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Liposuction provides effective solution to this form of gynecomastia. The surgery is performed on an outpatient basis under local anesthesia with sedation or general anesthesia. It is composed not of glandular tissue, but of adipose tissue mainly. Due to excess testosterone levels from steroids, which are converted to estrogen, bodybuilders and other athletes are sometimes afflicted with gynecomastia in its purest form. Exercise and diet may be effective in combating pseudogynecomastia. This is itself determined in part by age, as older persons suffering from gynecomastia tend to have less skin elasticity and thus will have a greater abundance of excess skin related to gynecomastia. Adult: This is the most common form of gynecomastia. As many as thirty percent may live with enlarged male breasts for the rest of their lives, but in other cases the gynecomastia will recede with age.

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