Gynecomastia or Gynaecomastia, is the abnormal enlargement of mammary glands in males resulting in female like breast. It can also be unilateral or asymmetrical.
The condition can occur physiologically in adolescence, typically by the ages of 12 to 17: the breast development shrinks or disappears within 3 years in over 90% of cases.
Congenital or hereditary gynecomastia may be caused by an imbalance of estrogenic and androgenic effects on the breast, resulting in an increased estrogen action on breast tissue.
Finally, approximately 4 to 10% cases of gynecomastia are due to drugs, such as spironolactone, digoxin, furosemide, and as a result of the use of anabolic steroids in body builders.
Breast prominence due solely to excessive adipose is often termed pseudogynecomastia or sometimes lipomastia. In fact, contrary to genuine gynecomastia, where men develop breast tissue, pseudogynecomastia refers to development of breast as result of accumulated fat on the chest.
Gynecomastia is not physically harmful, but is often a source of social and psychological distress.
Pseudogynecomastia is composed of adipose tissue and can be treated very effectively with liposuction, and, more recently, with Laser Lipolysis, an outpatient procedure performed under local anesthesia, with no downtime.
In some cases, when breast prominence results from hypertrophy of breast tissue and chest adipose tissue as a combination, surgical excision may be indicated.
At the end of intervention it’s necessary a compressive bandaging for the first few days; then patients need to wear pressure garments for 15 to 20 days.
They can return to work one to two days after the procedure.
Postoperative swelling and light local discomfort may be experienced during the first few days.
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