Definition
Excessive development of the breast gland in the male. Often associated
with diet resistant fatty deposits as well.
Age
From adolescence onwards. Gynecomastia affects an estimated 40 to 60
percent of men. It may affect only one breast or both. Though certain drugs
such as anabolic steroids in body builders and medical problems have been
linked with male breast overdevelopment, there is no known cause in the
vast majority of cases.
Surgical technique
The procedure removes fat and or glandular tissue from the breasts, and in
extreme cases removes excess skin, resulting in a chest that is flatter,
firmer, and better contoured. Surgery may be performed using liposuction
only or a combination of liposuction and removal of the glandular tissue
through an incision in the lower half of the areola (pigmented skin around the
nipple). The best candidates for surgery have firm, elastic skin that will
reshape to the body's new contours. In addition, individuals who drink alcohol
beverages in excess or smoke marijuana are usually not considered good
candidates for surgery. These drugs, along with anabolic steroids, may
cause gynecomastia. Therefore, patients are first directed to stop the use
of these drugs to see if the breast fullness will diminish before surgery is
considered an option.
Philosophy
To remove the excessive glandular tissue and any associated fat, leaving an
even contour to the chest wall.
Surgical time and recovery
Surgery takes about 2 hours. Stitches are removed at 4 days. The patient
can go back to work in 7 days.
Related procedures
Liposuction of other areas such as the abdomen is often performed to give
the best result.
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Body Contouring Procedures 
