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Male Breast Reduction - Gynecomastia - Dr. Mackenzie in Santa Barbara
Many people are surprised that enlarged breast tissue can be a problem for men and adolescent boys. Although some adolescent boys go through a period where their breast tissue can enlarge somewhat, when significant it can understandably cause severe anxiety. Rarely, there can be hormonal problems that cause the enlargement and in these cases endocrine evaluation is necessary prior to any surgery. In adult men, the cause may be related to certain medication use, drug use, or in rare cases endocrine or malignant causes. In many cases there is no apparent cause at all. I do see a fair number of body builders who use, or have used, anabolic steroids and this can certainly be the cause of gynecomastia.
The surgery that I perform, suction-assisted gynecomastectomy, typically involves removing some of the breast volume with liposuction, and then making a small discreet incision within the areola near the nipple, and removing the remaining fibrous breast tissue directly. The surgery is done under general anesthesia and usually takes under two hours. A compression wrap is applied for a couple weeks.
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