Gynecomastia is when boys and men have an increased amount of breast gland tissue. Furthermore, it is usually caused by unbalanced estrogen and testosterone hormones, though there are other causes. It can affect one or both breasts. Moreover, some men have pseudogynecomastia, which is an increase in fatty tissue in the breast area instead of gland tissue. Gynecomastia can go away on its own, but if not, some treatments may help, including male breast reduction surgery.
Male Surgery – Causes of Gynecomastia
If you are born male, your body makes mostly testosterone. However, it also makes small amounts of estrogen. If the testosterone level drops and the estrogen level does not, you may be at an increased risk of developing gynecomastia. Many things can lower testosterone or increase estrogen. Other than hormonal imbalances, factors that could cause gynecomastia include:
- Opioids.
- Chemotherapy.
- Certain antibiotics.
- Heart medications.
- Recreational drugs.
- Some HIV medications.
- Tricyclic antidepressants.
- Stomach-emptying drugs.
- Ulcer medications, including omeprazole.
- Some anti-anxiety and ADHD medications.
- Anabolic steroids to treat muscle loss or delayed puberty.
- Anti-androgens are used to treat prostate cancer and an enlarged prostate.
- Hormone changes during puberty. The swollen tissue can go away on its own. The duration can range between half a year and two full years.
Additionally, certain health conditions, including hypogonadism, aging, tumors, hyperthyroidism, kidney failure, liver failure, and malnutrition, can cause gynecomastia.
Male Surgery – Key Considerations
If you are considering this surgery, it’s important to determine whether you are a good candidate. Here are some factors to consider:
1. Medical Evaluation of Gynecomastia
Gynecomastia can be caused by hormonal imbalances, obesity, use of certain medications, or other underlying health conditions. A thorough medical evaluation is necessary to determine the cause of gynecomastia. Surgery is typically recommended only after other causes have been ruled out or adequately treated.
2. Stable Weight
Candidates should be at or near their ideal body weight. However, weight stability is essential. because significant weight fluctuations can affect the results of the surgery.
3. Physical Health
In general, ideal candidates for male surgery are those who are in good physical health. Particularly without serious illnesses or medical conditions that could impair healing or increase surgery risks.
4. Age
Although there is no specific age requirement. However, it is recommended that young patients wait until their bodies have fully developed. This typically occurs in late adolescence.
5. Emotional Stability
Understanding the realistic outcomes of the surgery is important. A good candidate should have a positive outlook and specific goals in mind for improving the physical symptoms of gynecomastia.
6. Non-smoker
Smoking can significantly impair healing and increase the risk of complications during and after male surgery. Non-smokers or those who can quit smoking well in advance of the surgery are generally better candidates.
7. Realistic Expectations
The surgery has limits on what it can accomplish. Knowing these boundaries is extremely important. Male breast reduction surgery can help achieve a more masculine chest contour, but it is important to have realistic expectations about the results.
8. Persistent Breast Enlargement
The condition should be persistent, typically lasting more than two years or not resolving with other treatments such as medication or weight loss.
Male Surgery – The Ideal Candidates
If your enlarged male breast tissue affects your daily life, you may be a good candidate for male breast reduction surgery. As long as you are in good health and a non-smoker or are willing to give up smoking, have good skin elasticity, and are at a healthy weight, you are a potential candidate.
If you believe you might be a candidate for male breast reduction surgery, the next step is to consult with Dr. Castor. He can provide a detailed assessment and discuss potential treatment options tailored to your specific condition.
Male Surgery – The Consultation in Tampa, FL
If you would like to see if gynecomastia surgery is right for you, contact our experts at Artisan Aesthetics Plastic Surgery. Our team has extensive experience helping patients in Tampa and the surrounding areas in Florida achieve favorable results through both surgical and non-surgical treatment options.
Our board-certified plastic surgeon, Dr. Stan Castor, can meet with you to discuss your needs and to determine the best course of action to help you achieve the best possible results. Contact our office today at 813-971-2000 to schedule an appointment. Nevertheless, check out our before-and-after photo gallery to see the procedure’s results.