Gynecomastia: Causes, Grades, and Surgical Treatment Options

Dr. Alain Polynice discusses gynecomastia, the overdevelopment of male breast tissue that often begins during puberty and usually resolves, but can persist in some men. He explains contributing factors such as medications like finasteride, steroid use, marijuana use, and rapid weight loss from GLP-1 medications like Ozempic, which can worsen chest tissue changes. Gynecomastia is described in four grades, from mild enlargement to severe cases with drooping (ptosis). Treatment options range from chest liposuction for mild cases to combined liposuction with a small incision under the areola to remove glandular breast tissue, and more advanced cases may require a breast lift to tighten excess skin. Removed tissue is sent to a lab for analysis due to the rare possibility of male breast cancer.

00:00 Gynecomastia: Causes, Grades, and Surgery Options

00:13 Introduction

00:26 What Causes Gynecomastia?

00:57 The 4 Grades Explained

01:15 GLP-1 & Ozempic Effects

01:30 Surgical Options

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