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Gynecomastia Surgery

What is Gynecomastia Surgery?

Gynecomastia surgery, also known as male breast reduction surgery, is the surgical procedure performed for the treatment of overdeveloped or enlarged breasts. It flattens and enhances the chest contours by removing the excess tissue growth in the male chest region. It can be done through liposuction, gland excision, or a combination of these two techniques. 

Around 29,532 gynecomastia surgeries are performed in India annually, which signifies that a significant number of people have this condition. If you are also one of those people who have been coping with this condition in silence, you should know that male breast reduction surgery is a safe and sound technique that permanently removes breast tissues. 

Gynecomastia Surgery formation

How does gynaecomastia form?

Gynaecomastia, also known as moobs or man boobs, forms primarily due to hormonal imbalance. The breast glandular tissues are a part of both male and female anatomy. In females, the hormone estrogen controls the growth of the breast tissues and other female characteristics. In males, the testosterone hormone is the one that can control physical characteristics. These hormones are present in both males and females. And gynecomastia forms when the levels of testosterone hormone decreases and estrogen hormone levels increase due to some reason. 

Due to the high estrogen levels, the glandular tissues start to grow gradually and stop growing after some time. The large size of breasts becomes a matter of social and personal distress for males. Many men feel uncomfortable even going out and wearing clothes they like. Eventually, they have to seek treatment from experts. If you suspect that breast tissues are developing abnormally, you should talk to a plastic surgeon to discuss the best line of treatment. 

Types of disease

Pseudogynecomastia

True Gynecomastia

Causes

  • Hormonal Changes
  • Overuse of Antibiotics
  • Anxiety Medications
  • Excess of Alcohol & Drug Abuse
  • Renal/Kidney Failure

Symptoms

  • Lump of fatty tissue
  • Uneven swelling of breasts
  • Pain or tenderness in breasts
  • Nipple discharge
  • Increase in diameter of the areola

Diagnosis

You will have to visit a plastic/cosmetic surgeon to find out whether you have gynecomastia or not. The doctor will perform a physical examination to accurately diagnose whether you have gynecomastia or chest fat, also known as pseudogynecomastia. 

The physical examination is done while the patient is lying on his back. It includes:

  • Examination of the breasts in which the doctor will examine the breast’s shape, size, and firmness. 
  • The doctor will pinch test the side of the breasts around the nipple or areola. 
  • If a disk-shaped mound of tissues can be felt around the nipples, it indicates true gynecomastia. 
  • The doctor will also check the armpits or breasts to see if there are any enlarged lymph nodes present. 

Besides the physical examination, the doctor will also recommend a few tests that will allow the doctor to gather more information about your overall health and narrow down the most appropriate treatment option. 

Severity

This grade has only a minor level of enlargement in the breasts. A localized button of tissue starts to grow around the areola. The chest will only be slightly swollen, and it won’t be noticeable when you are wearing clothes. 

Gynecomastia Surgery

  • Prevention of Gynecomastia Surgery

    Prevention

    Prevention of Gynecomastia Surgery

    In most cases, it is almost impossible to prevent the development of male breasts. There are numerous factors that make these tissues grow. That’s why it is difficult to avoid them all. Still, there are some things that you can do to lower your chances of having gynecomastia. These things include:

    • Avoid using illicit and recreational drugs, such as anabolic steroids, androgens, heroin, marijuana, amphetamines, etc. 
    • Do not drink alcohol. And if you do drink alcohol, drink in moderation. 
    • Get your medicines reviewed by the doctor to find out if some medications may increase your chances of developing breast tissues. 
  • Common Myths & Facts Related to Gynecomastia

    Common Myths & Facts Related to Gynecomastia

    Common Myths & Facts Related to Gynecomastia

    Myth 1: Gynecomastia occurs due to being overweight. 

    Gynecomastia occurs because of a hormonal imbalance between male (testosterone) and female (estrogen) hormones.

     

    Myth 2: Steroids increase testosterone levels, thereby treating gynecomastia. 

    Overuse of steroids can increase the risk of testes shrinkage, which results in decreased production of testosterone. Therefore, the risk of hormonal imbalance increases. 

     

    Myth 3: Doing more chest exercise will reduce the size of male breasts. 

    Doing chest exercise will build your chest muscles that will push the breast tissues farther from the chest, making them look tuberous. 

     

    Myth 4: Genetics plays a major role in the development of gynecomastia. 

    Gynecomastia is rarely caused due to genetics. A rare genetic condition called Klinefelter Syndrome may result in gynecomastia, but it affects one male out of 550.

     

    Myth 5: Gynecomastia is a sign of breast cancer. 

    Having gynecomastia neither means that you have breast cancer nor increases your risk of developing breast cancer. 

When to consult a gynecomastia doctor?

It is common for men to misunderstand gynecomastia as chest fat or pseudo gynecomastia. They usually become concerned about the condition when it exhibits symptoms like tenderness, pain in the breast region, additional swelling in the area, etc. 

You should note that there is no right time to see a doctor regarding gynecomastia. You can decide to visit a doctor if you feel uncomfortable due to the large size of your breasts or don’t like their appearance. 

The best person to consult for gynecomastia is a plastic surgeon. But you may also need help from an endocrinologist as the condition is directly caused due to hormonal imbalance. 

Questions to ask your doctor

Are you a certified plastic surgeon?
Do you have any specialization in the field of plastic surgery?
How many years of experience do you have in performing plastic surgeries?
Do you take patients in your clinic, or do you work in association with some hospital? If so, which hospital?
Am I a good candidate for gynecomastia surgery?
What will I have to do to ensure that I get the best results from the surgical procedure?
Where and how will the surgery be performed?
Which technique will be used to treat gynecomastia?
How invasive is the surgery?
How long will it take to recover after having the surgery?
What should I expect in the recovery period, and what kind of help will I need during this period?
What are the risks and complications associated with gynecomastia surgery?
How are complications with surgery handled?
What are my treatment options if I am not satisfied with the outcome of the procedure?
What are the chances that I will need to undergo surgery again?
Do you have any before-and-after photos of previous patients to see what kind of changes the surgery will bring?

Gynecomastia Treatment Cost

The cost of gynecomastia surgery in Delhi ranges from Rs. 38,000- 65,000 approximately. 

The cost of gynecomastia surgery in Bangalore ranges from Rs. 38,000- 70,000 approximately. 

The cost of gynecomastia surgery in Mumbai ranges from Rs. 40,000- 70,000 approximately. 

The cost of gynecomastia surgery in Chennai ranges from Rs. 40,000- 70,000 approximately. 

The cost of gynecomastia surgery in Hyderabad ranges from Rs. 40,000- 70,000 approximately. 

The cost of gynecomastia surgery in Kolkata ranges from Rs. 35,000- 60,000 approximately. 

The cost of gynecomastia surgery in Pune ranges from Rs. 40,000- 70,000 approximately. 

The cost of gynecomastia surgery in Chandigarh ranges from Rs. 35,000- 60,000 approximately. 

The cost of gynecomastia surgery in Agra ranges from Rs. 35,000- 60,000 approximately. 

The cost of gynecomastia surgery in Jaipur ranges from Rs. 35,000- 60,000 approximately. 

The cost of gynecomastia surgery in Ahmedabad ranges from Rs. 35,000- 60,000 approximately. 

The cost of gynecomastia surgery in Kochi ranges from Rs. 35,000- 60,000 approximately.

Insurance coverage

Gynecomastia surgery is usually not covered under insurance as it is commonly performed for cosmetic reasons. However, there is an exception to this rule. If the condition is causing physical discomfort, pain, back issues, or spinal problems, the treatment can be covered under insurance. It still depends on your insurance provider to approve your claim for gynecomastia treatment. 

Besides this, you will also need a recommendation from your doctor that the surgery is medically necessary. Only in this condition, the insurer will cover the cost of treatment.

Latest Research

  • Latest Research of Gynecomastia Surgery

    Patient education: Gynecomastia (breast enlargement in men) (Beyond the Basics)

  • Latest Research of Gynecomastia Surgery

    The Impact and Management of Gynaecomastia in Klinefelter Syndrome

  • Latest Research of Gynecomastia Surgery

    ‘High-Definition Liposculpture’ Offers New Option for Men With Gynecomastia.

FAQ

I am a male experiencing nipple discharge and swollen breasts. It is discomforting and embarrassing. What should I do?

These can be the signs of gynecomastia that require timely consultation with the doctor. It is best to follow the course of treatment as advised by the doctor rather than indulging in self-treatment or medication.

Why are bodybuilders prone to gynecomastia?

Bodybuilders who consume anabolic steroids are at a higher risk of experiencing gynecomastia. These steroids abnormally increase estrogen production in the male body, resulting in enlarged male breasts.

Can I get rid of gynecomastia without surgery?

No, without surgery, you cannot get rid of gynecomastia completely. A healthy balanced diet and workout regime can help maintain overall body weight. But only surgery can treat gynecomastia effectively.

Does low testosterone cause gynecomastia?

Yes, low levels of testosterone (the primary male sex hormone) can sometimes cause gynecomastia.

How can I stop gynecomastia from growing worse?

To prevent gynecomastia from worsening, refrain from consuming steroids and excessive consumption of alcohol. Losing weight and exercising regularly also help manage gynecomastia by reducing manboobs’ size.

What triggers gynecomastia?

Abnormally high levels of estrogen levels in males are one of the primary triggers for gynecomastia. In addition, genetic factors also play a crucial role in gynecomastia. However, smoking, drinking, and a sedentary lifestyle are the secondary risk factors for gynecomastia.

How to know if I have manboobs or gynecomastia?

Some males develop enlarged breasts due to the accumulation of fat tissues, which makes man boobs appear. It is also called pseudo-gynecomastia. Whereas, if you are experiencing nipple discharge, swelling, and breast tenderness, you may be suffering from gynecomastia. Visit a doctor to confirm and take necessary curative measures. 

Why do bodybuilders get gyno surgery?

Gynecomastia surgery for bodybuilders involves removing the tissue that causes the chest to look puffy or enlarged. In most cases, this involves removing 100% of the breast tissue.

How time does gyno surgery take?

Gynecomastia surgery is performed under general anaesthesia on an outpatient basis. The procedure usually takes about an hour or two to complete, depending on the amount of tissue to be removed.

What is the best age for gynecomastia surgery?

Doctors recommend waiting until you are at least 18 years old to get gynecomastia surgery. At this point, your body is mostly done developing.

What are the complications of gynecomastia surgery?

Gynecomastia surgery complications include bruising, bleeding, fluid collections, contour irregularities, loss of nipple skin, visible scarring, numbness of the nipples, inverted nipples, loose breast skin and asymmetries.

Which surgery is best for gynecomastia?

2 surgery options are available:

Liposuction: This surgery removes breast fat but not the breast gland tissue itself.

Mastectomy: This type of surgery removes the breast gland tissue. The surgery is often done using only small incisions. This less invasive type of surgery involves less recovery time.

Does gynecomastia grow back after surgery?

Yes, gynecomastia can come back after male breast reduction surgery. However, cases of gynecomastia recurrence are very uncommon.

Is gynecomastia a safe surgery?

Gynecomastia surgery is generally safe, but like all surgeries, complications are there. Some potential complications such as bleeding, bruising, fluid collection, scarring, numbness and loss of sensation, or asymmetry and contour irregularity

Are there any medicines available for gynecomastia treatment?

No. There are no medicines approved by the Food & Drug Administration (FDA) for the treatment of gynecomastia. Still, there are some medicines available in the market, such as Tamoxifen. It is advisable that you should not take the medicine without the doctor’s prescription. 

Can gynecomastia recur after surgical treatment?

No. Surgery is a permanent solution for gynecomastia as it removes the glandular tissues entirely. Therefore, there are no chances that the breasts will grow again. Still, that doesn’t mean that you can’t accumulate chest fat that will again give you the appearance of man boobs.

Will there be scars after having male breast reduction surgery?

Yes. There will be minor scars as the glandular tissues are excised through an incision. However, the scar will heal over time and completely disappear within 4-6 months of having the surgery. Moreover, the incision is made in the areola, which is why it won’t be clearly visible. 

Is gynaecomastia surgery painful?

No. The surgery itself is not painful at all. You will be placed under anesthesia, and your body will be numb. Thus, you won’t feel any pain while the procedure is being carried out. However, you may experience a little bit of discomfort once the anesthesia wears out. 

What type of anesthesia will be used during the procedure?

Generally, local anesthesia is used during gynaecomastia surgery which only numbs the chest area. Every person’s body reacts in a different way to anesthesia, due to which you may be awake or asleep during the procedure. In case you have an allergic reaction to local anesthetic agents, the doctor may switch to general anesthesia. 

Facts and statistics around Gynaecomastia :

Benefits of gynecomastia surgery

As gynecomastia does not entirely vanish on its own, surgery is the best and most effective treatment. It-

  • Enhances confidence and self-esteem, especially while talking to others. 
  • Restores the natural and balanced appearance of the male chest.
  • Gives an improved masculine look to the chest.
  • Permanently removes male breast tissues and glands.
  • Puts an end to psychological trauma and negative self-talk.

Advanced gynecomastia surgery is liposuction followed by breast gland excision. It is a painless, minimally invasive procedure that offers fast and smooth recovery. In this approach, the chances of post-surgery complications are reduced significantly. 

Risks and complications

Gynecomastia surgery carries some chances of risks and complications. It depends on the surgeon’s expertise, the type of surgery (whether open or minimally invasive), and whether or not the patient follows the post-surgery care tips. 

Some of the potential risks and complications of gynecomastia surgery are as follows:

  • Internal bleeding resulting in a hematoma
  • Blood clots
  • Allergic response to anesthesia
  • Asymmetric breasts
  • Irregular contouring of male breasts
  • Altered breast or nipple sensation (temporary or permanent sensory loss)
  • Damage or trauma to the surrounding tissues, muscles, blood vessels, nerve endings, etc.
  • Pulmonary (lungs-related) complications
  • Death of fatty tissues in the breasts
  • Infection at the site of surgery
  • Persistent pain (that requires immediate consultation)
  • Scarring 
  • Allergic reaction to injected agents
  • Fluid accumulation (seroma)

It is highly advised to immediately contact your surgeon if you experience any of the above-mentioned complications. Delaying or neglecting timely medical attention may lead to life-threatening situations. 

Simple Facts-

  1. The breasts in gynecomastia often grow large and unevenly. 
  2. Most cases of gynecomastia are reported in teenage boys who are going through puberty. But it can also happen to newborn babies and older men as well. 
  3. Some cases of breast enlargement can be treated with hormone therapy, but surgery is the only permanent solution. 

India & World Statistics 

-Gynecomastia affects about 40% to 60% of Indian men. 

-In India, most males prefer undergoing minimally-invasive male breast reduction surgery, which is done by a combination of liposuction and gland excision techniques. 

-The total number of gynecomastia surgery performed in India is around 29,532. 

-According to the National Institute of Health (NIH), around 50% to 60% of adolescent males get affected by gynecomastia. 

-Pubertal gynecomastia begins at age 10-12 years old and peaks at the age of 13-14 years. It usually regresses as well within 18 months. 

-10%- 25% of gynecomastia cases are caused due to medications and drugs. 

-The prevalence of gynecomastia in males who are undergoing anti-androgen monotherapy is around 75%. 

-Klinefelter’s syndrome is associated with approximately 80% of gynecomastia cases, and it also increases the risk of breast cancer in males. 

-Almost 50% of hemodialysis patients have gynecomastia as renal failure often leads to hormonal abnormalities. 

-In around 25% of cases of gynecomastia, the cause is unknown. Hence, the condition is referred to as idiopathic gynecomastia. 

-The results of gynecomastia surgery in around 50% of the patients are cosmetically unsatisfactory through the traditional method. 

-In 2019, around 24,124 males underwent surgical treatment for gynecomastia only within the US and accounted for a 19% increase in cases since 2000. 35% of those patients were between the age of 20 to 29. 

-According to Wikipedia, gynecomastia surgery was the 11th most costly cosmetic surgery for males in 2019. 

-In the year 2019, a jury awarded $8 billion in punitive damages to the plaintiffs who were tied to the use of Risperidone, an atypical antipsychotic medicine. The plaintiffs claimed that the company disregarded the evidence that Risperidone usage could lead to gynecomastia in young males and kept promoting the medicines. The medicine was even released without disclosing the side effects. The company was found guilty and they had to pay $6.8 billion (the amount was later reduced by the Judge) to the plaintiffs. 

 

Rely on Pristyn Care to Provide Comprehensive Medical Care for Gynaecomastia Treatment All Across India 

Being one of the leading healthcare service providers across India, Pristyn Care understands what the patients need. We provide personalized care to each patient who comes to us seeking treatment for man boobs. You can rely on our professional and passionate medical and non-medical staff to provide all-inclusive care to our patients. Our services include:

  • Top-grade hospitals and clinics across various cities of India. 
  • A team of highly experienced plastic surgeons with specialization in minimally invasive procedures. 
  • Protection against COVID-19 and its variants, along with regular sanitization of the premises. 
  • Complete assistance for the patient throughout the treatment journey. 
  • Additional discounts on diagnostic tests at the partnered labs. 
  • Taking care of insurance and hospital-related paperwork and formalities. 
  • Multiple payment options with finance service through No-Cost EMI. 
  • Handling the commute service on behalf of the patient on the day of surgery. 
  • Follow-up appointments without any additional charges. 
  • Free recovery guide and diet plan provided by our doctors. 

At every step, one of our representatives will be present to take care of all your needs so that you can focus more on your health. We maintain the high standard and quality of medical care to ensure that the patient doesn’t have to worry about any aspect of the treatment. 

 

Book An Appointment with the Best Plastic Surgeons to Get Rid of Gynecomastia 

By getting in touch with Pristyn Care, you can personally contact the best plastic surgeons to undergo gynecomastia surgery. We have a dedicated Patient application available for both Android and Apple devices. By downloading the application, you can browse the list of best doctors in your city and schedule an appointment with any one of them directly at your convenience. 

You can also give us a call and fill the “Book Appointment” form to connect with our medical coordinators. They will handle all the treatment formalities and make sure that the whole journey is comfortable for you. 

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