Have You Heard of Gynecomastia? | ExpatWoman.com

Have You Heard of Gynecomastia?

Gynecomastia is a growing concern among the male population, but Elite Plastic & Cosmetic Surgery have the answer to it...

Posted on

22 October 2015

Last updated on 30 January 2018
Have You Heard of Gynecomastia?
In recent months there has been a significant amount of media attention given to what is medically known as “gynecomastia”, the development of female-like breasts on men, and what can be done to alleviate this frequently embarrassing and distressing problem. A quick check using GoogleTM indicates that there are over 260,00 searches per month worldwide involving the term “male breasts”, including 1,300 in the UAE alone. This is a significant number and points to the fact that this is a condition perhaps more worried-about than talked-about openly.
Patient Testimonials Elite Plastic and Cosmetic Surgery GroupTestimonials Elite Plastic and Cosmetic Surgery GroupNewsletter with Elite Plastic and Cosmetic Surgery
The medical condition known as Gynecomastia (or Gynaecomastia) is something that effects a not insignificant percentage of the male population at some time in their lives. In many cases it can be both embarrassing and distressing, particularly in the case of younger males. However, whilst a recognised and proven surgical solution has for long been available, many sufferers have simply been too ashamed to go and seek help. 

Elite Plastic & Cosmetic Surgery
The word comes from the Greek word gyne, meaning “woman”, and mastos, meaning “breast”. In practical terms, this means a female type breast present on a man.
“Gynecomastia can be an embarrassing condition, but it is surprisingly common, especially in adolescent boys,” says Dr Allen Rezai, Consultant Plastic and Reconstructive Surgeon and founder of Elite Plastic & Cosmetic Surgery Group in Dubai Healthcare city. “Overall, almost half of all men may experience the condition at some time in their lives. The condition can also appear or re-appear later in life, in middle age and older adulthood,” says Dr Rezai. “Gynecomastia during puberty generally disappears on its own. Later in life, the problem can often be traced to medications or treatments for prostate cancer.”
Elite Plastic & Cosmetic Surgery
Dr Rezai continues:

“Underlying the condition, especially during puberty, is an imbalance of oestrogen (the female hormone) and testosterone (the male hormone). When oestrogen levels get too high, the breast glands can begin to grow. In about 90% of cases the condition disappears of its own accord with maturity, but for the remaining 10% the problem persists into adulthood.

“When Gynecomastia occurs during puberty, it usually appears at around the age of 13 or 14. If the enlarged breasts are clearly visible, an already self-conscious teenager will frequently become embarrassed. And depending upon how enlarged the breasts are, there might also be some sensitivity and tenderness.
“A paediatrician should also carry out a thorough physical examination to be sure that there are no tumours, thyroid problems, or other medical conditions that might explain the breast growth. After ruling out other conditions, they will typically recommend waiting a few months to see if the gynecomastia disappears. In the majority of cases it will indeed disappear within about 3 to 6 months,” says Dr Rezai.
"Most teenagers do not need any treatment for Gynecomastia," declares Dr Rezai. “But if the breasts are very tender and the patient is troubled by a large amount of growth, then a doctor might recommend a course of medication. This will typically work by interfering with the oestrogen activity within the breast cells, thereby stopping the growth. Published studies indicate that about 60 percent of patients undergoing such therapy have complete regression from Gynecomastia. However in the cases where it does not help, male chest reduction or liposuction can be carried out.”
When Gynecomastia occurs later in life, it is usually also due to an imbalance of hormones, says Dr Rezai. “This is because in older men, testosterone levels decrease whilst oestrogen levels increase. This is often accompanied by an increase in body fat, which increases the likelihood of the condition. Certain medications, particularly those used in the treatment of prostate cancer, can also lead to excess breast growth in men. In such cases doctors can try changing the medication associated with the breast growth. But as in the case of young males, when this fails to produce the desired result, recourse can be made to surgery such as breast reduction or liposuction to remove the excess tissue.”

Dr Rezai goes on to explain that in a few cases, there are additional aspects to consider. For example, if there is significant glandular tissue present, this may require surgical removal. And if there is significant skin excess over the chest, a form of breast uplift might be needed.

However, whatever the cause of the Gynecomastia, medical treatment targeting the originating condition rarely results in a full reduction of breast size. For these patients, surgery is the only option.
Male Chest Reduction surgery, explains Dr Rezai, is performed under general anaesthetic with patients requiring an overnight hospital stay. It will take approximately 60 to 90 minutes. There are various aspects requiring consideration which will determine the precise nature of the surgery. For example, if there is significant glandular tissue present, this may require surgical removal. And if there is too much excess skin over the chest, a form of breast uplift might be needed. However, in the majority of cases, all that will be required is liposuction. 
Following surgery, an adhesive dressing and support vest are worn for about one week, after which time any sutures will be removed. Most patients are able to return to work after one to two weeks and resume their normal activities within a month. All of these aspects will be evaluated and discussed in detail with each patient at consultation.
Elite Plastic & Cosmetic Surgery
In conclusion, Dr Rezai explains that the overall outlook for Gynecomastia sufferers is good. Today there is no longer any need to suffer in silence. And it will undoubtedly come as quite a surprise to most men just how many of their fellow males have the very same problem. A problem that can be discussed with their doctor or specialist consultant without the slightest need for embarrassment, and with the likelihood that in most cases a solution will be available, permitting them in future to be able to enjoy life to the full, perhaps participating in sporting activities, or simply being able to relax on the beach, at last freed from the constant concerns and self-consciousness brought about by their former condition.
For more information Gynecomastia Surgery, or to book a Consultation with Dr Allen Rezai please visit Elite Plastic & Cosmetic Surgery Group’s website or call +971 4 431 2396.

Elite Plastic & Cosmetic Surgery Group
Sponsored by
Elite Plastic & Cosmetic Surgery Group
Elite Plastic & Cosmetic Surgery Group is headed by Dr.Allen Rezai, a leading Consultant Plastic & Reconstructive Surgeon of international renown, who has for many years led a distinguished career both from his well-known clinic in Harley Street, London, UK and worldwide.

Dubai Healthcare City