Gynecomastia Symptoms

19-year-old male student who underwent bilateral male breast surgery to improve overall breast appearance as he was self-conscious about working out in a tank top – left oblique view
19-year-old male student who underwent bilateral male breast surgery to improve overall breast appearance as he was self-conscious about working out in a tank top – front view
19-year-old male student who underwent bilateral male breast surgery to improve overall breast appearance as he was self-conscious about working out in a tank top – left view

Gynecomastia symptoms can have a wide range spanning from no pain at all to extreme pain or tenderness. However, gynecomastia signs are universal and involve swelling of the breast and chest soft tissues.

Since gynecomastia symptoms can be sporadic, it is important to explore gynecomastia symptoms unrelated to the breast. In essence, if the overgrowth of either fat or glandular tissues, is compressing a sensory nerve, then pain may be perceived.

However, if the growth is minimal to moderate then the tissue may not intrude upon sensory nerves thus making the patient’s case without any symptoms.

When pain is communicated, it is important to rule out any breast tissue atypia or malignancy with an MRI. In contrast, patients who do not have pain may be suffering from poor self-esteem. It is very common for men to avoid social situations where they have to remove their shirts such as swimming pools or the beach.

Younger adolescent males may for example avoid physical education classes in fear of having to expose their chest. Since gynecomastia symptoms can be so sporadic, most decisions regarding surgery are made based on gynecomastia signs. 

Gynecomastia sign of swelling is observed following either overgrowth of the fat or the mammary glands underneath the nipple and areola complex. Your overall body fat content, i.e. body fat percentage, will most affect the extent of fatty tissues found in the chest and breast. In contrast, the size of the glandular tissues is most affected by your hormone levels that is affected by your testosterone and estrogen levels.

When patients arrive for a consultation, the degree of fat versus glandular tissue is determined in order to customize your gynecomastia surgery. For patients with a propensity for fat over glandular tissues, ultrasound-assisted liposuction can be used to remove the tissues. This is because ultrasound energy may not only break down fatty tissues but also moderate amounts of glandular tissues.

For patients with a very prominent glandular discoid tissue, a direct excision may be required to completely remove the gland. This requires a small incision that is placed under the areola. Most patients do require a combination of regular liposuction as well as direct excision to achieve ideal chest contour outcomes. If you are having gynecomastia symptoms please consider a consultation with Dr. Mowlavi.

Please appreciate this 19-year-old male student who underwent bilateral male breast surgery to improve overall breast appearance as he was self-conscious about working out in a tank top.

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