The term gynecomastia, from greek “female breast”, defines the benign enlargement of the male breast area. Thus, gynecomastia or excessive development of the breast becomes an aesthetic problem for men.
There are three types of gynaecomastia: true, mixed and false.
True gynecomastia is that caused by a benign enlargement of the mammary gland. It presents as an increase in the volume of the breasts, usually rounded under the areola. The lower presence of fat, more evident becomes the delimitation of the mammary gland. This case is more common in teenagers.
False gynecomastia, or pseudogynecomastia is caused by excess fatty tissue located in this topography, not mammary gland. With the increase volume of fat in the breast, the gland becomes less apparent, being breast diffusely increased. This type of clinical manifestation is more common in adults and elderly people.
The mixed gynecomastia, results from a combination of the two types.
Excessive growth of the male mammary gland results from a disruption of the hormonal balance of the individual. This imbalance often occurs from puberty, since until adolescence the breast development is the same for boys and girls. But gynecomastia can have other causes, in addition to hormonal and glandular. It may be due to excessive consumption of alcohol, drugs and certain medications such as corticosteroids. It is also a common problem in the elderly people, due to decreased production of male hormones.
Analyzed the primary causes of the disease, the doctor evaluates if there is the necessity to perform a surgery. There are several surgical techniques for the gynecomastia treatment. When it comes to psedo – gynecomastia or false gynecomastia, a liposuction solves the problem. In the case of the true one, excessive glandular tissue is removed by an incision in the areola. In the mixed gynecomastia, liposuction is used to remove the fat and the incision to remove the hypertrophied glandular tissue.