Abstract:

The common male problem, Gyanecomastia, is truly Pseudo gynaecomastia with only fatty tissue and minimal glandular tissue. The condition is a part of the co existing Obesity disorder and is rarely, a standalone entity. The treatment options shall include an approach to answer the issue of obesity as a whole, not rest contented with surgical removal of the enlarged breasts alone, as what is seen and what is treated is just a tip of the iceberg. Surgical removal of fatty tissue and extrication of glandular tissue by laser liposuction under Tumescent anaesthesia helps in avoiding the sub areolar incision.

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