Gynecomastia, a benign proliferation of the breast tissue, is common among peripubertal males. Although altered testosterone-estradiol ratios as a consequence of endocrine causes such as hypogonadism or hyperthyroidism or drugs could cause gynecomastia, in most cases, the disorder remains idiopathic.

Relative excess of serum levels of estrogens compared with androgens is found to be one of the various reasons contributing to the pathogenesis of men’s gynecomastia surgery, due to estradiol rising sooner than testosterone as puberty advances. Family background of male gynecomastia surgery may be a predisposing factor.Some studies have also observed association of breast enlargement with increasing body mass index (BMI).Aromatase activity known to be upregulated in obesity could explain gynecomastia surgery in obese males.However, the etiology of gynecomastia plastic surgery in lean males is unclear. In the present study, we plan to study the clinical and hormonal profile of patients who had onset of gynecomastia during adolescence.

Other causes

Other rare causes of gynaecomastia removal surgery include:

• drinking too much alcohol(chronic alcoholism)
•side effects of medicine – such as anti-ulcer drugs or medicine for heart disease
•Exercising the practise of illegal drugs – such as cannabis or anabolic steroids
•A health condition aggravating to gynecomastia such as kidney failure or liver disease
•Klinefelter syndrome (a rare genetic disorder) lumps or infection in the testicles

Obesity

Being very overweight (obese) is a common cause of surgery to remove gynaecomastia – this is because being overweight can increase levels of hormone oestrogen, which can cause breast tissue to grow abnormally. If you’re overweight you’re also more likely to have excess fat that can enlarge the breast tissue. For many people losing body weight or doing regular exercise can help but this may not always improve the condition and hence not a permanent solution. Once you gain excess weight, there is a high chance of undergoing gynecomastia surgery
again.

Gynecomastia and obesity- is there a connection between these two?

There was conducted a small study years ago that found a correlation between gynecomastia and obesity: obesity occurred more frequently in patients with gynecomastia than in the general population. But we cannot draw a conclusion from these results because the scale of the study was not large enough.

The true answer is that the connection between gynecomastia and obesity is further complicated than it seems and is proved by the fact that the United States is in having an epidemic occurrence of obesity. Based on body mass index (BMI) calculations, over 40 percent of Americans are considered obese. So, it only makes sense that I would see more men who are overweight.

Patients with gynecomastia often carry more weight than is ideal. First, gynecomastia is a nonstarter. It’s difficult to wear appropriate gym clothing and feel good about the appearance of your chest. Second, fullness in the abdomen and flanks helps to hide the true appearance of gynecomastia because it comes into proportion between these two areas of fullness. Finally, gynecomastia is so emotionally draining that patients just don’t feel good about their bodies and their future which is in someway governed by the looks, so why bother getting into shape?

Doctors evaluate gynecomastia patients from all over the world with their Virtual Consultation feature. It is not uncommon for doctors to confirm the diagnosis of gynecomastia in addition to addressing weight related issues. The best results are only possible to be attained when the patient is at or near his ideal BMI.

The good news is that gynecomastia removal surgery can provide the motivation for patients to get into the best shape of their lives! One of my greatest joys is listening to the stories of those patients who underwent surgery to remove gynecomastia. As a medical doctor dedicated to improving the wellbeing of the patients in all aspects of their lives be it emotional, mental or physical. It is rather heartwarming to be a part of these positive lifestyle changes.
The male gynecomastia surgery provides the opportunity to kill two birds with one stone that is to cure the gynecomastia and also lose weight at the same time.

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