男性女乳症 - An Overview
男性女乳症常見於青春期與老年，可能因荷爾蒙失衡或藥物影響而出現乳房腫大。本文說明常見症狀、可能成因、檢查與以微創手術為主的治療選項，以及術後護理與日常自我照護要點，協助讀者判斷就醫時機與心理調適方向。大家可能都知道男性女乳手術是「抽脂手術搭配乳腺移除」難道不能單純移除乳腺就好嗎？
想改善男性女乳症該怎麼做呢？減肥可以改善男性女乳嗎？其實許多人都將男性女乳症與肥胖連結在一起，誤以為減肥後隨著整體脂肪減少，胸前的男性女乳症狀也會隨之消失，真的是這樣嗎？讓我們看看專業醫師怎麼說。
多數男性女乳症成因是成長過程中自然的生理現象，受到荷爾蒙波動、雌激素與雄激素失衡的影響，因此導致青春期胸部硬塊、乳腺組織過度增長，進而造成胸部隆起的外觀。
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藥物治療 在某些情況下，醫師可能透過藥物來調節患者體內激素平衡，從而減少乳房腫脹達到治療男性女乳症的效果，要注意的是藥物治療的療效因人而異，治療週期可能需要數月甚至數年，須由專業醫生根據患者的情況和病因進行綜合評估與治療。
切開乳暈周圍，移除多餘的脂肪和乳腺組織，然後止血和縫合。如果移除乳腺組織和脂肪後，乳房皮膚出現鬆弛的情況，可以考慮同時切除部分皮膚，進一步達到緊實皮膚的效果。
男性女乳症治療前，一定要先確認病因，篩檢出次發性的原因並且治療它。一般可先於門診抽血檢查賀爾蒙的血液濃度或肝臟功能檢測等項目。身體評估包含胸部發育，睪丸發育，肝臟等。另外，有些藥物也會造成男性女乳症，包括一些賀爾蒙製劑，高血壓藥，強心劑及降血壓藥，以及胃潰瘍用藥，服藥病史一定要詳加告知醫生，以免醫生誤判。
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男性一生中有三個相對好發的時期：新生兒期、青春期以及老年期。青春期是比例最高的時段，常因荷爾蒙波動而短暫出現乳房腫大。
蔡昀達醫師自馬偕醫院外科與乳房專門外科訓練體系出身多年，除了在專業技術與美學領域不斷琢磨、精進，為了深受女乳症困擾的廣大男性，更獨創出【4D 胸廓塑型術】。
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