40 Percent Of Males Will Be Male Breast Reduction Candidates Between The Ages Of 13 And 15
Gynecomastia is a term that is used to describe the abnormal enlargement of male breasts. This may be a result of hypertrophy of the breast patenchyma alone or from extra fat in the breast area of males. This excess fat is better termed as pseudogynecomastia, especially if there is no parenchyma or hypertrophy involved. With any case, when enlarged male breasts are present, it is a very distressing condition, especially if the boy is young. A person can only imagine just how distressing it would be for a young male to develop breasts at a time when there are secondary sexual characteristics developing. This is capable of leading to some very distressing psychological problems if they are not addressed.
The approach to a male with enlarged breasts is often conservative in that around 40% of young males will experience some type of gynecomastia around the ages of thirteen to fifteen. Usually, it will be a tender swelling in either one or both of the breasts that will be persistent. Most of this will resolve within two years, and almost all will be gone by three years. Sometimes this can persist up to the age of 20. If gynecomastia is present, then there is a certain approach that needs to take place.
If the swelling of this problem did not start before adolescence or is bilateral, then plastic surgeons typically think the gynecomastia can be watched for about two years. If there has been no difference at two years, then surgical treatment can be undertaken. Nevertheless, it is of importance that each of these patients are worked up by an endocrinologist to rule out any type of worrisome malignancy that could possibly be causing the problem. As such, patients will be referred to an endocrinologist to get their input and to make sure there is nothing odd going on. Once this has been demonstrated, it is appropriate that the patient is taken to surgery and a reduction is performed.
Surgically, there are a number of different ways to approach these patients, and some of them are determined by the extent of gynecomastia that is present. If it is possible, most patients are treated with liposuction, which will remove most of the fatty tissues. If there is still a breast bud or glandular nub still present, then a small excision will be made and the breast tissue is excised directly. Again, this will always be done so conservatively so as to try and prevent any depression in this area. The procedure is called male breast reduction.
After the operation has been completed, the patient will be kept with a compression dressing that will be worn for about six weeks post-operatively to try and help compress the tissues in order to help in healing. Occasionally, a drain will be placed if the bleeding is seemingly excessive. But this will typically not be necessary when lipoplasty is combined with a breast bud reduction.
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