"Doctor, I'm a man, why are my breasts getting bigger and bigger, I don't dare to walk with my chest up, I don't dare to wear thin clothes in summer, I don't dare to swim or play basketball, I usually bend over and hunch my head down, can you help me do a small ...... through surgery”
In outpatient clinics, patients with gynecomastia who have similar needs are often seen, and due to their enlarged breasts and striking appearance, they are under great psychological pressure.
What is Gynecomastia?
Male mammary gland development refers to a disease in which the proportion of estrogen and male hormone in the male body increases, resulting in abnormal development of male breast tissue and abnormal growth of breast connective tissue. In layman's terms, it is a clinical manifestation of male mammary gland showing breast enlargement and feminized mammary gland.
How can you tell if it is a gynecomastia?
Gynecomastia is the most common type of male breast disease, accounting for more than 60%. In clinical practice, the first step for each patient is to determine whether true gynecomastia or pseudogynecomastia is present.
True gynecomastia: areolar nipple centered, rubbery-ductile hyperplastic disc. Characteristics: The texture is tough and hard, and it spreads outward with the nipple areola as the center.
Pseudogynecomastia: This disease is characterized by fat hyperplasia, which is caused by fat accumulation. Features: soft texture, uniform and consistent in all areas, high mobility.
What causes gynecomastia to develop?
The causes of the disease are varied, and there are 4 main types in clinical practice:
1.Physiological: It is more common in the neonatal period, adolescence and old age, and the first two are mostly self-limiting diseases, that is, the body can recover on its own. However, geriatric breast development needs to be differentiated from breast cancer to rule out the possibility of malignant tumors.
2.Pathological: Pathological gynecomastia is more common in abnormal development of the breast caused by various diseases of other organs of the body, such as hypofunction, decreased pituitary function, liver system diseases, hypothyroidism, etc.
3.Drug-induced: As the name suggests, it refers to the abnormal estrogen ratio caused by taking drugs, common drugs include: spironolactone, ketoconazole, finasteride, cimetidine, etc. It is important to note that gynecomastia does not occur with these drugs.
4.Idiopathic: refers to the development of the mammary gland with normal hormone levels in the body and no internal or extrinsic ** has been found, and this type is also the most common type of mammary gland development in men**.
What to do if the male mammary gland develops?
If it is physiological, most of them do not need to be treated, and obese patients can try to follow up closely after intervention such as ** and exercising the pectoralis major muscle.
Pathological ** is divided into two types: medical and surgical. Drugs are mainly aimed at, and if drugs are not good, surgery can also be considered. Early gynecomastia caused by taking the drug can be achieved satisfactorily by stopping the drug. For those who have been developing for more than 1 year, the hyperplasia of breast tissue is now fibrosis and has reached an irreversible level, and surgical intervention is required. Surgery can be recommended for patients who have a long duration or breast hyperplasia that does not resolve for many years, are symptomatic, produce nodules or tumors, are at risk of malignant transformation, have ineffective drugs**, or have a mental burden that affects aesthetics and requires surgery.
What are the types of surgery**?
1.Small incision sharp resection: a classic surgical operation method, operating under the intuitive, clear vision, sufficient hemostasis, accurate resection range, high safety, and can remove excess **, suitable for patients with glandular hyperplasia.
2.Liposuction: The needle is inserted into the armpit or the lower edge of the breast, and the fat tissue is emulsified by injecting the swollen fluid, and the liposuction needle is connected to negative pressure suction to suck out the emulsified fat until the shape is satisfied. This method is suitable for patients with simple or predominant breast hyperplasia.
3.Combination**: The first two surgical methods are combined, liposuction is performed first, and then glandular sharp excision is performed after breast reduction. This surgical method is suitable for patients with gland-fat mixed hyperplasia.
4.Laparoscopic surgery: Laparoscopic surgery is made through an axillary incision to remove the hypertrophic gland and excess adipose tissue. This surgical method is suitable for patients with moderate-to-severe gland-fat mixed hyperplasia.
According to the classification of gynecomastia, choose the individualized ** method, remove fat and or glands, correct the nipple areola, improve the laxity ** and breast shape, solve the problem of breast hypertrophy, no longer have to be anxious, scared, embarrassed, professional doctors to provide you with professional and reliable solutions.
Symptoms and causes of gynecomastia.