Gynaecomastia is a condition where male breast tissue enlarges due to hormonal imbalances, weight fluctuations, or certain medical conditions. It can affect one or both sides of the chest and may cause physical discomfort or self-consciousness. While the condition is not harmful, some individuals seek treatment to restore a flatter, more contoured chest.
There are different ways to address gynaecomastia, ranging from lifestyle changes to surgical intervention. This article outlines the available treatment options and what to consider when choosing the most suitable approach.
Non-Surgical Treatment Options
For some individuals, gynaecomastia may be managed without surgery, depending on the underlying cause and severity of the condition.
Lifestyle and Weight Management
In cases where excess fat contributes to the appearance of gynaecomastia, weight loss through diet and exercise may help. Reducing overall body fat can improve chest contour, though it may not always eliminate excess glandular tissue.
Medication
If gynaecomastia is linked to hormonal imbalances, medications such as selective oestrogen receptor modulators (SERMs) or aromatase inhibitors may be prescribed. These help regulate oestrogen levels and reduce breast tissue growth. However, medication is most effective when started early and may not work for all cases.
Addressing Underlying Conditions
Some cases of gynaecomastia result from conditions such as low testosterone, thyroid disorders, or the use of certain medications (e.g., steroids or anti-androgens). Treating the root cause can sometimes reverse the enlargement of breast tissue.
Surgical Treatment Options
When non-surgical methods are ineffective or the gynaecomastia is more pronounced, surgical options provide a lasting solution.
Liposuction
Liposuction is used when excess fat is a major component of gynaecomastia. Small incisions are made in the chest, and a thin tube (cannula) is inserted to remove fat deposits. This technique is effective for improving chest contour but does not address excess glandular tissue.
Glandular Tissue Removal (Excision Surgery)
For individuals with significant glandular breast tissue, surgical excision is required. This involves removing the firm, dense tissue that cannot be eliminated through liposuction alone. The incision is typically made around the lower half of the areola to minimise visible scarring.
Combination of Liposuction and Excision
In some cases, both liposuction and excision are performed together to achieve a more natural chest contour. This approach is particularly beneficial for those with a mix of excess fat and glandular tissue.
Choosing the Right Treatment
The most suitable treatment depends on the severity of gynaecomastia and its underlying cause. Non-surgical approaches may be effective for mild cases, while surgery is the preferred option for persistent or significant breast tissue enlargement. A consultation with your surgeon will provide a detailed assessment and personalised recommendations.
Conclusion
While some cases of gynaecomastia improve with lifestyle changes or medication, surgery remains the most effective solution for long-term correction. Liposuction and glandular tissue removal can restore a more contoured chest for individuals with persistent gynaecomastia.
Schedule a consultation with Dr Marco today to explore the best treatment options for gynaecomastia tailored to your needs.
