Edit How gynaecomastia affects men

<p><strong>What are the different types of gynecomastia?</strong><br />The different types of gynecomastia are as follows:</p> <ol> <li><strong>Fatty Gynecomastia (pseudo-gynaecomastia)</strong><br />Fatty gynecomastia is common in young patients with good quality skin but can affect all ages. These patients are normally suitable for correction with liposuction only. Liposuction involves minimal scarring and can be performed under local or general anaesthetic and is suitable as a day case procedure. The downtime following liposuction is minimal and a patient can resume day-to-day activities within 48 hours.</li> <li><strong>Glandular (fibrous) Gynaecomastia</strong> <br />If a patient has got localised gynaecomastia without much <a title="fat" href="/conditions/fat-reduction/" target="_blank" rel="noopener">fat</a>, then an open excision technique (removal by cutting) is used and there is no need for liposuction. This is common in muscular patients, with a well-defined chest and normal body mass index. <br />Liposuction is sometimes needed to improve the overall contour after the removal of the glandular component (fibrous tissue).</li> <li><strong>Mixed Gynecomastia</strong><br />Patients with mixed gynecomastia, where there is an existence of glandular tissue/fibrous tissue associated with the localised deposition of fat, are suitable for liposuction-assisted open excision (open approach) surgery. In this technique, the fatty component is removed by liposuction; the glandular component, which is normally underneath the nipple area, is excised (removed) through a small cut within the areola (the area around the nipple).<br />This operation is relatively invasive. I prefer to insert a plastic tube (suction drain) underneath the skin following such a procedure for a period of 12 to 24 hours. <br />This type of procedure requires extended time in the hospital, with a view to removing the drain either on the later part of the same day, or the next day. As a result, an overnight stay is often required (with the associated additional costs).</li> <li><strong>Massive weight loss reduction</strong><br />Morbid obesity is a major challenge in western culture. There is increasing awareness about obesity-related diseases and issues, for example, diabetes, hypertension, reduced mobility, as well as isolation in social and professional environments.</li> <li><strong>Gender reassignment (sex change)</strong><br />There is increasing awareness of and demand for <a title="gender reassignment." href="/treatment/bio-identical-hormone-replacement-therapy-treatment" target="_blank" rel="noopener">gender reassignment.</a> The removal of female breasts remains an essential procedure for <a title="body contouring" href="/conditions/Body-Contouring" target="_blank" rel="noopener">body contouring</a> transformation in patients undergoing gender reassignment from female to male. We perform this breast removal procedure which is also called subcutaneous mastectomy. <br />This type of breast removal procedure is equivalent to the correction of grade 4 gynecomastia in patients following massive weight loss. This operation leaves behind more <a title="scarring" href="/conditions/scarring/" target="_blank" rel="noopener">scarring</a>. The level, as well as size, of the nipple, is optimised. The patient may require a one to a two-night stay in the hospital. The operation consists of removal of breast tissue, adjustment of loose, excess and redundant skin as well as re-positioning of the reduced-sized nipples.</li> </ol>

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