Gynecomastia is a medical condition characterised by the abnormal enlargement of breast tissue in men. This condition can occur at any age and is often caused by an imbalance between the hormones testosterone and oestrogen. While testosterone plays a significant role in male characteristics, oestrogen -although present in small amounts in men – can stimulate the growth of breast tissue when its levels increase or testosterone levels drop. Gynecomastia is typically benign but can cause discomfort or emotional distress, especially if the condition worsens over time.
Causes of Gynecomastia
The causes of gynecomastia can vary widely and may include:
- A disruption in the balance between testosterone and oestrogen is the most common cause.
- Certain drugs, such as anti-androgens, anabolic steroids, and some antidepressants, can trigger gynecomastia.
- Liver or kidney disease, hyperthyroidism, and hypogonadism can all contribute to hormonal fluctuations.
- Obesity and substance use (such as excessive alcohol consumption or drug use) can also lead to the condition.
Recognising the Signs and Symptoms of Gynecomastia
The most noticeable sign of gynecomastia is the enlargement of one or both breasts. This swelling can be symmetrical or affect one breast more than the other, leading to asymmetry. Gynecomastia typically presents as a soft, rubbery mass beneath the nipple area. In some cases, men may also experience pain, tenderness, or sensitivity in the breast area.
Other physical signs include:
- Visible enlargement of breast tissue, which may vary in size.
- Tenderness or discomfort, particularly when the breast is touched or during physical activity.
- Firmness or a rubbery texture in the area under the nipple.
Emotional and Psychological Impact
In addition to physical symptoms, gynecomastia can also have a significant emotional and psychological impact. Men with the condition often report feeling self-conscious or embarrassed about the appearance of their chest. This can lead to social withdrawal, low self-esteem, and in some cases, depression or anxiety.
Differentiating Gynecomastia from Pseudogynecomastia
It’s important to differentiate between true gynecomastia and pseudogynecomastia, which is caused by fat deposits rather than glandular tissue. Pseudogynecomastia is often associated with obesity and can usually be addressed through weight loss or liposuction. In contrast, true gynecomastia involves the growth of glandular tissue and often requires more targeted treatment.
When to See a Doctor
If you suspect you have gynecomastia, there are several signs that indicate it’s time to seek professional advice at City Dermatology Clinic.
Persistent Symptoms and Pain
If the swelling, tenderness, or pain persists for more than a few weeks or worsens over time, it’s important to seek medical advice. Persistent discomfort may indicate the need for further investigation, particularly to rule out other potential issues, such as breast cancer (though rare in men).
Sudden Changes in Breast Size
Any sudden increase in breast size, especially if it occurs on one side more than the other, should be evaluated by a doctor. Rapid changes in breast tissue growth can sometimes be linked to hormonal imbalances or other underlying health issues that require prompt attention.
Nipple Discharge or Asymmetry
Nipple discharge, especially if it’s bloody or accompanied by pain, should be taken seriously. Although rare, these symptoms can sometimes signal more severe conditions. Asymmetry—where one breast is noticeably larger than the other—can also warrant further investigation.
Emotional Distress or Body Image Concerns
If gynecomastia is affecting your emotional well-being, such as causing anxiety, depression, or significant self-consciousness, seeking medical help can provide relief. At City Dermatology Clinic, our expert team not only treats the physical aspects of the condition but also offers psychological support to help men feel more confident in their bodies.
How City Dermatology Clinic Can Help
At City Dermatology Clinic, we offer comprehensive care for men dealing with gynecomastia, from initial diagnosis to advanced treatment. Our team of highly experienced surgeons, including Dr Reza Alamouti, Dr Marcus Davis, and Mr Georgios Pafitanis, are specialists in both aesthetic and reconstructive procedures. They are dedicated to providing personalised care for every patient.
Comprehensive Diagnosis by Expert Surgeons
Our approach begins with a thorough consultation to assess the extent of the condition. This involves a physical examination and, in some cases, diagnostic imaging (such as ultrasound or mammography) to determine whether the enlargement is due to glandular tissue or fat. Blood tests may also be performed to evaluate hormone levels.
Hormonal Assessment and Diagnostic Imaging
We utilise advanced diagnostic tools to identify the cause of gynecomastia, whether it’s due to hormonal imbalances, medications, or other health conditions. By understanding the root cause, our team can develop a customised treatment plan tailored to your specific needs.
Surgical and Non-Surgical Treatment Options
We offer a range of treatment options to address gynecomastia:
- Liposuction: For patients with pseudogynecomastia or those with excess fat in the chest area, liposuction is a minimally invasive option that removes fat and contours the chest for a more masculine appearance.
- Excision: For men with a significant amount of glandular tissue, excision surgery is often the most effective treatment. This involves removing the excess tissue through discreet incisions, typically around the nipple.
- Combination Approaches: In some cases, a combination of liposuction and excision may be required to achieve the desired results.
Our Team of Specialists
At City Dermatology Clinic, we are proud to have a world-class team of surgeons specialising in gynecomastia treatment. Our experts, including Dr Reza Alamouti, Dr Marcus Davis, and Mr Georgios Pafitanis, bring years of experience in both reconstructive and aesthetic surgery. Each treatment plan is developed with the patient’s unique needs in mind, ensuring optimal outcomes.
Personalised Care
Our clinic emphasises personalised care, where each patient receives an individualised treatment plan tailored to their specific goals. We take pride in ensuring our patients are well-informed and supported throughout their treatment journey, from the initial consultation to post-surgical recovery.
Treatment Outcomes and Patient Support
At City Dermatology Clinic, we aim to provide the best possible care for men undergoing treatment for gynecomastia. Following treatment, our team offers comprehensive aftercare to ensure a smooth recovery. Most patients can return to their daily activities within one to two weeks, with final results visible within a few months.
We also understand the psychological impact of gynecomastia, which is why we offer emotional and psychological support for our patients. From addressing body image concerns to ensuring a supportive recovery, our clinic is committed to helping you regain confidence and peace of mind.
