Un-prescribed steroid intake by bodybuilders for rapid development of muscular mass is now a day commonly seen in this group of patients. Gynecomastia in lean men is usually only a breast tissue gland with little to no adipose tissue. In cases where gynecomastia is primarily the result of excess fatty tissue, liposuction techniques alone may be used. The surgical excision through peri-areolar incision or more recently through a barely visible trans-nipple incision is the treatment of choice and leads to rapid recovery and least scar. In some instances, surgery may be discouraged for overweight men who have not first tried an exercise and diet regimen. Get an appointment through mailing a request to Dr. The University of Maryland Medical Center warns that taking Chromium Picolinate for fat reduction could interfere with several medications including antacids and diabetes medications. The surgery is performed on an outpatient basis under local anesthesia with sedation or general anesthesia. As many as thirty percent may live with enlarged male breasts for the rest of their lives, but in other cases the gynecomastia will recede with age.
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