Gynecomastia

Conveniently located to serve the areas of Boca Raton, FL

Gynecomastia Boca Raton

Gynecomastia is a condition that causes the enlargement of breasts in boys and men. Also referred to as “male breasts,” or “man-boobs,” gynecomastia affects up to 60% of men worldwide.[1] 

This condition can cause bullying in schools, in the locker room, and in the boardroom. While some men may not be embarrassed by the appearance of these enlarged breasts, many men go to great lengths to restore a flat chest. Dr. Gregory Albert offers men suffering from this condition a compassionate and individualized approach. He understands the devastating impact that gynecomastia has on social, professional, and romantic relationships, and gives each of his patients his full attention and empathy in a caring and discreet environment. As an American Board Certified Plastic Surgeon, Dr. Albert has extensive experience treating mild to severe gynecomastia, in cases ranging from pediatric to adult patients and professional athletes to weekend warriors.

Every patient is unique as is every surgery. The main consideration for Dr. Albert’s technique is that a patient can feel comfortable going shirtless after the gynecomastia surgery is complete.

Because gynecomastia can be caused by hormonal changes, diet, and genetics, this condition can occur at just about any point during a man’s life. However, unlike regular fatty tissue, gynecomastia does not respond to diet and exercise. Often, the only solution is a surgical one. That’s why Dr. Albert has perfected minimum incisional gynecomastia surgery. With this approach, Dr. Albert gives all of his male patients a reliable remedy for their swollen and often painful chest. 

If you experience embarrassment or discomfort because of your enlarged breasts, we invite you to schedule a private one-on-one consultation with Dr. Albert. Here, he will be able to diagnose if you indeed have gynecomastia and formulate a personalized treatment plan to correct your pectorals and assuage your embarrassment. To speak with our friendly front desk, please call (561) 495-2700.

Before and After Photos

What Causes Gynecomastia?

The main causes of gynecomastia are either an increase in estrogen, and or a decrease in testosterone, which can be caused by medications, or lifestyle choices.[2] Because there are so many different reasons for this imbalance, the cause of your condition can be a singular or unique combination of factors. 

Diet & Lifestyle

Gynecomastia Boca Raton

Though proper exercise can regulate your physique’s muscle to fat ratio, gynecomastia isn’t just an excess of fat, and won’t respond to exercise. Different diets and lifestyle choices can change the balance of your endocrine system and cause a proliferation of breast tissue, including the enlargement of the mammary glands. One of these contributing factors is soy consumption. Found in popular chips and protein supplements, soy has shown to have a strong link to late adult-onset gynecomastia.[3] This is because soy products contain a natural plant compound, Phytoestrogens, that mimics estrogen. When too much soy is consumed, the phytoestrogen cells can disrupt our body’s natural supply of estrogen, resulting in a hormonal imbalance that triggers a feminization of the adult male’s mammary gland.[4] Another common cause of gynecomastia is cannabis. The psychoactive compound found in cannabis, delta-9-tetrahydrocannabinol (THC), is known to be a natural androgen receptor antagonist. When enough cannabis is regularly consumed, hormone levels falter causing an imbalance that results in gynecomastia for many men.[5]

Anabolic Steroid Use

To get leaner and stronger, many men opt-in to taking anabolic steroids to build muscle and reduce body fat percentage. While these products will increase testosterone levels, the body needs to counterbalance the steroids with equal levels of estrogen and progesterone to restore homeostasis. This immediate uptick in estrogen causes rapid growth and swelling in the man’s mammary glands. This often forces male bodybuilders to spend extra time building pectoral muscles to conceal the results. Research has shown gynecomastia to prevail in at least 52% of men using anabolic steroids.[6]

Andropause

After 30 years old, a man will lose around 1% of his testosterone supply every year.[7] Because there is less testosterone to balance out his natural estrogen supply, secondary sex organs – like the mammary glands – are adversely affected. Over time, more hard-to-lose fat accrues on his physique, and estrogen levels allow gynecomastia to set in. While doctor-prescribed hormonal intervention may balance out his endocrine levels, once the inflamed breast tissue is formed, only surgery can remedy it. 

Klinefelter Syndrome

First reported in 1942, Klinefelter Syndrome is a condition where a man is born with an extra X chromosome to make his genotype XXY. This condition causes the man to have less body and facial hair, smaller testes, feminine breasts, and an inability to produce sperm.[8] These patients are usually tall in stature and experience gynecomastia later during puberty. 

Benefits of Gynecomastia Surgery

Many patients who have undergone gynecomastia surgery report:

  • Smaller, better defined pectoral muscles
  • An uptick in shirt-less confidence
  • Less bullying surround the shape and appearance of their chest
  • Ability to enjoy form-fitting clothes

Am I A Candidate For Gynecomastia Surgery?

If you answer yes to one or more of these questions, then you are an excellent candidate for gynecomastia surgery:

  • If you are bullied due to the appearance of your chest.
  • If you feel self-conscious and don’t go shirtless at the beach or in the pool.
  • If you have puffy areolas or nipples that protrude.
  • If you walk around with your shoulders hunched over and/or often wear a backpack to conceal your breasts.
  • If you feel you need to wear an undershirt under your polo shirts or dress shirts to hide your breasts.

However, the best way to determine if you are a candidate for gynecomastia surgery is to schedule a consultation with Dr. Albert.

Personal Consultation In Boca Raton

With extensive experience treating mild to severe gynecomastia, Dr. Gregory Albert’s minimal incision approach to male breast reduction procedures has given many men refreshed self-confidence. As an American Board Certified Plastic Surgeon, Dr. Albert is proud and honored to help his patients achieve the appearance of their dreams. While conditions like gynecomastia are often caused by no fault of their own, Dr. Albert’s patients benefit from his ability to achieve their desired aesthetic through surgical solutions. 

Gynecomastia Boca Raton

When you come to our Boca Raton offices, we will begin by performing a brief physical examination and a new patient intake interview. Then, Dr. Albert will explain the causes and treatment options for gynecomastia, and what the surgery entails. During this consultation, you will be able to view our gynecomastia before-and-after book to see Dr. Albert’s extensive experience treating patients like yourself. He will then inspect your chest and note the amount of superfluous tissue around your breasts. Dr. Albert has found that some patients have a weak rib cage or their pectorals have an asymmetrical appearance. To achieve optimal aesthetic results after removing the glandular tissue, he may need to add volume to recreate the contours of the pectoralis muscle.  These patients may benefit from having fat transferred to the chest or from precise placement of pectoral implants for a more contoured and masculine chest. 

If he feels you may benefit from this complementary procedure, he will explain how these procedures can be performed in tandem. After the initial consultation, you will be scheduled to come in for a preoperative appointment to plan for your gynecomastia reduction surgery in our surgical suites. 

Preparation

Before your gynecomastia surgery, it is important to:

  • Avoid any blood-thinning medications
  • Avoid smoking
  • Avoid alcohol
  • Designate a caregiver to drive you home
  • Pre-fill all necessary medications

Procedure

Dr. Albert’s extensive experience treating gynecomastia spans over the past 20 years. During gynecomastia surgery, Dr. Albert treats the enlarged tissue by combining special liposuction techniques and removing the swollen glandular breast tissue. With minimal incisions, Dr. Albert carefully sculpts away the troublesome tissue and uses liposuction technology to safely extract excess fat from the chest. Every patient is unique, as is every surgery. If a more extensive gynecomastia reduction surgery is necessary, Dr. Albert may remove excess skin, but will still only need a couple, minimal incisions. The goal of this procedure is to make sure the patient is confident and comfortable while shirtless. 

Recovery

After your gynecomastia surgery, Dr. Albert will wrap your chest in a surgical compression garment. This will help keep the treated tissue tight and promote optimal healing. Because gynecomastia surgery can be performed under general or local anesthesia. It is important to focus on rest and recovery during this time, so please avoid strenuous activities like exercising for the first week. During your follow-up appointment, Dr. Albert will be able to diagnose where you are in terms of recovery and what next steps need to be taken moving forward. 

Cost

The cost of your gynecomastia surgery will depend on the extent of your personalized surgical requirements. We will determine the cost and discuss financing options during your first consultations. If you have any questions or would like to learn more about our practice, please be sure to read our blog or call our front desk at (561) 495-2700.

FAQ

What is gynecomastia?

Gynecomastia is a male-specific condition where the breasts become swollen or enlarged. This often becomes a prominent insecurity in the man’s life and can lead to embarrassment when shirtless or can even be noticeable with a shirt on. Though normal diet and exercise can help a man lose fat, gynecomastia is caused by glandular tissue proliferation. So, typical weight loss practices can’t resolve gynecomastia.

Is gynecomastia curable?

If first experienced during puberty, gynecomastia can go away once the body’s hormones have balanced. However, if experienced later on in life, gynecomastia will not go away on its own. A simple, minimal incision surgery is typically the easiest, most effective solution for this condition.

References

  1. Johnson, R. E., & Murad, M. H. (2009). Gynecomastia: pathophysiology, evaluation, and management. Mayo Clinic proceedings, 84(11), 1010–1015. https://doi.org/10.1016/S0025-6196(11)60671-X
  2. Johnson, R. E., & Murad, M. H. (2009). Gynecomastia: pathophysiology, evaluation, and management. Mayo Clinic proceedings, 84(11), 1010–1015. https://doi.org/10.1016/S0025-6196(11)60671-X
  3. Swerdloff RS, Ng CM. Gynecomastia: Etiology, Diagnosis, and Treatment. [Updated 2019 Jul 7]. In: Feingold KR, Anawalt B, Boyce A, et al., editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK279105/
  4. Martinez, J., & Lewi, J. E. (2008). An unusual case of gynecomastia associated with soy product consumption. Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists, 14(4), 415–418. https://doi.org/10.4158/EP.14.4.415
  5. Bar-El, D. S., & Reifen, R. (2010). Soy as an endocrine disruptor: cause for caution?. Journal of pediatric endocrinology & metabolism : JPEM, 23(9), 855–861. https://doi.org/10.1515/jpem.2010.138
  6. Goldman R. D. (2010). Drug-induced gynecomastia in children and adolescents. Canadian family physician Medecin de famille canadien, 56(4), 344–345. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2860825/
  7. de Luis, D. A., Aller, R., Cuéllar, L. A., Terroba, C., & Romero, E. (2001). Anabolizantes esteroideos y ginecomastia. Revisión de la literatura [Anabolic steroids and gynecomastia. Review of the literature]. Anales de medicina interna (Madrid, Spain : 1984), 18(9), 489–491. https://pubmed.ncbi.nlm.nih.gov/11715139/
  8. Bonomi, M., Rochira, V., Pasquali, D., Balercia, G., Jannini, E. A., Ferlin, A., & Klinefelter ItaliaN Group (KING) (2017). Klinefelter syndrome (KS): genetics, clinical phenotype and hypogonadism. Journal of endocrinological investigation, 40(2), 123–134. https://doi.org/10.1007/s40618-016-0541-6