Klinefelter's Syndrome gynecomastia male breast surgery by Dr. Bermant
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This is a 17 year old male with a history of gradual growth of his breasts over the past four years. He was bothered by the breasts to the point of not wearing T-shirts and keeping himself covered at the beach. He states he walked with his hands covering his chest so that they were not seen. Gym activities embarrassed him. He did not have a hormonal workup before coming to my office.
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His breast examination revealed mild to moderate breast enlargement with primarily glandular tissue. His testicles were small. His pediatrician assisted with a work up that revealed Klinefelter's syndrome. This is a common cause of gynecomastia and genetic problem seen in males (1:500). Hypogonadism is a problem with small testicles and low hormone output. Some patients do not develop gynecomastia until after puberty.
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He was started by his pediatrician on testosterone hormone and had a combined excision and liposuction of his breasts.
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This is mainly a problem treated with excision. The suction lipectomy was used to contour the edges of the resection. Otherwise there would not be a smooth transition of his chest.
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Dr. Bermant has a particular interest in the Gynecomastia. He frequently lectures about Klinefelter's Syndrome and is on the Professional Advisory Board of the The American Association for Klinefelter Syndrome Information and Support (AAKSIS). |
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