Gynecomastia is a problem that has become increasingly common among men recently, with an incidence rate of about 30%. Gynecomastia is known as breast enlargement beyond the normal rate. The causes that lead to this condition vary, as do treatment methods depending on the cause and severity of the condition. In many cases, gynecomastia can be treated naturally and without the need for medical intervention, but there are certain cases, especially persistent and severe ones, that require medical treatment to get rid of this problem. Follow us in Dalili Medical in this article to explore more about gynecomastia in men, the causes of its occurrence, in addition to the available treatment methods and methods of prevention.

**What is the definition of gynecomastia in men?**

 

Gynecomastia in men is a condition that represents sagging in the breast area, and may result from an imbalance in the levels of female and male hormones in the body, which affects the mammary glands and changes their appearance. Gynecomastia can also be the result of increased body fat and its accumulation in the breast area, which is known as pseudogynecomastia.

**Is surgery necessary to treat male breast enlargement?**

 

Treatment of gynecomastia often requires surgery, such as closed liposuction. If gynecomastia is caused by a medical condition, treating the condition should be the priority. Usually, after treating the underlying cause, surgery may be necessary for gynecomastia.

**Can gynecomastia be treated with medication?**

 

Gynecomastia is a condition that can only be treated with surgery. There are some changes that have occurred as a result of some men using drugs such as testosterone, clomiphene, tamoxifen, and danazol, which aim to reduce estrogen levels. However, we must be aware that these medical treatments may be associated with side effects.

Is gynecomastia in men a serious condition?

 

In most cases, gynecomastia is not a serious condition, but it may indicate the presence of another health problem that requires treatment.

Can gynecomastia go away on its own?

 

In some cases, especially in adolescents, gynecomastia may go away naturally. However, in many other cases, treatment may be necessary.

Is surgery the only option for treating gynecomastia?

 

Not necessarily, there are many options available, including lifestyle changes and drug treatments.

Can gynecomastia be linked to cancer?

 

Gynecomastia is rarely linked to breast cancer. However, if there is a family history of breast cancer, it is best to consult a doctor.

Does gynecomastia affect fertility?

 

Gynecomastia itself does not affect fertility, but the health conditions that cause gynecomastia can.

Gynecomastia is a common condition that can be embarrassing and painful for men. It is important to understand the causes and treatments available to deal with this condition effectively. Always remember that personal health care and psychological support are of great importance.

What are the causes of gynecomastia in men?

 

Gynecomastia in men can occur as a result of several factors, the most prominent of which is an irregularity in the body's hormones. It can also be caused by the accumulation of fat in the breast area, or as a result of chronic consumption of large amounts of alcoholic beverages. In addition, gynecomastia may be caused by the presence of a cancerous tumor or excessive use of some medications.

Other causes include:

- Excessive weight gain.

- Not paying attention to a healthy diet.

- Tumors in the testicles or adrenal gland.

- Liver disease.

- Hyperthyroidism.

- Hypogonadism in men.

- Kidney failure.

Some medications can also contribute to the appearance of gynecomastia, such as:

- Steroid medications, especially the doses used by athletes to build muscle.

- Medications containing estrogen.

- Medications to treat prostate enlargement or tumors.

- Some high blood pressure medications that act as calcium channel blockers.

- Some heartburn medications.

- Diazepam used to treat anxiety.

- Some antifungal medications such as ketoconazole.

- Fertility treatment medications.

Also, some herbs can cause gynecomastia, such as vegetable oils such as tea tree oil and lavender, which are used in cosmetic soap and shampoo formulations.

When does a man notice gynecomastia significantly?

 

What is common among men is the occurrence of gynecomastia with age, as they are more susceptible to sagging skin and also in puberty due to the increase in hormone levels and their imbalance, and it may be the result of excessive obesity, but this type disappears by following a diet or any method to lose weight.

What are the degrees of gynecomastia in men?

 

Gynecomastia can be classified into four degrees:

- **First degree**: slight enlargement without an increase in the amount of skin.

- **Second degree**: moderate enlargement without an increase in the amount of skin.

- **Third degree**: moderate enlargement with a slight increase and stretching of the skin.

- **Fourth degree**: significant enlargement with a noticeable increase in the size of the skin, making it resemble the female breast.

**Types of Gynecomastia**

There are three main types of gynecomastia:

1. **Glandular gynecomastia**: where there is a real increase in glandular breast tissue.

2. **Lipocytic or pseudogynecomastia**: where the increase is limited to fatty tissue only.

3. **Mixed gynecomastia**: where there is a double increase in glandular and fatty tissue together.

It is noted that most cases of enlargement are of the mixed type, which combines glandular and fatty increase, and is the most common. The treatment method for gynecomastia varies depending on its type, so it is necessary to accurately diagnose the type before developing the appropriate treatment plan.

**Who are candidates for male breast reduction surgery?**

 

To be eligible, you must meet the following criteria:

- Be 18 years old or older.

- Have a body mass index of less than 30.

- Have grade II or III gynecomastia.

- Have a breast size of at least 2 cm.

The doctor will also evaluateThe amount of breast tissue you have is as follows:

- **Grade I**: Flat breasts with no noticeable swelling.

- **Grade II**: Slight swelling under the nipple area.

- **Grade III**: Moderate swelling under the nipples.

What are the steps of a gynecomastia surgery?

 

Gynecomastia surgery typically involves the following steps, which may vary depending on the patient's needs and the surgeon's approach:

1. **Preparation**: Determine the site, administer anesthesia, and ensure the patient is comfortable and properly positioned.

2. **Incision**: Make an incision around the areola or in the natural folds of the chest, as agreed upon during the pre-operative consultation.

3. **Tissue removal**: Depending on the type of gynecomastia:

- **Liposuction**: Using a thin tube to suction out the fatty tissue.

- **Excision**: Remove the glandular tissue and excess skin, or reposition the nipple and areola.

4. **Closure**: Suture the incisions, and sometimes use drainage tubes to reduce swelling.

Does gynecomastia increase the risk of breast cancer?

 

Only 1% of men develop breast cancer. Gynecomastia is not considered a risk factor for breast cancer. In the case of Kleveletzer syndrome, the risk of breast cancer increases by 60 times. Finally, gynecomastia does not contribute to an increased risk of breast cancer.

Does the patient feel pain after gynecomastia surgery?

 

Thanks to the use of long-lasting materials that provide tissue anesthesia and pain relief at the same time during the technique I apply in gynecomastia surgery, the patient does not feel any pain, even on the first day. However, it may vary from patient to patient, as some may feel mild pain. The pressure bandages used after the operation, which are left for two days, usually cause some discomfort.

How long should the corset be worn after the operation?

 

The corset should be worn for a full month after the gynecomastia surgery. This helps prevent swelling or puffiness, and also contributes to achieving structural homogeneity of the subcutaneous layer. You can remove the corset after a month as recommended. A gynecomastia is a corset that can be worn under the front of a shirt or T-shirt.

**What is gynecomastia surgery for men?**

 

Gynecomastia surgery for men is a necessary procedure and not just a cosmetic procedure, as it aims to avoid major health problems that may result from gynecomastia for men. The main goal of this procedure is to reduce the size of the breast and remove the sagging surrounding the nipple. This is done by making small incisions around the affected area, allowing the removal of fatty and fibrous tissue, and tightening the skin to return it to its natural shape.

**What are the methods of gynecomastia surgery for men?**

 

The techniques for performing the procedure vary depending on the condition of the breast and the degree of gynecomastia. Liposuction alone may be performed, which leads to the disappearance of gynecomastia. The doctor may also surgically remove unnecessary glands and excess tissue. In some cases, liposuction may be combined with tissue removal.

**Are the results of the operation guaranteed?**

 

Yes, this operation has achieved impressive and satisfactory results for many people who have undergone it recently, as no complaints have been recorded by them. The expected results appear naturally and without any delay

Can male breast enlargement be dangerous?

 

If breast growth occurs with an increase in the size of the testicles, this should be considered a tumor, indicating a serious condition. The growth associated with this can be detected by conducting hormonal tests immediately.

From what age can gynecomastia be performed?

 

The operation can be performed after the end of adolescence, i.e. from the age of seventeen. If the condition is before that, it should be waited to make sure that it is not a case of physiological gynecomastia. Once the patient's breast enlargement appears, the necessary tests should be performed, and if intervention is done as soon as possible, psychological problems can be avoided.

What are the symptoms of gynecomastia?

 

- Breast swelling

- Breast enlargement

- Breast pain

- Breast lumps

- Nipple discharge (milky) or inverted nipples

**What is the recovery time after gynecomastia surgery?**

 

**Aftercare:**

- Apply a small bandage over the surgical incision.

- Take it easy and avoid heavy lifting.

- Take prescribed pain medications and antibiotics.

**Returning to work:**

- You can return to work within a few days.

- Wait at least five days before doing strenuous work or physical activity.

**Resuming regular activity:**

- This depends on how quickly you heal, and usually takes about one week for most men.

**One week after gynecomastia surgery:**

One week after gynecomastia surgery, you will still be in the early stages of recovery. Here's what to expect in general:

- Control swelling and bruising with compression garments.

- Control pain and discomfort with medication, with noticeable improvement after the first week.

- Avoid strenuous activities, encouraging light walking to practice limited physical activity.

- Keep the surgical sites clean to avoid infection, and use drains if necessary.

- Schedule a follow-up appointment to check progress and remove the drain, usually a week after surgery.

What type of anesthesia is used in gynecomastia surgery?

 

Personally, I perform gynecomastia surgery under local anesthesia. Thanks to this, the patient does not have to stay in the hospital after the operation, he can get up on his feet immediately, and after a short rest he can go home.

How long does gynecomastia surgery take?

 

The operation takes about 60 minutes, although the size of the breast and the technique used differ.

When is gynecomastia in men a normal phenomenon?

 

Males go through some stages in their lives in which breast enlargement is a natural temporary matter, such as:

Immediately after the birth of the child: More than half of male newborns suffer from breast enlargement, as the child is under the influence of the estrogen hormone that was reaching him from the mother, and quicklyThis phenomenon disappears after 2-3 weeks from birth.

At the puberty spurt: Hormone levels in males conflict during puberty, which may affect the balance between estrogen and testosterone, so the teenager begins to suffer from breast enlargement that gradually diminishes after 6 months to 2 years of puberty.

Age period between 50-80 years: 1 in 4 men may suffer from gynecomastia in the age group of 50-80 due to a change in hormone levels.

It is necessary to differentiate between gynecomastia and the accumulation of fat in the breast, which usually appears in overweight men, as this type of enlargement can be called pseudo-gynecomastia. The breast appears enlarged as a result of the accumulation of fat cells in this area without affecting the existing glands or increasing their number.

**What are the harms of the operation?**

 

If you are looking for the harms of gynecomastia removal surgery in men, there is no need to worry if you choose the right surgeon and follow his instructions carefully, in addition to adhering to regular appointments for medical consultation. In this case, the procedure is safe and effective, and has high success rates, making concerns about damage unjustified.

**Will the procedure leave visible scars?**

 

The male breast removal procedure is performed using precise and safe techniques aimed at minimizing side effects. Some small scars may appear at the wound site after the procedure, but they usually disappear quickly and do not require any additional cosmetic procedures.

**Are there symptoms of gynecomastia?**

 

Gynecomastia is an increase in breast size beyond the normal rate, and may be accompanied by a feeling of pain, whether spontaneous or when pressed. If the pain is accompanied by an increase in size and discharge from the nipple on one or both sides, a doctor should be consulted immediately.

**Procedures and examinations before male breast removal surgery**

Before the patient undergoes gynecomastia surgery, the doctor recommends a set of examinations to ensure the patient's suitability for the procedure. The most important examinations that the patient should undergo are:

Laboratory tests, which include a complete blood test, measuring estrogen and testosterone levels, urine analysis, in addition to a comprehensive assessment of liver and kidney functions. It may also be necessary to perform a CT scan and mammogram to determine the degree of gynecomastia in the case in question.

**Pre-operative advice**

In addition to the recommended tests, the patient must follow the following instructions:

- Quit smoking for at least two weeks before the operation, as nicotine negatively affects the wound healing process.

- Abstain from drinking alcoholic beverages.

- Avoid taking any medications that affect blood fluidity, such as aspirin.

It is essential for the patient to adhere to all recommended tests and procedures to avoid any complications during and after the operation.

**How ​​is gynecomastia diagnosed in men?**

 

The diagnosis of gynecomastia depends on a set of steps:

1. Listening to the patient's complaints and the extent of his feeling of pain.

2. Knowing the diseases the patient suffers from and the medications he is taking.

3. Conducting a clinical examination of the breast, abdomen and genitals.

4. Conduct some initial tests, such as:

- Blood sample analysis to monitor hormone levels.

- Mammogram.

**Diagnosis of breast enlargement in men**

1. Clinical examination by the doctor to determine the presence of breast enlargement.

2. Collect a detailed medical history and ask the patient about any accompanying symptoms such as pain or secretions.

3. Perform a mammogram to determine the extent and location of the enlargement and rule out the presence of tumors.

4. Take a breast biopsy when necessary to rule out malignant causes.

5. Measure estrogen, testosterone and other hormone levels to identify any disorders.

6. Perform an ultrasound to assess the condition of breast tissue.

7. Use breast mapping to determine the locations of lumps when necessary.

8. Resort to CT or MRI in certain cases.

9. Consult an endocrinologist when necessary.

What is the treatment for gynecomastia in men?

 

Most cases of physiological gynecomastia resulting from natural changes in hormone levels improve spontaneously over time and do not require any medical intervention. However, if gynecomastia is caused by a medical condition such as gonadal disorders or prostate enlargement, appropriate treatment for these conditions can improve the situation.

**Drug therapy:** Some medications used to treat breast cancer in men can be effective in treating some cases of gynecomastia, such as tamoxifen and aromatase inhibitors.

**Surgical treatment:** Surgical intervention aims to restore the masculine shape of the breast, making it firmer and smaller in size. Gynecomastia is not always associated with weight gain, as men with ideal bodies can suffer from this condition as a result of an increase in the number and size of the mammary glands. In such cases, diets or exercise will not be enough to achieve the desired results.

These surgeries can be performed safely at any age, starting from adolescence, according to the assessment of the specialist doctor.

Treatment depends on the cause of breast enlargement, with the first option being:

**Mastectomy:** If the cause is an increase in the number and size of the mammary glands, these glands are removed from the breast through a simple surgery that includes an incision on the edges of the nipple. This procedure usually does not leave significant marks or scars, and if they do occur, they gradually disappear over time, without the patient being exposed to serious complications or needing a long recovery period.

**Liposuction:** This surgery aims to remove the accumulated fat in the breast without affecting the glandular cells. It is usually performed under local anesthesia with the use of sedatives to put the patient in a state of drowsiness, or under general anesthesia at the discretion of the doctor.

In some cases, gynecomastia may be the result of the interaction of the two factors together; increaseThe number of mammary glands and the accumulation of fat in the area. In this case, the doctor may decide to perform a gland excision with liposuction and removal of excess sagging skin if necessary, which leads to the formation of a new, more symmetrical and firmer chest.

**Gynecomastia Surgery and Available Treatments**

The doctor may prescribe medications aimed at reducing estrogen production or increasing testosterone production to treat hormonal disorders that lead to breast enlargement.

**Second: Ultrasound Treatment**

Ultrasound waves are used to break up fat cells in the breast, which contributes to reducing its size.

**Third: Liposuction**

Through this process, excess fat cells are removed from the breast using a fine tube.

**Fourth: Glandular Tissue Removal**

This process is performed surgically through a small incision to remove the enlarged glandular tissue completely.

**Fifth: Laser Treatment**

CO2 laser is used to melt the fat inside the breast, which leads to reducing its size.

**Sixth: Laparoscopic Gynecomastia Surgery**

Laparoscopic gynecomastia surgery is one of the latest surgical techniques currently used for this purpose. The endoscope is inserted through a small incision in the skin, providing a clear view of the breast tissue and allowing the surgeon to remove excess tissue with high precision.

**The advantages of laparoscopic gynecomastia surgery include:**

- Leaving a small scar.

- Reducing bleeding.

- Fast recovery.

- Improving appearance compared to traditional open surgery.

**Treating gynecomastia in men using herbs**

There are a group of herbs and herbal supplements that may provide natural solutions for treating gynecomastia, including:

- **Turmeric**: Contains curcumin, which helps reduce estrogen levels, but there are not enough studies on humans yet.

- **Nettle root and leaves**: Contain substances that inhibit estrogen production.

- **Maca**: Contributes to reducing estrogen levels and enhancing fertility in men.

- **Grape seeds**: Prevents the effect of estrogen.

- **Fenugreek, ginger, dandelion, and devil's claw**: Boost testosterone levels.

- **Milk thistle and red clover**: Help reduce breast swelling.

Although there is some evidence of the effectiveness of these herbs, their effect in treating breast enlargement needs more research. It is always advisable to consult a doctor before starting to take any of these herbs.

**Surgery**

There are two main methods for treating gynecomastia surgically, which are as follows:

1. **Liposuction**

This method is based on removing fat from the breast area, which helps get rid of fatty tissue without affecting the breast gland itself.

2. **Mastectomy**

Gynecomastia is one of the available surgical options, during which the glandular tissue of the breast is removed through small incisions. The patient usually needs a short recovery period after this operation.

The doctor chooses the most appropriate method based on each patient's condition.

**Procedure Steps**

1. The patient is given general anesthesia, except for cases of using liposuction technique where local anesthesia is used.

2. The surgical incision is made according to the technique used, noting that the incision is smaller in the case of liposuction.

3. In the case of liposuction, a suction tube is inserted to remove excess fat.

4. When using surgery, the surgeon removes excess tissue through a larger surgical incision.

5. In the dual technique, the fat is first suctioned, then the tissue is removed and the skin is surgically tightened.

6. The surgical incision is closed after the procedure is completed.

7. Bandages and catheters are placed when needed.

8. The patient wakes up from anesthesia and enters the recovery phase.

**Cream for treating gynecomastia in men**

"Gynexol" cream is one of the most prominent safe herbal products used to treat breast enlargement in men, as it focuses on the fat cells in the mammary glands and works to reduce their size.

**Cream Ingredients:**

- **Retinol:** Contributes to reducing the size of fat cells.

- **Aloe Vera Juice:** Has anti-inflammatory properties.

- **Ginkgo Biloba Extract:** Enhances blood circulation.

- **Ethoxydiglycol:** Acts as a solvent.

**Product Features:**

- Safe, effective and easy to use.

- It is an alternative to capsules and surgery.

**How ​​to use:**

It is applied once a day after bathing with warm water.

**Laser Gynecomastia Removal for Men**

Laser Gynecomastia surgery is based on the use of low-energy laser light on breast tissue, which stimulates cells to increase their metabolic activity and produce collagen and fibers, which improves the texture and feel of the breast.

This cryotherapy for gynecomastia is a relatively safe and non-surgical procedure, as it only requires exposing the breast to cold laser light at low intensity over several sessions to obtain the desired results in improving the appearance and shape of the breast.

**Gynecomastia Removal for Men Using Vaser**

Gynecomastia surgery using Vaser is one of the modern methods that have achieved great results in the field of fat removal. This technique relies on the use of ultrasound waves to melt fat cells and convert them into a liquid that can be suctioned later.

The operation is performed under local anesthesia using the Vaser device, as the vibrations produced by the device work to break down the bonds between fat cells, which leads to the production of a milk-like liquid that is suctioned.

The Vaser device can remove the fat deposits responsible for gynecomastia, but it does not affect the enlarged glandular tissues that are found in about 80% of cases, which requires a simple surgery to remove them.

In addition to melting and suctioning fat, the Vaser device allows the possibility of sculpting and shaping the treated area according to the needs.

**Can gynecomastia be eliminated without surgery?**

 

As previously mentioned, first and second degree gynecomastia can be treated without the need for surgerySurgical, by using some medications that correct hormonal imbalance and increase testosterone levels in men. In addition, following a balanced diet and exercising can help improve the condition of gynecomastia, especially in the early stages that do not require surgical intervention.

Although surgery is considered the most effective option to get rid of gynecomastia, there are other alternatives that can help.

**Exercise:** Exercising can play a role in improving the condition of gynecomastia in men. These exercises focus on strengthening the muscles surrounding the breast area, such as chest and core exercises. Although exercise may not completely eliminate gynecomastia, it may help reduce its size and improve the appearance of the area.

**Lifestyle changes:** It is important to make some lifestyle adjustments to reduce gynecomastia in men. It is recommended to avoid foods rich in female hormones, such as processed foods and fast food.