Gynecomastia تضخم الثدي لدى الذكور
Breast elargement (Gynecomastia) in men is a very distressing and embaressing condition.
This condition can be caused by a variety of conditions, most common being idiopathic, it can be caused by obesity, some hormonal disturbances, testicular or liver problems
The breast enlargement can be purely fat, purely hypertrophied breast gland or more commonly a combination of both.
Treatment starts with search for a cause through physical examination, hormonal assays , and sometimes xrays & sonography.
If a conditiion is revealed it should be addressed first then gynecomastia can be dealt with.
The ways to remove the enalrged breast liposuction for fatty breasts.
It there is a small glandular element , it can be removed at the end of liposuction procedure through a small incision around areola.
In cases of purely glandular enlargement and/or huge enlargement, a formal surgical excision is mandatory.
After liposuction, the patient wears a restrictive breast garment for atleast two weeks and stitches are removed after 10 days
In cases of small and moderate cases, patient can leave at the same day, but in cases of huge enlargement, drains are placed fo 24 hours after which patient can be discharged.