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Treatment of Gynecomastia after Steroid Use

Gynecomastia is a long-lasting side effect of anabolic steroids. It refers to enlarged breast tissue in men, distinct from weight gain-related pseudogynecomastia. Gynecomastia causes stubborn breast tissue that does not respond to weight loss or exercise. Fatty tissue can be trapped between breast tissue and is hard to lose. Even if you weren’t a professional bodybuilder but used anabolic steroids to enhance your physique at some point, you may develop the condition. Azouz Plastic and Cosmetic Surgery features experienced board-certified plastic surgeons specializing in gynecomastia treatment following steroid use.

Signs of Gynecomastia after Steroid include:

  • Large or rounded breasts without muscle definition
  • Uneven breasts or nipples
  • Enlarged areolas and nipples
  • Gyno nipples (swollen, puffy, or projecting)
  • Feeling of “rocks” and “pebbles” around the chest.

Gynecomastia from Steroids Signs and Symptoms

Gynecomastia can negatively affect a person’s psychosocial well-being, regardless of their bodybuilding status. Breast tissue and puffy nipples may lead men to avoid shirtless activities. Some men wear loose shirts or sweaters to hide their chest. Gynecomastia, or “gyno,” negatively impacts self-esteem, relationships, and mental health.

Steroid use is a common cause of man boobs, but not unique. Serious underlying conditions can cause gynecomastia. Board-certified plastic surgeon Dr. Azouz will obtain a full medical history and examination to rule out other conditions. The most effective known treatment for gynecomastia is surgical excision with liposuction.

steroid injection for muscle growth

Why Choose Top Gynecomastia Surgeon Dr. Azouz in Dallas

testosterone and estrogen

What are Anabolic Steroids?

Steroids are synthetic hormones that mimic testosterone’s effects in the body. Athletes and bodybuilders use them to increase muscle mass and strength. Steroid use can lead to serious side effects, such as gynecomastia.

How do Steroids cause Gynecomastia?

Steroids can lead to gynecomastia by raising estrogen levels in the body. Steroid use suppresses natural testosterone production, resulting in higher estrogen levels. Elevated estrogen levels can lead to abnormal breast tissue growth resulting in gynecomastia.

Nonsurgical Treatment versus Surgery for Gynecomastia after Steroid Use

The most effective treatment for gynecomastia is surgery. Dr. Azouz uses a minimally invasive approach for gynecomastia surgery. Dr. Azouz can use a single incision to hide the scar within the areola for most men. This procedure removes excess breast tissue, typically using liposuction and excision.

Gynecomastia surgery at Azouz Plastic Surgery is an outpatient procedure, allowing patients to return home the same day. Dr. Azouz primarily uses local anesthetic with sedation for gynecomastia surgery, allowing for a faster recovery than general anesthetic.

Gynecomastia in men can result from various factors, including genetics, medications, supplements, obesity, and steroid use. Common medications for gynecomastia are often ineffective and may pose complications that are riskier than surgery.

Gyno Surgery after Steroids Before and After

Medication for Gynecomastia after Steroid Use

Surgery is the most effective treatment for gynecomastia, yet many physicians still prescribe medications for it. While several medications are prescribed for gynecomastia, Dr. Azouz generally does not recommend these medications, as surgery is the gold standard for treating gynecomastia.

  • Tamoxifen is an estrogen blocker prescribed for women with breast cancer. When treating gynecomastia, it is often given chronically. Patients often report that tamoxifen does not eliminate existing gynecomastia. Long-term tamoxifen use can lead to various side effects, including serious blood clots.
  • Aromatase inhibitors block estrogen production. Similar to Tamoxifen, these drugs are prescribed for female breast cancer and are used by patients to treat or prevent gynecomastia. Patients report little to no benefit from aromatase inhibitors for gynecomastia. Aromatase inhibitors may cause serious blood clots.
  • Selective Androgen Receptor Modulators (SARMs) mimic the effects of testosterone in the body, similar to anabolic steroids. Patients often use SARMS instead of anabolic steroids, believing they are safer. SARMs can cause side effects such as gynecomastia, liver damage, reduced libido, and inhibit testosterone production. SARMs are banned in sports, similar to anabolic steroids.

Gyno Surgery in Dallas, TX

Gynecomastia after steroid use can leave you with many regrets and concerns, but it is not a condition you have to live with. Liposuction, breast tissue removal, nipple repositioning, and chest contouring can all restore your natural, more masculine-appearing chest. Incisions can often be camouflaged in order to minimize visible scarring.

As one of the most sought-after plastic surgeons in Texas, Dr. Azouz is highly experienced in treating gynecomastia after steroid use. Dr. Azouz has many decades of experience in restoring form and function with natural-looking results. Contact Azouz Plastic and Cosmetic Surgery today for a consultation.

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Frequently Asked Questions

Steroid-Related Gynecomastia

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