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An enlargement of the mammary gland is called gynecomastia. The enlargement can be very subtle or prominent.
Gynecomastia occurs preferentially in the following patient groups:
Adolescence (Puberty) :
This change in shape occurs in 40 – 60 % of all adolescents during puberty.
The development of a female breast form in men is often felt to be embarrassing by the patient and can lead to a considerable loss of self-confidence
Young adult men :
10 – 30 % of all young men have a breast enlargement. There is significant impairment of quality of life.
Bodybuilder :
There is a distinct subgroup – the bodybuilders. The growth of the breast gland is a direct consequence of steroid hormone intake. The enlarged gland can totally spoil the aesthetic appearance.
Elderly Man (Aging) :
Especially with gain weight, and as a result of various medications and alcohol, a female breast shape can develop. This affects 35 - 65% of all men between the ages of 50 and 80 years. Wrinkled or sagging male breasts often interfere with a positive body feeling and quality of life.
The treatment consists of removing the enlarged mammary gland (subcutaneous mastectomy). To improve the aesthetic result, an additional liposuction is performed in the male chest area. This can reliably eliminate the deformity
After massive weight loss, there is a significant excess of inelastic skin in the area of the male breast and often also in the adjacent area of the armpit. Many patients feel severely restricted as a result and even perceive this as an impairment of their quality of life; they no longer want to wear tight-fitting T-shirts or shirts. Treatment consist of resection the abundant skin, thus recreation a normal male chest shape. Prof. Hierner is world renown specialist for body contouring after massive weight loss.
Congenital malformations affect the number of breasts and the shape and structure of the individual breast.
Accessory gland/Breast:
In about 5% of all women a supernumerary mammary gland exists. It is located along the embryonic milk ridge. In case of a fully developed breast, the nipple is shpow already at birth. If there is no nipple, the key symptom is the swelling – most often in the axilla – at the second half of the hormonal cycle.
Treatment is resection of the accessory gland or even breast.
Tubular Breast:
In about 5% of all women tubular breast occur.
As a result of a growth disorder of the mammary glands, the lower part of the breast grows less than the upper part of the breast.
Correction needs, unfoalding and rearranging of the breast tissue alone or in combination with breast augmentation.
Breasts that are too small represent a great psychological burden for many women.
Breast enlargement (augmentation) is the most common cosmetic surgery for women.
An enlargement can be achieved through:
Excessively large breasts can lead to
There are no two identical breasts:
A more detailed analysis of the two breasts (the bosom) shows that the right and left breast are not completely symmetrical:
In the course of tissue aging, dropping breasts develop (mammary ptosis or sagging breast). Empty and/or sagging female breasts often disturb a positive body feeling”
The selection of the corrective procedure depends on the extent of the breast sagging (ptosis), the quality of the soft skin and the patient's wishes.
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