Dr. Mordcai Blau
Dr. Mordcai Blau is a private practice plastic surgeon located in White Plains, New York. He performs multiple aesthetic procedures, and specializes in male breast reduction. He has performed over 600 male breast reduction surgeries over the last two decades.
Gynecomastia is present in 30% to 50% of healthy adult men. There are three times that males are most susceptible to developing gynecomastia. The neonatal period (infant), during puberty, and the age of fifty onward are the most vulnerable to developing the condition. Obesity greatly increases the chances of developing gynecomastia. Other factors that can increase the chances of developing gynecomastia are: genetic predisposition, smoking, drinking, prolonged high stress levels, physical inactivity, and drug use. The potential to develop gynecomastia with any combination of the aforementioned factors is directly proportional to age.
Gynecomastia during the neonatal period normally regresses spontaneously requiring no treatment. Gynecomastia in puberty commonly is asymptomatic and regresses spontaneously. Gynecomastia that has not spontaneously regressed from puberty will likely not do so. The only effective treatment is for this case is surgery. Gynecomastia onset in adulthood from: stress, drugs, refeeding following starvation (prolonged catabolic states), and obesity will likely not regress. Adult onset gynecomastia requires surgery for effective treatment.
The treatment modality used is direct excision of the glandular tissue, sometimes combined with lipoplasty. A day of rest following surgery is recommended. A patient can resume non-physical work a few days after surgery. Light exercise may be resumed two weeks after surgery. Rigorous/
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