Babak Dadvand M.D.
Board Certified Plastic Surgeon
8500 Wilshire Blvd. Suite 615 | Beverly Hills, CA 90211
All males have breast tissue. However, in men with gynecomastia, there will be an increase in the amount of glandular tissue. Patients usually feel embarrassed and often avoid situations where they will need to expose their chests in public. Dr. Dadvand has dedicated a large part of his time ever since he started his private Los Angeles practice to deeply understand gynecomastia and develop techniques to surgically correct his patients’ chests.
There are many things that can lead to an increase in gland tissue. The broad categories of causes include physiologic (puberty, old age), pharmacologic (due to medications), and pathologic (due to hormone disorders, breast cancer). Puberty is a common cause due to hormonal surges and imbalances. Many medications such as anabolic steroids, anti-depressants, anti-psychotic, anti-seizure, and heart medications may also cause disturbances to the delicate testosterone pathways. This will alter the testosterone: estrogen ratio and can lead to the production of secondary estrogens. An elevated estrogen level can then stimulate the glandular tissue to grow, leading to the features typical in gynecomastia: puffy nipple, cone-shaped chest, and fullness on the outer and lower part of the chest.
The glandular tissue is always located under the areola but in most males, it extends out to the side and to a lesser degree towards the inner chest. Glandular tissue is different than fatty tissue and so its removal differs as well. Glandular tissue tends to feel firm and rubbery. Liposuction is generally not successful in removing glandular tissue. Thus, direct excision is the technique Dr. Dadvand employs to predictably treat the glandular excess. This can be used in conjunction with liposuction of the surrounding fatty tissue or as a stand-alone treatment.