View Before and After Photos of Severe Gynecomastia surgery by best board certified plastic surgeons.
Severe gynecomastia (large breasts in men) can be one-sided or two-sided. There are a true and pseudo gynecomastia.
True gynecomastia occurs as a result of the growth of the glandular tissue of the breast, pseudo – due to excessive accumulation of adipose tissue in the area of the mammary glands in men.
True gynecomastia (large breasts in men) can be physiological: for example, the gynecomastia of the pubertal period develops in about half of adolescent boys and in newborns, with an excess of maternal estrogens; and senile gynecomastia associated with involutional processes in the body in men over 65 years of age.
Pathological gynecomastia is associated with a violation of estrogen metabolism. There is also the emergence of drug-caused large breasts in men, in patients receiving massive doses of oestrogens.
Severe gynecomastia develops at any age in the case of testicular pathology, their developmental anomalies – hypoplasia, cryptorchidism, testicular atrophy, for example, due to trauma, testicular tumors, as well as severe liver and kidney damage, thyroid and adrenal diseases, chromosomal diseases (Klinefelter syndrome And Wilson-Turner). There are two forms of pathological gynecomastia: diffuse and nodular.
In diffuse form, in the mammary gland appear seal movable in relation to the underlying tissues and painful to palpation.
Nodular gynecomastia (large breasts in men) is often one-sided, defined as a dense, ovoid, painless seal with distinct contours.
The diagnosis is not difficult and is based on a characteristic clinical picture and the results of determining the level of estrogens in the blood. Nodular gynecomastia must be differentiated with the early stage of breast cancer on the basis of a cytological study of the material obtained by puncturing the compaction in the mammary gland.
Treatment of a diffuse form is usually carried out by androgenic drugs, although in each specific case it is necessary to identify the cause of hormonal disorders. Treatment of the nodular form of gynecomastia is invasive.
Physiological gynecomastia does not require special treatment. With timely treatment, the prognosis is favorable.
Before And After:
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