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Gynecomastia is a condition where the glandular tissue in the breasts gets developed in young men or men, in some cases causing distress or areola delicacy. It is generally the consequence of a hormonal unevenness and ordinarily happens during early stages, immaturity, or mid to late life. Gynecomastia must be recognized from the breast enlargement because of fat stores found in overweight men.

Gynecomastia is common in 70% of boys at puberty.
Gynecomastia is also common among middle-aged and older men
Grades of Gynecomastia
• Grade I: Minor enlargement, no skin excess
• Grade II: Moderate enlargement, no skin excess
• Grade III: Moderate enlargement, skin excess
• Grade IV: Marked enlargement, skin excess

Male breast volume is composed of a combination of ductal and stromal tissue, commonly referred to as glandular tissue. Skin excess in severe grades of gynecomastia results in significant sagging of breasts which is difficult to correct.
The objectives of surgical management for breast gynecomastia are (1) to restore the normal male breast contour and (2) to correct the deformity of the breast, nipple, or areola. The surgical options for the patient with gynecomastia are mastectomy, liposuction-assisted mastectomy, or a combination of the above two approaches. Many times Patients benefit from a combination of approaches.
Periareolar incision combined with liposuction gives the best results. The main objective of treating gynecomastia by surgery is to create inconspicuous scars and redefining the male chest shape. The experience of the Plastic Surgeon counts in this regard.
Complications of mastectomy for gynecomastia
Hematoma, Breast asymmetry, Nipple or areola necrosis, Nipple or areola inversion, Infection, Sensory changes, Painful scar, Contour deformity, Conspicuous scar, Skin redundancy, Seroma, Hyperinflammatory pigmentation
Ultimately the outcome of the gynecomastia surgery depends on the experience of the plastic surgeon.
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