Male Breast Surgery
Link to: Images of Male Breast reduction surgery
Link to: information on Liposuction for Male Breasts and Fat Reduction
Men normally have very small amounts of breast tissue behind the nipple. Gynaecomastia is the medical term for the enlargement of the male breast as a result of an abnormal increase in the glandular tissue at this site. It is much more common than most people reaslise.
How many men are affected?
- 40-60% of men are affected to varying degrees
- The commonest age in which it develops is from early teens to early 20s, and after the age of 50 years
What are the causes?
- Physiological: this means it forms for no reason other than an exageerated "normal" process in the body. eg Typically during teenage years when testoterone levels are high.
- Excess regular alcohol consumption
- Prescribed medication: There are many drugs that seem to be associated with the development of gynaecomastia in a small proprtion of those that are on them eg:
- Cimetidine: a type of antacid
- Zoladex: used to treat prostate cancer
- Thioridazine: an antipstchotic
- Digitalis: a cardiac drug
- Captopril: used in heart failure
- Diazepam: a sleeping pill
- Congenital: eg Klinefelter's syndrome
- Malnutrition, Liver cirrhosis, Adrenal & Testicular tumours
How is it classified?
- Group 1 is minor but visible breast enlargement without skin redundancy
- Group 2A is moderate breast enlargement without skin redundancy
- Group 2B is moderate breast enlargement with minor skin redundancy
- Group 3 is gross breast enlargement with skin redundancy that simulates a pendulous female breast
What can be done about it?
- Do nothing- if minor or no symptoms and prepared to see if it will settle of own accord. Only adopt this approach after specialist review and advice.
- Medical therapy- withdrawal of drugs that may be associated with it, or hormone treatment under specialist supervision.