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Gynecomastia is enlargement of the glandular tissue of the male breast. It results from an imbalance within the body’s hormonal system, with a relative more estrogen which is a female hormone in comparison to androgen a male hormone. Other factors which might be risk factors for gynecomastia include obesity, use of anabolic steroids to boost athletic performance, consumption of excessive junk food, thyroid disease. The condition may occur during infancy and puberty in normally developing boys.
Gynecomastia itself has few physical complications, but it can cause psychological and emotional trauma because of its appearance.
Gynecomastia can affect one or both breasts, and may sometimes be uneven. Gynecomastia may settle on its own in some cases but if it persists then surgical correction is the mainstay for its improvement. The procedure includes surgical removal of excess glandular tissue together with liposuction of accumulated fat. It can be done as a day care procedure and performed either under local anesthesia or general anesthesia depending on severity and patient compliance. The surgery helps in regaining the flat appearance of the chest area.
For better results it is recommended to stop smoking for some weeks before and after the surgery.
After the surgery, the chest area will have little swelling and may be bruised but this is temporary. Immediate wearing of compression garment post-surgery helps to improve swelling and provide support to the treated area. The compression garments must be worn for a minimum of 6 weeks for proper body contouring. Heavy exercises are prohibited for the initial few weeks after the surgery.
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