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Having breasts can be very embarrassing for a man.

Most find it annoying and comes in the way of wearing tight T shirts and baring the chest (for swimming and otherwise). During puberty, hormonal changes take place in the body (unopposed female hormones or low levels of male hormone) and as a result, breast tissue forms and enlarges in boys. This usually disappears in most cases by the time they are 18. But if it does not, the residual breast tissue and fat together form the male breast. Enlargement of the male breast can be due to many causes with the prominent being-Physiological- This is during puberty due to hormonal changes of growing up. This does not require any treatment.

Obesity- Increase in weight during childhood and later on in life can cause significant breast enlargement. This is usually associated with loose skin in the chest. Correction usually requires an involved procedure.

Long term ingestion of medications and drugs- Long term use of recreational drugs as well as some medications can stimulate male breast enlargement.

These may or may not subside on stopping the drugs and usually require surgery to address the bulges.

Idiopathic- Cause is unknown and requires surgery for shaping the chest

Male breast can very well be removed in an aesthetic manner with liposuction only using certain special instruments. This is termed” KEYHOLE MALE BREAST SURGERY”. The scars are minimal and fade in time. This is a day care surgery and one can return to work in a couple of days. Key hole surgery for male breast refers to application of principles of liposuction using certain special instruments. The marks are only 3-4 mm long and fade in time. A pressure garment is to be worn for 3 weeks after the procedure to support the skin during the healing period. The results are permanent. Swelling in the operated area takes about three weeks to settle down.

Traditional method of treating male breast entailed making a big cut below the nipple area and cutting off the breast tissue only. Although this would improve appearance, results would fall short of an aesthetic ideal.
Often, there would be an area of shallowness surrounded by fat deposits (saucer deformity).

This can be corrected surgically, but it is better to avoid such a problem by selecting a more sensible option.

Liposuction not only removes the breast tissue; it can remove the excess fat deposits on the chest at the same time and achieve a normal desirable contour.

Increasing awareness and peer pressure has cause an increase in demand for male breast correction. There is as much as 50% increase in the no. men coming for this surgery.

The availability of keyhole method has made many more people seek treatment for male breasts.  The change in fashion towards tighter body-hugging T shirts is another factor for increase in demand for this surgery. Men are finding it harder to hide the man boobs, especially in water parks, beaches and pools. Keyhole correction does not leave any tell-tale marks.

BY: Dr. Mohan Thomas Senior Cosmetic Surgeon, Cosmetic Surgery Institute

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