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The Diagnosis, Causes And Treatment Of "Gynecomastia" In Men

Gynecomastia is the development of female-like breast tissue and male-like breast enlargement. Both men and women are born with breast tissue, but this tissue remains in the male breast. The nipple/areola complex is perhaps the most important “memory” of these tissues in the male that we know. More than 50% of newborn males have a feminine appearance, a blue appearance on their breasts, a temporary form of gynecomastia (due to the effects of the mother’s estrogens) but this condition disappears in 2 – 3 weeks of birth. However, several years later, breast tissue suddenly appears in many young men. The fat that accumulates is a special type of fat – very thick, dense and dense. It’s not the same as normal, lighter fat found elsewhere in the body. The combination of this fat and excess breast tissue starts to make each breast appear larger, fuller, and more visible. Breast size can begin to sag a little, just like a woman’s. The nipple/areola also grows and becomes wider, larger, and “puffy” with a surface. A hard lump of breast tissue, sometimes as large as a golf ball, can be felt behind the nipple/areola. The breast or nipple area becomes very painful and tender, unlike what many women experience during the menstrual cycle.

In rare cases, milk may come out of the nipple. Gynecomastia is a very disturbing physical and mental condition that is seen in thousands of teenagers every year. Young men are embarrassed to be seen shirtless; some of them can’t even wear a t-shirt without feeling self-conscious or embarrassed. They skip pool parties, avoid the gym, and go to the beach. They can be very quiet, lonely, withdrawn; even anti-social. In fact, new research evidence suggests that many of these young people will develop mental health conditions that require psychiatric evaluation and treatment. That’s right – their lives have been compromised; overwhelmed by the body image that worsens with time, they can’t fix it by “working out” more or by eating, it reduces their self-confidence, identity issues and the nature of men. during adolescence – these issues are already problematic! Gynecomastia first appears in adolescence but can also affect older people. However, despite all the harm, the treatment is simple and there is a “cure”, and these people, young or old, can continue to live a healthy, happy life like other people!

What causes gynecomastia in many young men is not fully understood but we do know that it occurs regularly in some 50 – 60% of all young men! Most experts think that when it comes to large increases in hormone turnover, the hormones may be “imbalanced” or “mis-processed” for a period of time. Fortunately, in the majority (about 75%) of these affected teenage boys, gynecomastia resolves completely without treatment, on its own, within 1 – 2 years. However, for many the mental and emotional damage is too great and calls for early intervention. Parents are often unaware that any of these things are happening, and may not even understand where the sudden change in behavior and attitude is coming from in their teenage son. After treatment, the change for the better is just as dramatic. For one in four boys who have gynecomastia, the condition will not go away, it will last forever. Then it just got worse, year after year. This is because it causes a vicious cycle of inflammation, tissue stimulation and an increase in fat tissue and the growth of the mammary gland, which is almost always the same, despite the lack of changes. hormone of youth.

Several prescribed medications have been linked to gynecomastia: Anti-ulcer/reflux medications (eg, Pepcid, Prilosec, Zantac, Tagamet), ACE inhibitors for high blood pressure (eg, Capoten, Vasotec), Calcium Channel Blockers (eg, Procardia), and Diuretics (eg. Lasix, Aldactone). Valium, Proscar, Effexor, Motrin, Pepcid, and Digoxin are other common drug examples. Some chemotherapy drugs can cause cancer, and the drug “HAART” used in AIDS patients has been identified as a cause. Many medical conditions (eg, hyperthyroidism, liver failure/cirrhosis, pituitary failure, or kidney failure requiring hemodialysis) as well as some tumors (eg, testicular , adrenal and pituitary) all of which affect circulating male hormone levels and can cause gynecomastia. think about it. Interestingly, lack of food and hunger can also cause gynecomastia – testosterone levels drop quickly, leaving the effects of estrogen on the body under these conditions. Anabolic steroids are self-administered and supplement testosterone, which is the main cause of gynecomastia today- specific enzymes in the male system that change the amount of “other” hormones that quickly turn into estrogens and then stimulate the growth of breast tissue and the development of gynecomastia. Unfortunately, once this process begins, even after treatment, gynecomastia may persist or worsen as the vicious cycle described above begins and gynecomastia can persist and progress. Alcohol, amphetamines, marijuana, heroin and methadone use are known causes of gynecomastia. Plant oils, such as lavender oil and tea tree oil found in soaps, lotions, and shampoos, have weak estrogen-like activity and contribute to cases of gynecomastia. Similarly, soy beans, ingredients in foods and soy-based protein supplements as well as sweet potatoes in the diet have all been identified as possibly related to the development of gynecomastia. to the effects of estrogen-like compounds associated with these foods.

Although rare, breast cancer can develop in the male breast, and should be considered if there is an enlarged or solid mass on one side, or in an older man who has enlarged one or both breasts. without proper medical care.

“Pseudogynecomastia” is not true gynecomastia because it is not the actual development of breast tissue, but the excess fat in the breast and breast, usually it connects to similar lumps in other areas, such as the sides of the chest “lats”) or the abdomen and hips (or “love sermons”). This is a serious fat distribution problem that affects the breasts and, like problematic fat found on the body anywhere, can be “healed” by diet, exercise, or liposuction.

In most cases, liposuction is the foundation of a treatment plan for getting rid of gynecomastia. In fact, in most cases, the alone Treatment requires liposuction! Small nicks in a different area are used for breast augmentation – removing fibro fat deposits and reshaping the breast to make it more masculine. The goal is to have both the breast and nipple/areola on the chest at the same time, activating the pectoral muscles in the upper chest. Most men need a day or two off to recover. It takes a couple of weeks for everything to “stick” and ease the use of the chest muscles. Usually the nicks survive to be invisible or almost invisible. Lowering the outer chest and sides (out to the “lats”) is included to increase the effect of flatness on the chest.

This type of liposuction is best done using ultrasonic techniques (eg Vaser) and laser assisted techniques (eg SmartLipo). These methods can “melt” the fat making it easier to remove. In addition, ultrasonic or laser energy can be used to “break” the breast tissue, which can be compressed, collapsed and flattened as desired. Finally, these technologies create a better drying and “rebound” effect on the skin as they heat and “refold” the collagen on the inner surface, encouraging it to return. right This is an important benefit because long-term gynecomastia causes the skin on the top of the breasts to stretch, eventually making the skin less absorbent and less absorbent. Unless a special technique is used, this small incision in the front will simply loosen the skin when the fat is removed. The large amount of visceral fat found in gynecomastia is more difficult to remove with a simple machine than it is for “normal”, simple fat. The harder it is the more painful it will be (i.e. more sore, bruised and more swollen after the workout), and the more likely it will be to lose shape (i.e. it’s too much here , which is not large enough on the outside), resulting in asymmetry between the sides, more. stiffness (because the muscles are hit harder!) and more expensive (i.e. longer). In addition, traditional mechanical liposuction has no effect on creating an improvement in the shape of the breast tissue, and has very little effect (if any) in combating the appearance of the breast. skin should be loose or hanging. This increases the risk that the therapist will resort to more invasive and aggressive procedures such as mass removal, even skin removal and reduction of the male breast. In most cases, these harmful conditions can be eliminated with the proper use of ultrasonic liposuction or laser-assisted liposuction.

However, many cases of gynecomastia involve a hard lump of breast tissue that will not flatten and will come out if it is “cut”. Sometimes this can be predicted with a pre-operative exam, but sometimes the breast and breast tissue are so firm that the lump is not visible until after extensive liposuction has been performed to “expose” the lump. . Removal of the lump behind the nipple requires an incision. Some plastic surgeons prefer to inject the area of ​​the areola, while others try to hide the area as a larger “nick” access to armpit liposuction. The need for mass removal adds to the recovery and increases the risk of possible complications (such as fluid retention, swelling and long-term deformity) after the operation. It should be used and removed from the river within a day or two. The recovery and downtime restrictions will be much stronger.

In more severe cases of breast enlargement and skin laxity, a male breast reduction may be considered. If the doctor believes that there is too much loose skin and there is a high risk of wrinkling, sagging, or sagging of the breast skin after the procedure, this is recommended. It requires more injections, more risk, more complications, more cost, longer operation and longer recovery. Breast tissue removal and loose skin removal are designed to create a flatter appearance. Drains are used and sometimes removed as are the non-dissolving sutures required for this involved and difficult surgery. Pain and recovery for male breast reduction is more important than other methods, but if needed, it is very good.

Once recovery and recovery are complete, all normal activities can resume. Weight lifting, exercise, and sports are all activities. Hopefully, so will the locker room, bathroom, beach and confidence level! It may take several months for small areas of numbness, tingling or stiffness to resolve but usually without intervention. However, even the “first” results of the treatment are very happy. Gynecomastia, when properly treated as described here, should be “cured” and never return. However, if the conditions, medical conditions, medications, etc. that caused the disease in the first place persist or recur, the process will begin again.

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