and require less recovery time. You can return to work after two to three days and because local anesthesia is optional, risks associated with anesthesia are eliminated.
The male breast is composed of fat (adipose) and connective (fibrous glandular) above the pectoral muscle group. Male breast tissue is usually located immediately under the nipple and is firmer than the surrounding fatty tissue. The growth of abnormally large breasts in males is called gynecomastia and is the excess growth of breast tissue, not excess fat tissue. During puberty, boys can start to develop male breasts. This normal development is caused by hormones that lead to other changes in puberty and occurs in 65 percent of all normally healthy boys and usually resolves without intervention late into puberty.
Male breast development is often not a medical concern and is generally treatable. Low testosterone or other hormone imbalance may be the cause, along with medication, illness or increase in body fat; which is known to convert male hormones to estrogen.
Liposuction is performed with a typically smaller tube inserted into small incisions in the breast. Unwanted tissue is then removed through a suction pump carried through the small tubes. Local anesthesia is used throughout the procedure to keep the patient at ease, and after surgery is complete, stitches will be placed along incision lines. Compression devices should be applied 18 to 24 hours post-surgery in order to avoid bleeding and bruising.
Laser liposuction is a procedure found to be very successful among men that have relatively normal weight, but isolated pockets of fat, such as the breast. Because lasers emit heat, the skin contracts, giving a tightening effect as well. Laser liposuction used in conjunction with surgical liposuction can yield the best results depending on the patient’s goals. Laser liposuction used alone is generally used for body contouring, achieving a normal breast shape, instead of used as a weight loss solution.
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Dr. Cameron Rokhsar is the founder and owner of New York Cosmetic Skin & Laser Surgery Center. With degrees from Harvard University and NYU, along with multiple publications and media features, the double board-certified dermatologist and laser surgeon proudly shares his expertise with patients in Garden City, Manhattan, and those who fly in to receive treatments at his offices. Dr. Rokhsar has worked extensively with Vbeam laser, Thermitight, Coolsculpting, and Fraxel laser technology, as well as Allergan and other injectable brands. He pioneered the Non-Surgical Nose Job and continues to be a leader in his field.
Dr. Rokhsar was chosen by
magazine as a top dermatologist in its Best Doctors 2017, 2018, 2019, 2020, 2021, 2022 and 2023 issues.
