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How do I get rid of man's tits? (Chest Fat Fix!)

How do I get rid of man's tits?

Many young boys are having problems with, what they call it - "the breasts of prohibition." The condition is medically known as gynecomastia. Gynecomastia is a condition in which firm breast tissue forms in men.

The breast tissue is usually less than 1-1 / 2 inches and is located directly below the nipple. Gynecomastia may be present on one side or both sides. But not all cases of prohibitive breasts could be called gynecomastia because some men and boys have fat on their breasts that makes it look like they have breasts.

This condition is called pseudo-gynecomastia or false gynecomastia. Although distressing to many adolescent boys who think they are developing breasts, they must be sure that gynecomastia is normal, common, and usually does not progress to the point that it is easily perceived by their peers. And most importantly, in most cases, gynecomastia goes away without any treatment. In approximately 90% of cases, pubertal gynecomastia usually resolves from months to several years. Gynecomastia secondary to an underlying treatable cause usually responds to treatment or elimination of the primary cause.

Incidence of the condition

Not many people know that gynecomastia is the most common cause for male breast evaluation. Several studies have shown that almost 38% of children aged 10 to 16 years reported a breast tissue larger than 5 cm in diameter. In another series, gynecomastia was observed in approximately 10% of children aged 12-17 years. In another report, gynecomastia was observed in 36% of young military recruits and in approximately 57% of men older than 50 years.

Possible causes of gynecomastia

There are several possible pathological causes of gynecomastia and the most common are:

Medications including hormones
Increase in serum estrogen
Decreased testosterone production
Defects of the androgen receptor
Chronic kidney disease
Chronic liver disease
HIV
Other chronic diseases
Read now> Breast enlargement in men: solution for gynecomastia
Unfortunately, the fact is that in 25% of cases, the cause of gynecomastia is not known.

Medicines

Everyone should know that medications cause 10-20% of cases of gynecomastia in post-adolescent adults. What medications are involved? Well, some of the most common include cimetidine, omeprazole, spironolactone, finasteride, and certain antipsychotics. It is important to know that some of these medications act directly on the breast tissue, while others lead to increased secretion of prolactin from the pituitary by blocking the actions of dopamine in the anterior pituitary. People should also know that the substance called Androstenedione, which is used as a dietary supplement improves performance, can lead to breast enlargement due to excessive estrogen activity. Medications used in the treatment of prostate cancer, such as anti-androgens and GnRH analogs, can also cause gynecomastia. Although not many people know about it - it is also proven that the chronic use of marijuana is also thought by some to be a possible cause, but this is controversial.

Increase in estrogen levels

Several types of research conducted in the past have shown that the increase in estrogen levels that can occur in certain testicular tumors, and in hyperthyroidism can cause gynecomastia. It has also been shown that some adrenal tumors cause elevated levels of androstenedione that is converted by the aromatase enzyme into estrone, a form of estrogen. Other tumors that secrete HCG can increase estrogen. A decrease in estrogen clearance may occur in liver disease, and this may be the mechanism of gynecomastia in liver cirrhosis. It is also shown that obesity tends to increase estrogen levels.

Decreased testosterone production

It is shown that a decrease in testosterone production can cause gynecomastia. This disorder can occur in congenital or acquired testicular failure, such as Klinefelter syndrome. Diseases of the hypothalamus or pituitary gland can also lead to low testosterone. Anabolic steroid abuse has a similar effect.

Obesity
Obesity can cause enlarged breasts in men. But this is due to excess fat tissue in the breasts.
Other causes include:
Exposure to estrogen to androgenic hormones
Liver disease
Renal insufficiency
Side effects of some medications
Use of marijuana
Thyroid hyperactivity (hyperthyroidism)
Tumors of the pituitary gland
Testicular tumors
Histological findings

It is important to know that the characteristic histological findings of gynecomastia include duct and stromal proliferation consisting of connective tissue elements such as fibroblasts, collagen, and myofibroblasts and occasional acini. Short-term gynecomastia consists of a prominent ductular component with a loose stroma. Long-term gynecomastia consists of dense stroma with few conduits.
Patient's history

Each doctor should ask the patient questions about the symptoms, such as how long the breast tissue was, and if the area is tender. The doctor will also probably ask about the diseases the patient has had in the past, the medications he takes and other matters related to his health.

Physical exam

When it comes to the case of a teenager, you probably will not need more tests, since gynecomastia is common in teenagers. Up to 65% of children 14 years of age have gynecomastia. The good news is that breast enlargement usually goes away on its own in 2 or 3 years. However, younger children and adult men with gynecomastia may need some tests, because it is more likely that some type of illness is causing the problem.

The tests, although not usually necessary in adolescent children, may include:

Liver function tests
Plasma DHEAS or 17-urinary ketosteroids
Plasma estradiol
Plasma hCGá
Plasma LH and testosterone
Teens who are very overweight may have pseudo-gynecomastia, in which they have enlarged breasts due to increased fat and not true breast tissue.

Gynecomastia treatment

Treating the underlying cause of gynecomastia can lead to improvement of the condition. Patients should stop taking medications that can cause gynecomastia. Anti-estrogen medications, such as tamoxifen and clomiphene or androgens, may be used. After some time, however, the breast tissue tends to remain and harden, leaving surgery the only treatment option. There are people who choose to live with the condition and the use of a bra as an option for treatment. In some cases, male breast reduction surgery may be an option. Gynecomastia during puberty usually goes away without treatment after several months.

Indications

It is very important to keep in mind that surgery to correct gynecomastia can only be performed in healthy, emotionally stable men of any age. Surgery can be discouraged for obese men, or for overweight men who have not tried to first correct the problem with exercise or weight loss. In addition, it is proven that people who drink alcoholic beverages in excess or smoke marijuana are generally not considered good candidates for surgery.

Surgery

There are several options for surgery. If excess glandular tissue is the primary cause of breast enlargement, it will be simply excised, or cut, with a scalpel. In a typical procedure, an incision is made in a discrete location, either at the edge of the areola or in the lower area of the arm.
If liposuction is used to remove excess fat, the child is usually inserted through existing incisions. If gynecomastia consists mainly of excessive fatty tissue, your surgeon will probably use liposuction to remove excess fat. Using strong and deliberate strokes, the surgeon moves the cannula through the layers under the skin, breaking the fat and sucking it.
In extreme cases where large amounts of fat or glandular tissue have been removed, the skin may not conform well to the new smaller breast contour. Sometimes, a small drain is introduced through a separate incision to remove excess fluid.  The chest can be wrapped to keep the skin firmly in place.

Possible complications

When male breast reduction surgery is performed by a qualified plastic surgeon, complications are possible and, in most cases, are rare and usually minor. Some of the most common include

Infection
Skin Lesions
Excessive bleeding
Adverse reaction to anesthesia
Loss or excessive accumulation of fluids
Visible Scars
Permanent changes of the pigment in the breast area
Slightly mismatched breasts or nipples
Postoperative of gynecomastia

Each patient will feel some discomfort for a few days after the surgery. However, discomfort can be controlled with medications prescribed by the surgeon. Reasonably, those affected will be swollen and bruised for a while. Although the worst of your swelling will dissipate in the first weeks, it may be three months or more before the final results of your surgery are evident.

Although there are no rules, in most cases the stitches will usually be removed approximately 1 to 2 weeks after the procedure. The surgeon could also advise a patient to avoid sexual activity for a week or two, and heavy exercises for about three weeks. Each patient should also avoid exposing the resulting scars to the sun for at least six months.

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