The Ultimate Guide to Gynecomastia: Causes, Symptoms, and Treatment Options - PSNY


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April 2023

The Ultimate Guide to Gynecomastia: Causes, Symptoms, and Treatment Options


Breasts are often associated with femininity, but men can also develop breast tissue due to a medical condition called gynecomastia. This can be a distressing experience for men, affecting their self-confidence and causing discomfort. Despite its prevalence, gynecomastia remains largely misunderstood and often ignored. In this ultimate guide, we’ll delve into everything you need to know about gynecomastia, including its causes, symptoms, and the best treatment options available.

Understanding the Causes of Gynecomastia

Gynecomastia is caused by an imbalance of hormones—specifically, an increase in estrogen levels relative to testosterone. This hormonal imbalance can be caused by a variety of factors, including:

  1. Hormonal changes: Hormonal changes are the most common cause of gynecomastia. During puberty, boys may experience gynecomastia as their hormone levels fluctuate. Similarly, older men can develop gynecomastia as their hormone levels decline.
  2. Medications: Certain medications can spur gynecomastia as a side effect.
  3. Health conditions: Some health conditions can cause gynecomastia as a symptom.

Risk Factors for Developing Gynecomastia

While any man can develop gynecomastia, there are certain risk factors that can increase the likelihood of developing the condition. These may include:

  1. Age: Gynecomastia is most common in older men, as hormone levels decline with age.
  2. Weight: Obesity can increase the risk of developing gynecomastia, as excess fat tissue can convert testosterone to estrogen.
  3. Use of anabolic steroids: Anabolic steroids can disrupt hormone levels in the body, leading to gynecomastia.

Identifying the Symptoms of Gynecomastia

The most common symptom of gynecomastia is an increase in the size of the chest area. This may be accompanied by tenderness or discomfort. In some cases, gynecomastia may also cause nipple discharge.

Surgical Treatment Options for Gynecomastia

Surgical treatment options for gynecomastia may include liposuction or specifically a gynecomastia surgery. Surgical treatment options may be recommended for severe cases of gynecomastia or for those who have not responded to other treatments.

At Plastic Surgery of New York,  Dr. Marc J. Elkowitz will analyze and discuss the best options for each patient. If you opt for liposuction, Dr. Elkowitz will remove excess fat tissue from the chest area through suction. In other cases, Dr. Elkowitz will make a surgical excision of the breast tissue and recontour the chest area. No matter what the approach, the results will help patients look and feel their best, providing a major boost in self-esteem.

Recovery and Aftercare from Gynecomastia procedure

Recovery and aftercare from a gynecomastia procedure will depend on which procedure you will have. Crucial to recovery is following your surgeon’s instructions for aftercare, including wearing compression garments and avoiding strenuous activity.

Prevention and Lifestyle Changes to Manage Gynecomastia

While gynecomastia may not be entirely preventable, there are certain lifestyle changes that may help to manage the condition. These may include:

  1. Maintaining a Healthy Weight: Maintaining a healthy weight can help to prevent excess fat tissue from converting testosterone to estrogen.
  2. Avoiding Anabolic Steroids: Avoiding the use of anabolic steroids can help to prevent disruptions to hormone levels in the body.
  3. Managing Underlying Health Conditions: Managing underlying health conditions can help to prevent gynecomastia as a symptom.

Gynecomastia is a common condition that can cause physical and emotional discomfort for men. Understanding the causes, symptoms, and treatment options for gynecomastia is the first step towards finding relief and regaining confidence.

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