Gynecomastia is an abnormality characterized by increased size or enlarged breasts in males. The condition is secondary to abnormal growth or proliferation of specific adipose tissues (fatty tissues) in the chest, ductal region, and stroma of adipose cells (fat cells).

Gynecomastia Surgery

Gynecomastia surgery is a surgical procedure involving male breast reduction, also called reduction mammoplasty. The procedure aims to reduce the overall size of the breasts, including volume, and help achieve a proper shape of the man’s boobs for pleasant aesthetic looks. It also maintains the viability of nipple-areola and is thus helpful in alleviating various medical conditions that may result from gynecomastia.

Causes of Gynecomastia

According to various researches and case studies, the common cause of gynecomastia is idiopathic (arising spontaneously) 

Some of the causative factors may be: 

  • 1. Use of certain drugs like 
  • 2. Spironolactone (a drug to treat hypertension or heart failure)
  • 3. Ketoconazole (a drug for treating fungal infections on the skin)
  • 4. Calcium channel blockers (for lowering the increased blood pressure)
  • 5. Marijuana
  • 6. Some pathologic etiologies that can lead to gynecomastia are 
  • 7. Cirrhosis (liver disease)
  • 8. Testicular or adrenal neoplasms (mild tumors)
  • 9. Hypogonadism (abnormal functioning of gonads, more prominently the lowered hormone production)
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Gynecomastia Surgery Risks

  • 1. Bleeding (hematoma)
  • 2. Formation of blood clots or thrombosis in deep veins
  • 3. Altered breast asymmetry
  • 4. Irregularities arising in breast shape and contour 
  • 5. Temporary alterations in the sensation of nipples and breast 
  • 6. Certain deep damages to lungs, muscles, nerves, and blood vessels
  • 7. Cardiac (heart) complications
  • 8. Pulmonary (lung) complications
  • 9. Necrosis or death of fatty tissues in the associated breasts 
  • 10. Seroma or accumulation of fluid
  • 11. Swelling or inflammation associated with certain infection
  • 12. Persistent pain
  • 13. Poor healing of wounds
  • 14. Possibility of re-attempt for the surgery because of unsatisfactory results
  • 15. Reactions to surgical equipment or materials like suture materials, tapes, glues, or injectable medicines
  • 16. Persistent and poor scarring
  • 17. Anesthesia risks with some patients
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Some people may have certain medical problems associated with the time and type of anesthesia given for gynecomastia surgery

  • 1. Hematoma is a complication most often observed in patients undergoing gynecomastia surgery.
  • 2. Seroma formation is the complication that is next to the hematoma.
  •  

Do’s and Don’ts Before Male Breast Reduction Surgery

The decision to undertake gynecomastia surgery must be based on an expert’s advice. Therefore, before deciding that a patient is an appropriate candidate for the surgical procedure to treat gynecomastia.

Some of the important do’s before gynecomastia surgery:

  • 1. To know the type of procedure
  • 2. Detailed medical history
  • 3. The age of breast development
  • 4. Change in weight
  • 5. Smoking history
  • 6. Overall medical history should be obtained
  • 7. Pain in the neck, shoulder, and back needs to be documented.
  • 8. Before surgical procedure, various medical evaluations must be performed 
  • 9. Treatment of serious underlying disease 
  • 10. Suspicious benign or malignant tumors in the breast must be taken care of first.
  •  

Preparations For Gynecomastia Surgery

Physical Preparations include:

  • 1. Refraining from the habit of tobacco, smoking, and nicotine at least certain weeks before the surgical procedure for gynecomastia and 1-2 weeks while recovering. This is an important precaution because nicotine has the ability to delay the wound healing process.
  • 2. Supplements and certain medications containing blood thinners should be avoided before and after undergoing gynecomastia surgery. Some of these medicines include; aspirin and ibuprofen.
  • 3. Consuming enough water before the surgery and after gynecomastia surgery is helpful in detoxification and hydration.
  • 4. Informing the surgeon concerned about any kind of infection or illness before the scheduled surgery is highly important.
  • 5. Do not keep on doing hard labor before surgery.
  •  

Mental Preparation:

  • 1. Be free from emotional stress, anxiety, and panic before gynecomastia surgery. 
  • 2. Gaining trust and full confidence in the surgical procedure is important.
  • 3. Taking the help of good books, videos, or games during the recovery phase.
  • 4. It is important to take atleast a day off from all sorts of work before the gynecomastia surgery in case of a desk job. Idleness help relieves stress and strengthens willpower.
  •  

Gynecomastia Surgery Procedures

There are a large number of surgical approaches for gynecomastia surgery that are described and categorized in various contexts into different groups like:

  • 1. Minimally invasive surgical procedure: Gynecomastia surgery is the least invasive in comparison to traditional methods of surgery involving large stitches and bigger wounds. Examples of minimally invasive procedures for gynecomastia are vacuum-assisted mastectomy (VAM) surgery through liposuction, and endoscopic mastectomy (ESCM)
  • 2. Small incision procedure for gynecomastia surgery: It utilizes one minute cut or incision without resecting or cutting the skin. An example is a skin-sparing mastectomy (SSPM)
  • 3. Mastectomy with skin resection (MSR): that involves skin resection breast amputation with grafting of nipples or simple mastectomy
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Recovery Time of Gynecomastia Surgery

The time required to recover after gynecomastia surgery is almost 4 – 6 weeks. This time frame differs from person to person depending upon the health conditions, the status of immunity, and wound healing. The surgeons highly recommend resting for atleast 2-3 days to help enhance the healing process.

Gynecomastia Surgery Cost in India

The primary reasons for the cost of gynecomastia surgery are the stage at which the patient is getting gynecomastia surgery and the type of surgical procedure suitable to the patient. It also depends on the type of hospital and can differ from Rs 35,000 to Rs 75,000 depending on the severity of the condition presented. The cost also includes the surgery, dressings, and follow-ups.

Insurance Cover

In most cases, gynecomastia surgery does not come under health insurance until and unless serious medical issues arise because of higher-grade excessive gynecomastia. Some finance agencies and health clinics give easy EMI options for easy financing. Glamyo health provides no-cost EMI and easy insurance approval procedures for the patients.

Frequently Asked Questions

How do I tell if it’s Gynecomastia or Chest Fat?

To differentiate between gynecomastia and chest fat is done by touching the chest region. Gynecomastia usually feels like a hard, rubbery, solid lump under the skin. The chest fat is slightly soft on touching, but gynecomastia feels comparatively firm or tighter.

Will exercise help in reducing breast enlargement in males (gynecomastia)?

Yes, exercises for atleast an hour a day will help patients with gynecomastia. The physical exercise will not be able to target the chest regions only specifically, but there can be an overall fat loss. Therefore, certain types of exercises have been introduced to reduce gynecomastia fat.

  • 1. Cardio exercises: these exercises help the patient burn the body’s excess fat to some extent and the chest region’s fat.
  • 2. Chest exercises help enhance the pectoral muscles and their size, thus reducing chest fat.
  •  

Walking or Running

These are the simplest and easy exercises to reduce fat by incorporating running exercises and daily walking into the schedule. Normal body mass index (BMI) will be eventually achieved by regularly doing these exercises.

Swimming

Swimming is also an important exercise, majorly involving the muscles of the chest and arms. Therefore, to focus on burning the fat associated with chest appearance and arms, it is necessary to utilize the arms and pectoral muscles while swimming to enhance their appearance in terms of gynecomastia improvisation.

Rowing Machines

A rowing machine can be used to do the workout for the entire body, more prominently for the chest region and arms. The rowing machines have a pulling motion that helps in strengthening the muscles of the back and chest, thus effectively burning the desired body fat. 

How to find the right doctor to conduct Gynecomastia Surgery?

For treating gynecomastia, the best doctors would be plastic surgeons. Choosing an appropriate plastic surgeon for gynecomastia surgery is important to knowing their expertise and certifications from a proper governing body. The surgeons specializing in cosmetic breast procedures are the best to choose from. 

How is Gynecomastia Surgery done at Glamyo Health Unique?

At Glamyo Health, providing advanced surgical equipment and procedures with a modernized version of surgery techniques is unique. Following are the points that make Glamyo Health the best choice for Gynecomastia surgery:

  • 1. Up-to-date contemporary techniques that leave no scars on the chest front.
  • 2. Minute incisions on the side walls of the chest (cuts are made laterally) do not compromise the appearance of the chest.
  • 3. Fastest procedure within 45 minutes
  • 4. Discharge on the same day of surgery 
  • 5. A permanent solution to gynecomastia with no chances of recurrence
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How safe Is gynecomastia surgery?

Generally, with the advent of contemporary techniques of gynecomastia surgery, it has been made an incredibly safe and smooth daycare procedure. To prevent the recurrence of the condition and unsatisfactory results, expert surgeons are needed. The hospital chosen must give proper attention to the safety and emergency of patients in case there are chances of any complications like hematoma or seroma.

Eventually, the surgical procedures performed in some best healthcare clinics like Glamyo Health that provide proof of doctor expertise and experience permit satisfactory cosmetic or aesthetic results with minimal risk of common complications.

How long does gynecomastia surgery take?

The procedure for gynecomastia is 45 minutes. Overall, it takes 1-2 hours, including dressing, anesthesia, and other pre-surgery formalities.

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