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Gynecomastia or enlargement of the male breast may produce an unwanted feminizing appearance. This is typically caused by an increase in stromal (connective) and ductal tissue, however a serious underlying cause should always be considered. The incidence of occurrence in naval military exams is about 8 in 100,000. Gynecomastia is noted normally to some degree in pubescence with incidence as high as 65% in boys aged 14 to 15 years. By late teens this finding lessens to 7.7%. Cosmetic surgeons consider 3 grades:

I. a button of extra tissue under the areola (the pigmented area surrounding the nipple)

II. diffuse enlargement with indistinct peripheral margins.

III. further mass effect with excessive skin involvement.

To see before and after examples, visit our web-site and click on photographic examples

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