The form of excess fat and enlargement in the tissues of the breast gland is a big problem for many men with what is called “gynecomastia”, which is a common condition among men and it may affect only one breast or both breasts in a homogeneous or not homogeneous sometimes.
Gynecomastia is an increase in the amount of breast gland tissue in boys or men, caused by an imbalance of the hormones estrogen and testosterone. Gynecomastia can affect one or both breasts, sometimes unevenly
Gynecomastia is most commonly caused by an imbalance between the hormones estrogen and testosterone. Estrogen controls female traits, including breast growth. Testosterone controls male traits, such as muscle mass and body hair. Although each of these hormones produces the usual traits seen in males and females, males produce a small amount of estrogen and females produce a small amount of testosterone. Male estrogen levels that are too high or are out of balance with testosterone levels cause gynecomastia
Gynecomastia occurs naturally at different times in a male’s life.
These phases are:
-After birth. Newborn boys are still under the effects of the estrogen they received from their mothers while developing in the womb.
-More than half of newborn males are born with enlarged breasts. The gynecomastia goes away within two to three weeks after birth.
-At puberty. Hormone levels are changing during puberty (usually 12 to 14 years of age). Breast enlargement usually goes away six months to two years after the start of puberty.
-At mid-life and beyond. Breast enlargement often peaks in men between the ages of 50 and 80. About one in four men in this age range have breast enlargement
There are many other conditions that can cause gynecomastia.
These include:
-Obesity
-Lack of proper nutrition
-Tumors in the testicles or adrenal glands
-Liver disease
-Hyperthyroidism
-Hyperandrogenism
-Hypogonadism
-Kidney failure
The appropriate age for the operation
Gynecomastia treatment can be performed at the end of male puberty (17). This procedure is not recommended for younger ages because the physiological structure has not yet been completed. In the case of pre-teen patients, approximately two years must be waited before making the decision to perform the operation. Also, consideration should be given to the possibility of breast cancer in adult men.
Ways to perform the operation:
Your surgeon will first perform a medical examination to determine the type of gynecomastia you have before surgery. Thus, the presence of fatty tissue only or glandular tissue can be detected as well.
And this surgical intervention is performed in two ways: suctioning the existing fatty tissue while leaving the glandular tissue or removing the breast with its glandular and fatty tissue
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