Gynecomastia
Gynecomastia is the abnormal growth of breast tissue in males. It is the most common presenting complaint of male breast disorders accounting for more than 65% of cases and often presents with chest wall/breast fullness that the patient is unable to reduce despite diet and exercise. This can often lead to emotional and psychological distress in men who are embarrassed by their condition.
What causes gynecomastia?
Gynecomastia has a broad range of causes that are classified as either pathological or physiological. While true gynecomastia is an enlargement of the breast gland, many patients present with pseudogynecomastia which is breast enlargement due to increased fat deposition or a mixed picture in which both true and pseudogynecomastia are present.
When should I get surgery for it?
The degree of gynecomastia ranges from grade 1 (small breast enlargement localized around the areola) to grade 4 (marked breast and skin enlargement with feminization). Once a pathologic reason for your gynecomastia is ruled out and the gynecomastia is deemed persistent for >4 months, then surgery is likely the next option.
Additional Information
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A complete history and physical exam will be required to determine whether the cause of gynecomastia is physiological or pathological. A testicular and breast exam is routinely performed along with a detailed history of any medications/drugs taken, chronic diseases, endocrine and/or chromosomal abnormalities that may contribute. Occasionally, lab work is obtained.
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The degree of gynecomastia and skin excess will determine the surgical approach used. A combination of liposuction and a periareolar incision (around the areola) is often used to improve the contour of the chest and remove the button of breast tissue under the areola. In more severe cases, removal of redundant skin and areolar reduction/repositioning is required to create a more masculine chest wall.
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There will be soreness, swelling and bruising from any surgical approach used. A compression garment is used to help with the swelling and improve chest contour and should be worn for at least 6 weeks after surgery. Rigorous exercise and lifting should be avoided for the first 2-4 weeks after surgery.
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The cost of gynecomastia surgery ranges from $4000 - $5000, not including OR, implant or anesthesia fees.
Interested? Find out what’s next!
If you are interested in having your gynecomastia addressed and you reside in or near Washington, DC, or you are planning to visit this area, call Dr. Maiorino's office to schedule an initial consultation, or CLICK HERE to schedule now!
