Gynaecomastia and pseudo gynaecomastia

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DOI: 10.21522/TIJMD.2013.04.01.Art008

Authors : Sreelatha Murugappan


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.

Keywords: Gynaecomastia, laser liposuction, pseudogynaecomastia


[1.]   Barros AC, Sampaio Mde C (2012). “Gynecomastia: physiopathology, evaluation and treatment”. Sao Paolo Medical Journal 130 (3): 187–97. doi:10.1590/s1516-31802012000300009

[2.]   “Breast enlargement in males”. Medline Plus. US National Library of Medicine. Retrieved 15 November 2015.

[3.]   Cordova A, Moschella F (2008). “Algorithm for clinical evaluation and surgical treatment of gynaecomastia”. J Plast Reconstr Aesthet Surg 61 (1): 41–9.doi:10.1016/j.bjps.2007.09.033

[4.]   “Current concepts in gynaecomastia”. Surgeon7 (2): 114–19. doi:10.1016/s1479-666x(09)80026-7

[5.]   Deepinder F, Braunstein GD (2012). “Drug-induced gynecomastia: an evidence-based review.”. Expert opinion on drug safety 11 (5): 779–795.doi:10.1517/14740338.2012.712109

[6.]   Erol S, Orhan E, Sevin A, Erdogan B. Trauma: a new pseudogynecomastia cause. Aesth Plast Surg.2010;34:404–405. doi: 10.1007/s00266-009-9435-8

[7.]   Erol S, Orhan E, Sevin A, Erdogan B. Trauma: a new pseudogynecomastia cause. Aesth Plast Surg.2010;34:404–405. doi: 10.1007/s00266-009-9435-8. [PubMed] [Cross Ref]

[8.]   Narula HS, Carlson HE (August 2014). “Gynaecomastia-pathophysiology, diagnosis and treatment”. Nat Rev Endocrinol 10 (11): 684–698. doi:10.1038/nrendo.2014.139

[9.]   Rohrich RJ, Ha RY, Kenkel JM, Adams WP., Jr Classification and management of gynecomastia: defining the role of ultrasound-assisted liposuction. Plast Reconstr Surg. 2003;111:909–923. doi: 10.1097/01.PRS.0000042146.40379.25.

[10.]   Venkata Ratnam B. A new classification and treatment protocol for gynecomastia. Aesth Surg J.2009;29:26–31. doi: 10.1016/j.asj.2008.11.003

[11.]   Wollina, U; Goldman, A (June 2011). “Minimally invasive esthetic procedures of the male breast”. Journal of cosmetic dermatology 10 (2): 150–155. doi:10.1111/j.1473-2165.2011.00548