Babak Dadvand M.D.
Board Certified Plastic Surgeon
8500 Wilshire Blvd. Suite 615 | Beverly Hills, CA 90211
The male breast is composed of glandular tissue and fatty tissue. An excess in either type of tissue can cause the chest to take on the look of gynecomastia. Gynecomastia can affect men of all different body types. One particular subset of patient is a male who is overweight.
Obesity is an issue that affects over 51% of the population. As with other males, obese men may also have gynecomastia. There are however some variations with the type of gynecomastia seen in males who are obese.
A majority of males with gynecomastia have a glandular component. This is breast tissue that is centered underneath the areola. There is usually also a variable amount of fatty tissue that surrounds this breast tissue as well. Men who are obese may have this form of gynecomastia. This is due to the increased conversion of androgens to estrogens by tissue aromatase. However, more often obese males have an excess of fatty tissue with little or no excess in glandular tissue. The distinction is important because it may respond to diet and exercise. In men with excess fatty tissue who do not show a response to diet and exercise liposuction is an effective technique to correct the problem.
If you are a man who wants to get rid of his gynecomastia and is looking for a doctor you can connect with and is a master at what He does, go to Dr. Dadvand. I am almost 5 months after the procedure, still healing but I can see I chose the perfect doctor. Thank G-d no scar tissue was formed, the stitches are not noticeable, and the results are outstanding. He is a really good doctor, highly recommended.
Another issue with obese men is that they may have a degree of breast ptosis (droopiness) or even skin excess. The treatment for these patients will involve skin excision, areolar reduction, breast lift, or a combination of the three. These cases need to be addressed on an individual manner and the resultant scars and risks need to be explained fully to the patients. In some cases the procedures will need to be staged. In the first stage the excess breast and fatty tissue is removed and the skin is allowed to retract. In a second stage performed months later whatever remaining excess skin is removed. This approach may limit the amount of extra scars that need to be made.
The most important decision to be made before performing any operation is whether the patient is a good surgical candidate. Weight, and more specifically body mass index (BMI), needs to be considered when deciding to operate on a patient. Studies have shown that patients with BMI > 30kg/m sq (placing them in the obese category) have a higher complication rate. It is important for patients to be as close to their normal body weight prior to surgery. Not only will this decrease their risks of complications, but will also enhance their aesthetic results. Normal body weight is different from one patient to another, and Dr. Dadvand consults with each patient regarding not just their target weight, but also how to achieve it.