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Male Breast Reduction (Gynecomastia) Los Angeles

Gynecomastia is the development of “woman-like breasts” in men. As many as 65% of adolescent males and 10-15% of adult males are afflicted with abnormal glandular breast overgrowth, or breast hypertrophy. The Surgical Treatment of Gynecomastia is ranked as as one of the top five cosmetic surgery procedures performed on men by the American Society of Plastic Surgery – highlighting the the disorder’s prevalence. Dr Sean Younai offers expert treatment of this disorder to patients  at his practice in Beverly Hills.Hiding your chest for fear of  having  your “man-boobs”  ridiculed can easily be a thing of the past. The fact is, Male Breast Reduction  is a procedure being performed with increasing frequency for all groups of men who suffer from Gynecomastia.  Wearing  t-shirts, fitted shirts, or even avoid taking  their shirts off at the pool or the beach need no longer be embarrassing! In all adolescent boys during normal development  breast tissue naturally grows as a result of hormonal changes. As many as 65% of teenage boys experience enlarged breast tissue or Gynecomastia. This is often due to Pubertal Gynecomastia.   Which resolves in a matter of months for the majority of these boys or will resolve with the end of adolescence. A significant portion however – 10-15%, remain with the symptoms through adult life.

 A range of things can cause adult-onset Gynecomastia – Therefore it difffers from Pubertal Gynecomastia. Potential causes are Anabolic steroids, medications, herbal or growth supplements, natural or synthetic estrogen hormone derivatives, marijuana, alcohol abuse, renal failure and chronic liver failure. Breast gland growth in males can also be stimulated by some tumors that secrete female hormones. For these reasons, it is important that an endocrinologist investigate a  newly recognized case of adult-onset Gynecomastia  so that he may rule out possible serious underlying causes.

Obesity is another cause of Gynecomastia which has recently become more prevalent. Fat cells,  convert the male hormone testosterone into female hormone estrogen, especially when those cells  are in large numbers, stimulating breast growth. Some men experience a deficiency in Testosterone levels – leading to the development of Gynecomastia in advanced age.

Usually irreversible, Adult onset Gynecomastia can be corrected through a variety of surgical treatments such as Male Breast Reduction , Mastectomy, and/or Liposuction.

What is Gynecomastia?

The development of enlarged breasts in men is a common condition. In fact, it is estimated that more than half of adolescent boys develop this condition. According to the American Society of Plastic Surgeons, between 30 and 60 percent of all people with gynecomastia are adolescents. In most cases, the condition clears up before adulthood. This is because gynecomastia is closely associated with hormonal changes in the body. For men whose gynecomastia fails to resolve after puberty, or those who develop the condition as adults, there are a number of factors that contribute to the development of enlarged male breasts. Some common factors include:

  • Hormones
    Changes in hormones can lead to the development of breast tissue in men. Because these are common during adolescence, many boys develop gynecomastia during this period. Men who experience hormonal imbalances can develop the condition as adults. Also, the presence of excess fatty tissue can cause the body to produce more estrogen, which can lead to the development of breast tissue.
  • Drug and Alcohol Abuse
    The use of certain drugs, especially anabolic steroids, can lead to the kinds of hormonal changes that cause gynecomastia. There are also correlations between this condition and the use of other drugs and medications, including antifungals, cardiac medications, alcohol, and marijuana.
  • Tumors
    Certain tumors secrete hormones like estrogen, which can lead to the development of breasts in men. An endocrinologist should be consulted to rule out these causes in cases of adult-onset gynecomastia.

Because enlarged male breasts are typically composed of both glandular and fatty breast tissue, a number of factors can contribute to their development. The condition can be present in one or both breasts. When developed during adulthood, surgery is usually the only option for effectively correcting gynecomastia. Fortunately, Dr. Younai can use a variety of surgical options to remove the breast tissue and restore your confidence.

Male breast reduction Beverly Hills involves making an incision is made at the periphery of the areola and surgically removing the glandular breast tissue. In those who have more fatty breast tissue, this can be accomplished via small stab incisions with Liposuction. In severe forms of Gynecomastia there is significant excess of sagging breast skin which is removed by several methods; Inverted-T or Peri-Areolar Breast Reduction. It is not infrequent to need subsequent surgery to further reduce the size of the areola and nipple, or to further lift and reduce the hanging breast skin.

Questions & Answers: Gynecomastia
Gynecomastia – Definition
Gynecomastia – Causes
Male Breast Reduction
Surgeon Qualifications
Preparation for Gynecomastia
Gynecomastia – Recovery
Risks & Complications

Male Breast Reduction Techniques

There are two main surgical techniques that must typically be used in order to effectively remove the breast tissue. Because gynecomastia is usually marked by the presence of both glandular and fatty breast tissue, both techniques are generally needed to prevent the condition from recurring. These surgical procedures are:

  • Liposuction
  • Excision

Liposuction is used to remove excess fatty tissue from the breasts. In some cases, liposuction alone can be effective for correcting gynecomastia. Dr. Younai will make small incisions in the breasts, using a metal tube known as a cannula to break up and suction out the fat. Ultrasonic-assisted liposuction, which uses ultrasonic waves to liquefy the fat, is especially useful on this part of the body. However, because there is usually fat and glandular breast tissue present, liposuction alone will not fully resolve the issue.

Excision is used to remove the excess skin and breast tissue. Dr. Younai will make several incisions through which he will remove the excess tissue. If necessary, he can also reposition the nipples during this procedure.

By combining these procedures, a natural male contour can be restored to your chest. You can go back to wearing your favorite shirts, enjoying days at the beach, and worry-free intimacy. And because the fat and glandular tissue is removed, the chances of recurrence are severely reduced.

Board Certified Cosmetic Plastic Surgeon Dr. Sean Younai is experienced in all treatments for Gynecomastia- Male Breast Reduction and Band Liposuction. During your consultation he will discuss all details including: if you are a good candidate, surgical options and techniques, potential risks and complications of surgery, pre- and post-operative instructions, and recovery course, as well as what to expect after surgery. At that time Dr. Younai will also show you before-and-after pictures of other patients who might be similar to you with Gynecomastia and have had Male Breast Reduction.

Dr. Younai serves patients from both southern and northern California, including those from Beverly Hills, Los Angeles, Santa Monica, Hollywood, Burbank, Sherman Oaks, Calabasas, Woodland Hills, Thousand Oaks, Westlake, Pasadena, Glendale, Valencia, Palmdale, Fresno, and Oxnard.

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