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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