Gynecomastia (volume increase in the male breast) is divided into true and false cases. True Gynecomastia is characterised by an increase in the male mammary gland, following illness or the taking of drugs.; False Gynecomastia, or pseudo fat gynecomastia, is represented by an abnormal accumulation of adipose tissue at the mammary region. This is easily encountered in overweight or frankly obese patients. Generally asymptomatic. Treatment is exclusively surgical:
removal of the gland in the case of true gynecomastia
liposuction or subcutaneous defatting in the case of false gynecomastia
In the presence of cutaneous laxity (post slimming) it is useful to associate remodelling of the mammary region (Mastoplasty) with the liposuction.
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