While both males and females have testosterone and estrogen, testosterone is typically higher in males and estrogen higher in females. Estrogen makes breast tissue grow, while testosterone stops estrogen from making breast tissue grow. Gynecomastia can stem from an imbalance between the sex hormones testosterone and estrogen. They include insufficient breast tissue removal, uneven chest contour, and reduced sensation of one or both nipples.Įxcision may carry a risk of a blood clot forming, which may require draining.
It will normally take about 6 weeks for people to return to a normal routine. If a major reduction in tissue and skin is necessary, the incision and the scar will be larger.Īfter surgery, the chest will be bruised and swollen, and the person may have to wear an elastic pressure garment to reduce the swelling. This will normally leave a scar around the edge of the nipple. Excision involves cutting out tissue with a scalpel to remove excess glandular tissue. It involves inserting a small tube through an incision. Liposuction can remove excess fatty tissue. A male with gynecomastia may have too much of both types of tissue. The ratio of glandular to fatty tissue in breasts varies between individuals. The breast consists of firm and dense glandular tissue and softer fatty tissue.
