27 May 2012

Large Male Breasts- Gynecomastia

The Mansierre, The Bro, Moobs- funny on television, but no man with large breasts finds the reality of this problem funny. As ‘deformities’ go, this is particularly difficult for men as it can be an afront to their image of masculinity.

Gynecomastia is common among adolescents as hormonal activity and tissue responses play havoc, but generally the breast over-development subsides over a few years. For those troubled by permanent breast enlargement, plastic surgery Toronto is the answer.

Surgical planning for each patient requires consideration of three tissues: skin fat and gland. Skin is a problem only if there has been massive weight gain/loss, and the resultant loose skin must be excised with a conspicuous scar resulting. Patients who are very slim (e.g. weight-lifters who used steroids) typically only have excess gland, and excision of gland is performed through a 1-2 cm incision in the edge of the areola. Most patients we see have excess fat as well as gland, and these patients benefit from liposuction before the gland is excised.

If you know someone with gynecomastia, let them know that treatment is available!

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Michael Kreidstein, MD, MSc, FRCS(C)
dr-kreidstein

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