At Vantage Plastic Surgery in New York City, Dr. Aleksandr Shteynberg is renowned for his expertise in treating all types of gynecomastia — enlarged male breast tissue caused by various factors. Dr. Shteynberg’s personalized, patient-centric approach allows him to address the full spectrum of gynecomastia cases, ranging from mild conditions to more complex, hormone-related causes. Below, we explore specific cases of gynecomastia, how they develop, and how Dr. Shteynberg’s cutting-edge techniques can help restore a natural, masculine chest contour.
1. Gynecomastia After Steroid Use
Anabolic steroids are a known contributor to gynecomastia, particularly among bodybuilders and athletes. Steroid use can lead to hormonal imbalances, raising estrogen levels while suppressing testosterone, which promotes the development of breast tissue in men.
- Treatment: Dr. Shteynberg is highly skilled in addressing steroid-induced gynecomastia with a combination of liposuction and glandular tissue excision to remove excess tissue and restore a sculpted, masculine chest. His advanced techniques minimize scarring and ensure a natural appearance.
- Statistics: Studies suggest that up to 30-40% of men who use anabolic steroids will experience some form of gynecomastia.
2. Gynecomastia Associated with Cancer
Certain cancers, such as testicular cancer, adrenal tumors, and pituitary gland disorders, can disrupt hormone production, leading to gynecomastia. Estrogen production can be elevated in these conditions, resulting in breast tissue growth.
Treatment: Dr. Shteynberg works closely with oncologists and endocrinologists to develop a treatment plan that addresses both the gynecomastia and the underlying cancer. Surgery often involves gland removal and liposuction to create a more masculine chest profile.
3. Gynecomastia Caused by Recreational Drug Use
Recreational drugs, such as marijuana, heroin, and other illicit substances, can also alter hormone levels and contribute to gynecomastia. These substances may lead to elevated estrogen levels or hormonal imbalances.
Treatment: The first step in treating drug-induced gynecomastia is discontinuation of the substance. If the condition persists, surgical intervention, including liposuction and glandular excision, may be required.
4. Gynecomastia Due to Hormonal Disorders
Hormonal imbalances caused by conditions like hypogonadism, hyperthyroidism, or Klinefelter syndrome can result in gynecomastia. These disorders can cause an increase in estrogen or a decrease in testosterone, leading to breast tissue growth.
- Treatment: Dr. Shteynberg takes a holistic approach by working with endocrinologists to address the hormonal imbalance before considering surgery. In many cases, glandular tissue excision is the most effective surgical solution.
- Statistics: According to the American Society of Plastic Surgeons (ASPS), about 10-15% of men with certain hormonal disorders will develop gynecomastia.
5. Gynecomastia from Medication Use
Certain medications, such as anti-androgens, antidepressants, antipsychotics, and heart medications, can cause gynecomastia as a side effect. The National Institutes of Health (NIH) reports that up to 25% of men using certain medications may experience breast tissue enlargement.
Treatment: Dr. Shteynberg works with your prescribing doctor to assess whether switching medications can resolve the issue. If the gynecomastia persists, liposuction and glandular excision are often used to restore a more masculine chest contour.
6. Gynecomastia in Aging Men
As men age, testosterone levels naturally decline, and estrogen levels may remain the same or increase. This age-related hormonal change often leads to gynecomastia, particularly in men over the age of 50.
- Treatment: For older men, Dr. Shteynberg uses advanced techniques like liposuction and skin-tightening procedures to correct sagging tissue and restore a firmer, more youthful chest.
- Statistics: Approximately 30-40% of men over the age of 50 experience some degree of gynecomastia due to hormonal changes associated with aging.
7. Gynecomastia in Athletes
Athletes, particularly those involved in endurance sports or intense physical training, may develop gynecomastia due to low body fat or hormonal fluctuations. Stress and overtraining can also impact hormone levels, triggering breast tissue growth.
Treatment: Dr. Shteynberg can tailor a treatment plan to restore chest contour without compromising athletic performance. In many cases, liposuction or glandular excision is the recommended surgical option.
8. Gynecomastia in Bodybuilders
Bodybuilders, especially those who use performance-enhancing drugs (PEDs), are at a higher risk for developing gynecomastia. Even without steroids, extreme fluctuations in body fat or muscle mass can lead to breast tissue growth.
Treatment: Dr. Shteynberg combines liposuction, gland excision, and skin tightening techniques to address the chest deformity and ensure a sculpted, masculine appearance.
9. Gynecomastia in Teens
Adolescence is a common time for gynecomastia to develop due to fluctuating hormone levels. In many cases, pubertal gynecomastia resolves on its own, but for some teens, it can persist, leading to emotional distress and physical discomfort.
- Treatment: For teens with persistent gynecomastia, Dr. Shteynberg offers minimally invasive procedures to remove excess tissue and restore a normal chest contour, all while preserving the patient’s youthful appearance.
- Statistics: 60-70% of adolescent males experience some form of gynecomastia during puberty, although the condition resolves in most cases.
10. Gynecomastia Related to Liver or Kidney Disease
Liver diseases (e.g., cirrhosis) and kidney diseases can disrupt hormone processing, leading to an imbalance in estrogen and testosterone levels, which can trigger gynecomastia.
Treatment: Dr. Shteynberg collaborates with medical specialists to manage the underlying condition. Surgical treatment may involve glandular excision and liposuction to address the physical symptoms of gynecomastia.
11. Idiopathic Gynecomastia
In some cases, gynecomastia develops without an identifiable cause—this is called idiopathic gynecomastia. It may affect men of any age, often presenting as a persistent enlargement of the breast tissue.
Treatment: Dr. Shteynberg uses advanced surgical techniques to remove excess tissue and restore a natural chest contour. In cases where no underlying cause is found, surgery remains the primary option for treatment.
12. Post-Weight Loss Gynecomastia
After significant weight loss, whether from bariatric surgery or dieting, excess skin and remaining breast tissue may cause gynecomastia. This often occurs when the body has shed a considerable amount of fat, but the breast tissue remains prominent.
Treatment: Dr. Shteynberg specializes in body contouring after weight loss, including liposuction, skin tightening, and glandular tissue removal to achieve a flatter, firmer chest.
13. Unilateral Gynecomastia
Unilateral gynecomastia refers to the development of breast tissue on one side of the chest. This condition may result from hormonal imbalances, trauma, or certain medications.
Treatment: Dr. Shteynberg performs precise liposuction and glandular excision to correct the asymmetry and restore balance, ensuring the chest appears natural and uniform.
Why Choose Dr. Aleksandr Shteynberg?
Dr. Shteynberg’s reputation as one of the top gynecomastia surgeons in New York City is built on his comprehensive approach, advanced surgical techniques, and dedication to achieving natural, sculpted results. He is a board-certified plastic surgeon with specialized training in male chest contouring and has performed hundreds of successful gynecomastia surgeries. Dr. Shteynberg is also known for:
- Minimizing Scarring: Utilizing advanced techniques to ensure discreet, minimal scarring.
- Personalized Care: Tailoring each treatment plan to address the unique needs and goals of every patient.
- Expert in Male Aesthetic Surgery: Dr. Shteynberg has worked with a wide range of gynecomastia cases and is committed to achieving optimal outcomes.
Gynecomastia Before & After Photos
Frequently Asked Questions
Steroid use can lead to hormonal imbalances, specifically increasing estrogen levels while lowering testosterone. This imbalance promotes the growth of excess breast tissue. For men using steroids, liposuction and glandular excision are often effective treatments.
Certain cancers can disrupt normal hormone production, leading to excess estrogen and gynecomastia. In these cases, treatment focuses on addressing both the gynecomastia and the underlying cancer, with surgery often involving the removal of breast tissue.
Yes, hormonal changes due to aging (especially a decrease in testosterone) can lead to gynecomastia in men over 50. Dr. Shteynberg uses advanced techniques to remove excess tissue and restore a more youthful, masculine chest.
Schedule Your Consultation Today
If you’re experiencing gynecomastia or would like to learn more about your treatment options, Dr. Aleksandr Shteynberg and the team at Vantage Plastic Surgery are here to help. Contact us today to schedule your consultation and take the first step toward achieving a more confident you.
