Gynecomastia defines breast modification in men, giving them a feminine appearance, both in form and volume, prominence, areola size, and the structure of the tissue is characterized by an important glandular component.

Gynecomastia sometimes occurs as a consequence of weight gain, but most often it appears to be an isolated problem, even more disruptive, for example in puberty when it is most common physiological. It can also be caused by hormone supplements (in sports) or drug use that interferes with the production of androgenic or estrogenic hormones. Rarely can be associated with endocrine disturbances.

The most effective treatment is subcutaneous mastectomy.

PSEUDOGYNECOMASTIA – represents the increase in breast volume in men caused by the dramatic increase in subcutaneous adipose tissue which is most often a consequence of excessive weight gain. Adipose tissue is frequently located in this area. The breasts have a fat, flattened appearance at the palpation are generally more comparable to the breasts from a true gynecomastia. It is more a consequence of unhealthy, wrong food habits, of sedentarism, than excessive hormonal secretion. If skin elasticity allows, liposuction should be the first choice treatment.

MIXT FORM – represents the form in which the patient shows a growth in the breast size of both glandular and adipose tissue. In most subjects in this category, the clinical examination reveals a slight hypertrophy of mammary gall-duct while adipose tissue claims the “lion’s share”.

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