Children are so obese that surgeons are having to give breast-removal operations to schoolboysChildren are so obese that surgeons are having to carry out breast-removal operations on schoolboys.
Doctors today revealed they were seeing dozens of youngsters every year who had developed female tissue because they were so overweight.
Christian Duncan, a plastic surgeon specialising in obesity-related surgery, at Liverpool's Alder Hey Hospital, said that in the last 12 months he had performed at least 20 breast reduction operations on young boys who have developed the condition known as gynecomastia.
He is also treating others, who do not yet qualify for surgery, by encouraging them to make lifestyle adjustments - like starting a healthy diet or beginning an exercise programme.
Mr Duncan, 40, said the rarely talked about condition was becoming more common in teenage boys.
And he warned the lives and self-esteem of sufferers could be "terribly damaged" by the condition.
Mr Duncan explained that while some boys have fat on their chests that makes it look like they have breasts, this is not gynecomastia and can be helped by losing weight.
Gynecomastia is caused by a hormone imbalance which can be triggered by obesity. It causes firm, tender female breast tissue to grow under the nipples.
Mr Duncan said: "This is different to someone just being overweight.
"These are firm female breasts, something any woman would be proud of.
"There isn't one month that has passed in the last 12 months where I have not seen a new patient with this condition.
"It used to be much less common and I am afraid is a sign of the growing problem of childhood obesity.
"We try to teach these boys about making lifestyle adjustments, like getting them to go to the gym, but they just won't go.
"They become very self conscious and it can start to affect their ability to socialise and concentrate at school. Often they are bullied.
"To rectify the problem for them we basically use liposuction to remove the glandular and breast tissue and fat from around the chest to give a flatter appearance."
Mr Duncan said the poor diet and increasing obesity of the boys was causing their hormones to go wrong.
He said: "Both men and women have breast tissue but there is something about obesity that triggers hormone imbalances and causes an unnatural growth in these boys.
"If nothing is done to stop the growing tide of childhood obesity in the city I expect to see more cases year on year."
The medical term gynecomastia comes from the Greek for "women-like breasts."
This embarrassing condition can affect up to 40 per cent of men to varying degrees.
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