Male breast hypertrophy.
Not only women may suffer of breast hypertrophy, in rare cases also men do.
Such phenomenon becomes visible during adolescence, when hormonal influence may provoke augment of the size of the mammary gland.
In many cases the breast is formed by a mixed component of fat and glandular tissue. When only fat is present we speak of pseudogynecomastia, that usually disappear when the young boy passes to adult age or loose weight.
Despite usually it is not a dangerous condition; it can have a heavy psychological impact during puberty. Careful assessment has to be done, valuating hormonal asset and structure of the gland with an ultrasonography. Once the problem has been correctly diagnosed, a surgical intervention can be planned to reduce the size of the breast.
Before operation, the surgeon will draw the plan of operation outlining the glandular boundaries. Surgery is performed under sedation or general anaesthesia. A short incision is done around half of the areola to reach the mammary gland and remove it; liposuction is usually performed too because a small quantity of fat tissue always comes with the gland. The scar is well concealed around the areola; in selected cases (severe hypertrophy) it might be necessary to add a vertical scar for the areola to the inferior edge of the breast. At the end of intervention, drains and an elastic band are placed around the chest to reduce the risk of bleeding.
This operation is usually very little painful; oral painkillers will control any discomfort. During the first week the patient has to observe a period of rest, he will progressively come back to normal life within 30 days, he will need to wear the elastic band during the first month to allow skin retraction to achieve the best aesthetic result.
Though it is a very safe surgery there are complications that can occur like any other operation. Bleeding is the most common complication although rare. Asymmetry may occur but may be corrected under local anaesthesia in a second time.