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Gynecomastia Causes Men
4Jul

Being a male, you would nod in agreement that discussing your body image is highly sensitive, especially if it is not in your control. One such issue that doesn’t get discussed often is gynecomastia or an enlarged male breast condition. Even if it is not life-threatening or serious, gynecomastia can negatively impact your mental and physical health. However, the relieving fact is that this condition of enlarged glandular tissue can be treated with gynecomastia surgery to achieve a flat and contoured chest. However, it is essential to understand the causes behind it to make a well-informed treatment approach.

What is Gynecomastia?

Males having abnormal growth of breast tissue develop a common condition called Gynecomastia. Though males have a tiny percentage of breast tissue, they experience abnormal growth due to gynecomastia on one or both sides. Despite being a non-cancerous or non-threatening condition, this condition induced by enlarged male breast tissue can cause psychological distress and affect your self-esteem. Gynecomastia can occur in males at various life stages, from infancy to old age [1].

It is much different than pseudogynecomastia which develops when there is excess fat deposit in the chest without any excess breast tissue enlargement. Gynecomastia might range from a well-pronounced breast enlargement like that of a female to a subtle swelling or lump under the nipple. Such development of glandular tissue in males is often triggered by several factors like hormonal changes, substance usage, obesity, medications, puberty, underlying health conditions, and more. It is essential to get a clear-cut idea about the causes to demystify gynecomastia to manage it effectively with the best treatment option.

Top 10 Causes Of Gynecomastia

Here’s a detailed breakdown of the common factors that contribute to the development of gynecomastia among males of varying age groups.

1. Hormonal Imbalances Leading to Gynecomastia

Gynecomastia condition is usually caused by an imbalance in the proportion of hormones, specifically the balance between testosterone or androgens and estrogen. The role of hormonal imbalance in influencing the occurrence of gynecomastia can be due to:

  • Estrogen Dominance: This hormone is responsible for the growth of breast tissue among males and females. When the levels of estrogen are higher than testosterone, it can kindle the enlargement of your glandular tissue. Estrogen levels tend to increase owing to excess aromatase enzyme activity in your body.
  • Testosterone Deficiency: This hormone is essential for your body’s development and combats breast tissue development. However, when the levels of testosterone decline, it fails to inhibit glandular tissue growth, making estrogen to become more dominant. There would be low levels of testosterone production when your body develops androgen resistance or due to hypogonadism condition.

2. Medications That Can Cause Gynecomastia

Certain medications can induce gynecomastia condition as a side effect, as some formulations of the drugs might hamper the hormonal balance. The medications that might lead to gynecomastia are:

  • Antiandrogen Medications: Medications like finasteride or Flutamide might inhibit androgen activity and might spike estrogen in your body leading to gynecomastia[2]. They can interact with your body’s androgen receptors and lower the production of testosterone production.
  • Cardiovascular Medications: Medications for heart-related issues like calcium channel blockers might increase estrogen levels in the body due to their antiandrogenic effects.
  • Antipsychotic Medications: Taking antipsychotics like chlorpromazine, risperidone, and haloperidol might block your body’s dopamine receptors causing the pituitary gland to produce more prolactin[3].
  • Chemotherapy Drugs: Taking drugs to cure prostate cancer might hinder your hormonal balance leading to enlarged breasts.

3. Impact of Steroid Use

Athletes and bodybuilders taking synthetic substances like anabolic steroids often face the risk of developing gynecomastia. Steroid-induced enlarged glandular tissue is caused by:

  • Rise In Aromatase Activity: This enzyme takes care of the conversion of testosterone into estrogen[4]. Regular use of steroids will spike aromatase activity and increase the rate of estrogen conversion.
  • Testosterone Production Gets Affected: Steroids are capable of suppressing the production of testosterone by mimicking its effects[5]. So, there would be a deficit in the levels of this hormone and a rise in estrogen activity.
  • Activates Estrogen Receptors: Steroids that you use might bind with your body’s estrogen receptors present in breast tissue, thereby increasing the growth rate to cause gynecomastia[6].

4. Obesity and Fat Distribution

Obesity is often ignored as a major cause of the enlargement of glandular tissue in men. Here’s why obesity triggers enlarged breast issues:

  • Irregular Fat Distribution: Some men’s bodies might store excess fat in their chest area or upper body, which can lead to enlarged breast condition. Abnormal fat distribution in the chest increases breast volume and makes it look protruded.
  • High Aromatase Activity: In obese males, there would be an increase in aromatase activity in their adipose tissue, which causes gynecomastia.
  • Metabolic Syndrome: Visceral fat in obese men can trigger metabolic syndrome along with insulin resistance, which in turn disrupts hormone levels. It raises SHBG or sex hormone-inducing globulin and leptin levels by affecting HPG or hypothalamus-pituitary-gonadal activity to cut down free testosterone levels.

5. Alcohol Consumption

Too much consumption of alcohol can hinder the hormone balance in your body. This might cause gynecomastia. Alcohol can cause the following effects on your body:

  • It lowers your body’s ability of hormone metabolizing activity, which can lead to liver diseases.
  • It increases the levels of estrogen hormones in your bloodstream.
  • Cuts down testosterone production to create fluctuations in hormones that cause gynecomastia.
  • It causes an increase in aromatase activity, which also affects hormone proportion in your body.
  • The presence of phytoestrogens in beer causes hormonal imbalance by mimicking the activity of estrogen in your body.

6. Chronic Health Conditions

Various health conditions will cause disruptions in the hormone levels in your body. These underlying health issues might also be the culprit causing gynecomastia.

  • Testicular Conditions: Any injury or tumors present in the testicles might affect the production levels of testosterone, which in turn increases the growth of breast glandular tissue.
  • Liver Issues: If you have liver damage, there would be issues with metabolizing hormones, which might trigger the buildup of estrogen.
  • Hyperthyroidism: If your thyroid gland is hyperactive, it causes a rise in the level of hormones produced, which might kindle the growth of breast tissue.
  • Kidney Issues: Men who have to undergo dialysis treatment for a long term might develop gynecomastia due to hormonal imbalance.
  • Hypogonadism: When your reproductive system fails to produce the required level of testosterone, it can affect the ratio of hormones. Such hormonal disruptions would cause enlarged breasts along with symptoms like sexual dysfunction, and hair loss.

7. Puberty-Related Gynecomastia

Pubertal gynecomastia is a common condition that affects boys aged between 10 and 14 years in entering the puberty stage. During adolescence, about 60% of teenage boys develop glandular tissue growth in the chest area owing to temporary fluctuations in testosterone levels.

8. Aging and Hormonal Changes

With age, men often face the risk of developing gynecomastia owing to a fall in the levels of testosterone production, which takes care of inhibiting glandular tissue growth[7]. This ability of the male sex hormone will be affected when there is a rise in estrogen levels. Around 70% of men aged above 50 might develop gynecomastia due to the decline in the production level of testosterone.

9. Drug Use

Using recreational substances can be extremely harmful to your body’s hormones and can cause gynecomastia, especially among young men.

  • Marijuana: Substances like marijuana will disrupt the production of hormones leading to glandular tissue enlargement in the breast. The compounds present in it get bound to the receptors of estrogen to stimulate abnormal growth of breast tissue[8].
  • Other Substances: Drugs like amphetamines, methadone, and heroin will obstruct the pathways involved in hormone production by causing damage to vital organs that regulate hormones.

10. Genetic Disorders

Though not a common cause, certain genetic disorders might be responsible for your gynecomastia.

  • Androgen Insensitivity Syndrome: This genetic condition will impair your body’s ability to respond and accept the activity of the male sex hormone[9].
  • Klinefelter Syndrome: It causes your body to produce an extra X chromosome that might improve estrogen levels while declining testosterone activity[10].

Idiopathic Cases with No Clear Cause

Few cases of gynecomastia remain a mystery as the exact cause behind it is unknown, which is why it is called idiopathic gynecomastia[11]. It is estimated that about 25% of gynecomastia cases don’t have the right cause even after a thorough clinical evaluation. Such unexplained enlarged glandular tissue might be a result of subtle variations in hormones, genetic factors, or high sensitivity of breast tissue. Sometimes, exposure to industrial chemicals, pesticides, or plastics might increase estrogen levels leading to gynecomastia. Though such idiopathic gynecomastia condition is not serious, patients dealing with it face psychological distress and have low confidence. However, you can schedule a consultation with the plastic surgeon at Akruti Plastic & Cosmetic Surgery Centre to learn more about gynecomastia surgery to get a well-contoured chest.

Citation

  1. Dickson G. Gynecomastia. Am Fam Physician. 2012 Apr 1;85(7):716-22. PMID: 22534349. – https://www.aafp.org/pubs/afp/issues/2012/0401/p716.html
  2. Johnson DB, Sonthalia S. Flutamide. [Updated 2023 May 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482215/
    – https://www.ncbi.nlm.nih.gov/books/NBK482215/
  3. Wilson JD. Endocrinology. In Fauci AS, Martin JB, Braunwald E et al (Eds) Harrison’s Principles of Internal Medicine. 14th edition. 1998: International Edition, McGraw-Hill Inc. – https://www.medsafe.govt.nz/profs/puarticles/hyperpro.htm
  4. Ishikawa T, Glidewell-Kenney C, Jameson JL. Aromatase-independent testosterone conversion into estrogenic steroids is inhibited by a 5 alpha-reductase inhibitor. J Steroid Biochem Mol Biol. 2006 Feb;98(2-3):133-8. doi: 10.1016/j.jsbmb.2005.09.004. Epub 2005 Dec 28. PMID: 16386416. – https://pubmed.ncbi.nlm.nih.gov/16386416/
  5. Bond P, Smit DL, de Ronde W. Anabolic-androgenic steroids: How do they work and what are the risks? Front Endocrinol (Lausanne). 2022 Dec 19;13:1059473. doi: 10.3389/fendo.2022.1059473. PMID: 36644692; PMCID: PMC9837614. – https://pmc.ncbi.nlm.nih.gov/articles/PMC9837614/
  6. Segner, Helmut E. – University of Bern, Bern, Switzerland – https://www.sciencedirect.com/topics/agricultural-and-biological-sciences/estrogen-receptor
  7. Swerdloff RS, Ng JCM. Gynecomastia: Etiology, Diagnosis, and Treatment. [Updated 2023 Jan 6]. In: Feingold KR, Ahmed SF, Anawalt B, et al., editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK279105/ – https://www.ncbi.nlm.nih.gov/books/NBK279105/
  8. Harmon, J. W., & Aliapoulios, M. A. (1974). Marijuana induced gynecomastia: clinical and laboratory experience. Surgical forum, Vol. 25, 423-425. – https://pure.johnshopkins.edu/
  9. Gottlieb B, Trifiro MA. Androgen Insensitivity Syndrome. 1999 Mar 24 [Updated 2017 May 11]. In: Adam MP, Feldman J, Mirzaa GM, et al., editors. GeneReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 1993-2025. Available from: https://www.ncbi.nlm.nih.gov/books/NBK1429/ – https://www.ncbi.nlm.nih.gov/books/NBK1429/
  10. Los E, Leslie SW, Kadam SJ, et al. Klinefelter Syndrome. [Updated 2025 May 5]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482314/ – https://www.ncbi.nlm.nih.gov/books/NBK482314/
  11. Herbert SL, Ergezinger K, Sauer S, Kurz F, Schlaiß T, Wöckel A, Albert US. Prepubertal Idiopathic Unilateral Gynecomastia: Case Report and Literature Review. Breast Care (Basel). 2022 Dec;17(6):573-579. doi: 10.1159/000525096. Epub 2022 May 17. PMID: 36590144; PMCID: PMC9801404. – https://pmc.ncbi.nlm.nih.gov/articles/PMC9801404/
Gynecomastia Surgery Cost Hyderabad
19Jun

Gynecomastia refers to an enlarged breast tissue condition commonly experienced by teenage boys and grownups. This condition, although not serious, can have a physical and emotional impact on men of different age groups [1]. The unsightly look of enlarged breasts can sometimes make you feel conscious, embarrassed, anxious, and develop low self-esteem [2]. Thankfully, Gynecomastia surgery can help restore your confidence and regain your social life. If you are residing in India and wish to opt for Gynecomastia surgery, this write-up will provide you an insight into the cost of the procedure, the factors influencing it, and what’s excluded or included in it.

What is Gynecomastia?

Gynecomastia, a condition triggered by male breast tissue enlargement develops owing to a fluctuation in the levels of testosterone and estrogen hormones [3]. It can be detected in both or single breast, causing pain, discomfort, and distress. The tenderness or breast inflammation will vary based on the severity of Gynecomastia and some might have feminine-like breasts, making it noticeable [4]. Factors like changes in hormone levels [5], specific medications, obesity, and lifestyle might cause Gynecomastia, which can put you at a higher risk of developing cancer. Gynecomastia is classified into:

  • Pseudogynecomastia: This condition develops when your chest area has excess fat upon gaining excess weight or obesity. It is not triggered by glandular tissue.
  • True Gynecomastia: It develops when the glandular tissue in the breast faces abnormal growth, specifically due to hormonal fluctuations.

Gynecomastia Surgery: An Apt Solution

Gynecomastia surgery is a perfect solution to get rid of an enlarged breast, especially if the glandular enlargement is severe and persistent, triggering emotional distress. This breast reduction surgery for males is a very effective procedure that is safe for eliminating excess glandular fat and tissue to create a taut and contoured chest. Several techniques are employed while performing Gynecomastia surgery to eliminate glandular fat and tissue completely.

  • Liposuction Technique: Your surgeon would remove the unwanted fat in your chest region with a cannula tube, making it an apt choice for pseudogynecomastia [6].
  • Excision Method: If you have severe Gynecomastia, your surgeon might prefer an excision technique to remove excess glandular tissue [7]. It is performed by making tiny incisions near the areola to prevent scarring.
  • Combination Method: For best output, your surgeon would use both removal of glandular tissue and liposuction for well-defined pectoral muscles.

Factors Affecting Gynecomastia Surgery Cost

Enlarged breasts in men can hurt their everyday life. Surgical intervention can help resolve Gynecomastia and help you regain lost confidence. The cost of Gynecomastia surgery tends to differ, as several factors can affect the final surgical cost. Obtaining maximum information regarding Gynecomastia surgery cost will help you make a well-informed decision. The factors that might influence Gynecomastia surgery cost are:

1. Surgery Type

The type of Gynecomastia surgery you might have to undergo plays a vital role in deciding the cost factor. Of the two types, liposuction is minimally invasive and helps in eradicating excess fat, making it cost-effective. Excision procedure, on the other hand, handles loose skin and glandular tissue removal, making it a complex surgery. For some men, the surgeon would suggest a combination of both procedures along with mastoplasty, if needed. Based on the type of your Gynecomastia surgery, the cost might vary.

2. The expertise of the Surgeon

To get the best outcome from the Gynecomastia surgical procedure, you must approach a trusted clinic with expert surgeons like Akruti. These surgeons like Dr. Rambhupal Rao would have several years of experience and specialize in performing all types of Gynecomastia surgery. You might have to pay a higher surgical cost for a surgeon with exceptional experience to avoid risks and get better results. The money you spend on Gynecomastia surgery would be worth it as you can be assured of better outcomes and safety when handled by an expert surgeon.

3. Clinic Location

The location of the healthcare facility where you intend to get Gynecomastia surgery will have a major influence on overall cost. If your clinic is located in metropolitan Indian cities like Chennai, Delhi, Bangalore, or Mumbai, you might have to spend more on surgical costs. However, if your clinic is located in Hyderabad or other cities, the cost of Gynecomastia surgery would be relatively less. However, you need not worry about the quality of patient care in clinics in smaller cities when you choose a reputed facility.

4. Gynecomastia Severity

The Gynecomastia surgical cost in India is mostly based on the severity of your breast tissue enlargement. If the severity is on a small scale, then it might need slight correction through surgery, making it low-cost. However, if you need glandular tissue correction in the chest area to rectify issues like saggy breasts or loose skin, the procedure would be complex and time-consuming. In such cases of Gynecomastia severity, you might have to spend more on surgical costs.

5. Facilities and Standard of Clinic

The quality standards maintained by the clinic you choose for the Gynecomastia procedure are a major determinant of surgical cost. If you have chosen a reputed clinic like Akruti Plastic & Cosmetic Surgery Centre, then you will get access to world-class treatments with superior technology and an expert medical team. Plus, surgery procedures like Gynecomastia would be performed with better safety measures, thanks to their advanced infrastructure.

Average Cost of Gynecomastia Surgery in India

To help you get a better understanding of the Gynecomastia surgery cost in India, here’s a comprehensive breakdown of the average cost of the Gynecomastia procedure in popular cities in the country.

  • Delhi: You might have to spend between Rs.55000 to Rs. 85000 for Gynecomastia surgery in Delhi. It might reach up to Rs.1,60,000 for complex surgical procedures.
  • Bangalore: You can get Gynecomastia surgery in Bangalore at a cost range of Rs.48,000 to Rs.95,000. For challenging and severe conditions, it might cost up to Rs.1,50,000.
  • Mumbai: For Gynecomastia surgery, Mumbai-based clinics might charge you between Rs.55,000 to Rs.90,000, which can reach Rs.1,65,000 based on the procedure.
  • Chennai: The beginning cost range of Gynecomastia surgery in Chennai is Rs.45000 to Rs.90,000. You might have to spend about Rs.1,30,000 for complex cases based on severity.
  • Hyderabad: In cities like Hyderabad, the range of Gynecomastia surgery would vary between Rs.35000 and Rs.85000. The cost might vary based on your Gynecomastia grade [8], anesthesia type used, procedure type, and post and pre-surgery needs.

Inclusions and Exclusions in Gynecomastia Surgery Cost

Inclusions: The following aspects would be included in the Gynecomastia Surgery Cost:

  • Fee for plastic surgeon
  • Charges for anesthesiologist for administering anesthesia
  • Charges for Operation Theatre
  • Cost of pre-surgical investigations (X-ray and blood work)
  • Recovery medications post-surgery
  • Cost of Compression garment
  • Hospital stay (daycare)
  • Initial consultation sessions for follow-up

Exclusions: These aspects might not be included in the total Gynecomastia Surgery Cost, as it might not be applicable for all patients. Some people might have to pay for:

  • Advanced tests like mammography or ultrasound
  • Extra procedures like liposuction to tighten skin
  • Medication costs if any complications arise
  • Extended hospital stay costs if you experience delay in recovery or complications
  • Correction or Revision surgery

Gynecomastia Surgery Cost vs. Quality Considerations

While considering Gynecomastia surgery, it is essential to look beyond the price tag to make a note of key quality considerations for better results.

Expertise of Your Surgeon

If you are opting for Gynecomastia surgery at a low-cost clinic with minimal reputation, you might have to put up with an inexperienced surgeon. Choosing the services of a reputed clinic like Akruti Plastic & Cosmetic Surgery Centre with a certified surgeon like Dr.Rambhupal Rao specializing in performing male breast reduction will help you get minimal scars and symmetrical results.

Surgical Techniques

Small clinics offering low-cost Gynecomastia surgery might use outdated techniques that might fail to eradicate glandular tissue completely. Opting for premium surgical procedures offered by well-known clinics will help you get the best results by employing the latest techniques like gland excision or liposuction.

Quality Standards

Non-accredited clinics in small towns might have just basic amenities and low-standard hygiene measures. The reputed ones in major Indian cities will have completely advanced equipment along with better hygiene protocols.

Post-operative Care

The low-cost surgical procedure for Gynecomastia at sub-standard clinics might only have generic instructions during post-operative care. Renowned clinics specializing in breast reduction surgery would have customized post-operative care processes, follow-ups, and guidance.

Final Tips and Patient Advice

  • Choose a reputed healthcare facility like Akruti offering Gynecomastia surgery with a certified plastic surgeon to get a contoured chest.
  • Check before and after Gynecomastia surgery pics at the clinic website for better understanding.
  • Opt for an all-inclusive package for Gynecomastia surgery and know what’s included and excluded in the cost.
  • Stay prepared before your Gynecomastia surgery by avoiding blood thinning medications and quitting smoking and drinking alcohol.
  • Have realistic expectations and be patient during recovery for your bruising and slight swelling to subside naturally.
  • You can discuss the revision policies of the clinic to have a clear-cut understanding of the procedure.

Reference

  • Zavlin D, Jubbal KT, Friedman JD, Echo A. Complications and Outcomes After Gynecomastia Surgery: Analysis of 204 Pediatric and 1583 Adult Cases from a National Multi-center Database. Aesthetic Plast Surg. 2017 Aug;41(4):761-767. doi: 10.1007/s00266-017-0833-z. Epub 2017 Mar 24. PMID: 28341949. – https://pubmed.ncbi.nlm.nih.gov/28341949/
  • Sollie M. Management of gynecomastia-changes in psychological aspects after surgery-a systematic review. Gland Surg. 2018 Aug;7(Suppl 1):S70-S76. doi: 10.21037/gs.2018.03.09. PMID: 30175067; PMCID: PMC6107601. – https://pmc.ncbi.nlm.nih.gov/articles/PMC6107601/
  • Vandeven HA, Pensler JM. Gynecomastia. [Updated 2023 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430812/ – https://www.ncbi.nlm.nih.gov/books/NBK430812/
  • Innocenti A, Melita D, Mori F, Ciancio F, Innocenti M. Management of Gynecomastia in Patients With Different Body Types: Considerations on 312 Consecutive Treated Cases. Ann Plast Surg. 2017 May;78(5):492-496. doi: 10.1097/SAP.0000000000000940. PMID: 27805927; PMCID: PMC5400408. – https://pmc.ncbi.nlm.nih.gov/articles/PMC5400408/
  • Swerdloff RS, Ng JCM. Gynecomastia: Etiology, Diagnosis, and Treatment. [Updated 2023 Jan 6]. In: Feingold KR, Ahmed SF, Anawalt B, et al., editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK279105/ – https://www.ncbi.nlm.nih.gov/books/NBK279105/
  • Plastic Surgery Unit, General Surgery, Zagazig University, Zagazig, Egypt. – https://www.scirp.org/journal/paperinformation?paperid=61118
  • Mladick RA. Gynecomastia. Liposuction and excision. Clin Plast Surg. 1991 Oct;18(4):815-22. PMID: 1934894. – https://pubmed.ncbi.nlm.nih.gov/1934894/
  • Punia S, Gupta A. A New Clinical Classification for Gynecomastia Management and Predictive Outcome. Indian J Plast Surg. 2023 Jul 28;56(4):332-337. doi: 10.1055/s-0043-1770963. PMID: 37705810; PMCID: PMC10497332 – https://pmc.ncbi.nlm.nih.gov/articles/PMC10497332/
Gynecomastia vs. Fat Chest
23May

Gynecomastia is much different than a fat chest as it will not respond to the modifications you make in your diet and lifestyle. Gynecomastia develops when there is an abnormal level of glandular tissue growth. The key reason behind the enlargement of glandular tissue is an imbalance in hormones. Men tend to have concerns when their chest becomes noticeable and enlarged, making them seek the best methods for eliminating it. The perfect treatment option for male breast reduction will help achieve a flat chest featuring well-defined pectorals. Keep reading to learn how to identify the differences between Gynecomastia and fat chest before you consult a plastic surgeon.

Man Boobs Aren’t Always Gynecomastia

Enlarged breast of men or man boobs is not always a symptom related to Gynecomastia, which develops due to the excess growth of male glandular tissue [1]. Gynecomastia occurs when there is an imbalance in male and female hormones, an increase in body weight, and taking specific medications. Most often, mam boobs develop due to accumulated fat cells, a medical condition called pseudoGynecomastia [2].

Other contributing factors of pseudoGynecomastia are excess muscle formation in your chest, body composition variations, and bad posture. You need to have a better understanding of the causes of your breast enlargement and distinguish Gynecomastia from fat chest, as the treatments for each condition are different. You can get diagnosed by an experienced doctor to determine the effective treatment to address breast enlargement and to get rid of the psychological stress associated with it.

What is Gynecomastia?

Gynecomastia or male breast tissue enlargement occurs when you have very low testosterone or high levels of estrogen. Such fluctuations in hormones will contribute to excess growth of male glandular tissue in the chest, rather than fat. Gynecomastia can be detected on both sides or one side of your chest. It is commonly found in teenagers during puberty, middle-aged men, and the elderly. Though not a serious health issue, Gynecomastia can have an impact on your mental well-being. The causes of Gynecomastia might be:

  • Hormone level changes during puberty
  • Extreme weight gain
  • Issues related to kidney or liver
  • Too much consumption of drugs or alcohol
  • Taking medications like antidepressant pills or steroids

What is Chest Fat (PseudoGynecomastia)?

PseudoGynecomastia is mostly characterized by the enlargement of the male breast due to excess fat and not due to enlarged glandular tissue. It is commonly found in obese males with a high BMI [3], making it a cosmetic issue instead of a hormone-triggered condition. Accumulation of excess fat tissue in the chest region makes it soft and smooth to touch. You will not feel any lump-like texture or enlarged glandular tissue. The chest fat would reduce and increase based on the changes in your body weight. The causes of PseudoGynecomastia are:

  • Diet with poor nutrition
  • No Workouts
  • Presence of high amount of body fat
  • Sedentary lifestyle

Unlike Gynecomastia, it is possible to lower the effects of PseudoGynecomastia through cardio workouts, strength training workout sessions, and proper diet. However, it is important to get a personalized weight management plan from your doctor to stay fit.

Key Differences Between Gynecomastia and Fat Chest

It can be a challenging task to differentiate between fat chest and Gynecomastia without consulting your doctor. Though both these chest-related issues might be similar, a closer look would reveal that they have unique traits. You can identify the key differences between Gynecomastia and PseudoGynecomastia through the following ways.

1. Symmetrical Look and Shape of Chest

  • Gynecomastia: The traits of Gynecomastia include breast enlargement in a conical or round shape just below your nipple area. The chest will have a pointed and protruded look. Your breasts might have an asymmetrical proportion with one side’s growth higher than the other.
  • Fat Chest: If your breast has more fat cells, it will be softer and look broader with widespread fat in the chest region. Your chest would be symmetrical as the fat distribution would be even like other body parts.

2. Sensitivity and Discomfort

  • Gynecomastia: Experiencing tenderness near the nipple and chest is a tell-tale symptom of Gynecomastia. If you touch the skin near the areola and nipple, it will be sensitive and sore. Such discomfort occurs owing to the chest tissue enlargement contributed by hormonal changes.
  • Fat Chest: Excess fat tissue’s presence in the chest region will not cause discomfort like pain or sensitivity. The fatty tissue will be free from pain and will feel soft when you press it.

3. Hormonal Influence

  • Gynecomastia: Gynecomastia is usually a result of changes in the hormone levels in your body due to an underlying health condition or phases of life. As you age, you may experience an imbalance in hormones like low libido levels and a decline in muscle mass.
  • Fat Chest: PseudoGynecomastia is commonly connected to your lifestyle and body weight and is not influenced by hormone levels. This condition triggered by chest fat is mostly found in men having high body fat levels due to a sedentary lifestyle.

4. Stage of Life and Age

  • Gynecomastia: Men are prone to experience high and low levels of hormonal changes as they go through a transition during each life stage, which can lead to Gynecomastia. Fluctuations in estrogen or testosterone levels occur when you pass through puberty to old age. However, Gynecomastia in teenagers is a temporary condition, as it will go away after the adolescent stage. However, elderly males will face Gynecomastia due to the fall in testosterone levels.
  • Fat Chest: As PseudoGynecomastia occurs due to the increasing number of fat cells, it will decrease with weight loss and increase with weight gain, irrespective of your age.

Self-Assessment: How to Identify What You Have

The effective method to find out whether you have Gynecomastia or PseudoGynecomastia is by performing a pinch test.

Pinch Test for Gynecomastia

Locate the area just below your nipple and gently pinch it using two fingers. Check whether you can feel a small disc-like lump that is rubbery and firm, which indicates Gynecomastia. If your fingers are pinching a button-like lump, it indicates the presence of glandular tissue that has become dense and enlarged.

Pinch Test for PseudoGynecomastia

When you pinch the muscle beneath your nipple, you must feel soft flesh with a smooth texture indicating the presence of chest fat. Ensure there isn’t any rubber-like lump in the disc shape to rule out Gynecomastia.

If you are uncertain or have doubts even after performing a pinch test, consult your doctor for an accurate diagnosis and to treat Gynecomastia at the earliest.

Diagnosis: When to See a Specialist

While mild level Gynecomastia might resolve as soon as your son crosses the puberty stage, there are a few specific signs that might require immediate medical attention. You must seek medical attention of a specialist if you face the following situations:

  • Persistent Lumps: If the Gynecomastia lump in the chest region stays firm for several months, it is essential to make an appointment with a male breast reduction specialist.
  • Change in Size and Shape of Chest: If you notice some changes in your chest shape and size, or if becomes unsightly, it can be an indicator of a chronic issue.
  • Nipple Tenderness: If you are not able to wear clothes or touch your nipple area due to increased pain and tenderness, get it checked by a Gynecomastia specialist to address it.
  • Discharge from Nipple: If you find nipple discharge in a watery texture or milk white colour, it is necessary to visit your healthcare provider.

Treatment Options for Gynecomastia vs. Chest Fat

For effective management of Gynecomastia or PseudoGynecomastia, you might require personalized treatment options offered by Akruti Plastic & Cosmetic Surgery Centre. Though fat chest condition can be rectified through lifestyle modifications, weight loss plans, and diet, Gynecomastia requires surgical procedures to address it [4].

Gynecomastia Treatment

  1. Liposuction Surgery: This surgical technique will be suggested by your surgeon to remove excess fat accumulated in your chest [5]. It is performed by sending a small tube through a tiny incision to suck out the excess fat.
  2. Excision Approach: This surgical option is helpful when your chest has a lot of glandular tissue in the chest [6]. The tissue removal is performed through tiny incisions and the chest is reshaped for the perfect look.
  3. Combination Method: Your doctor would suggest a combination approach including the excision method and liposuction to derive optimum results without much scarring.
  4. Adjustment of Areola and Nipple: Sometimes, your surgeon would use this method to achieve a naturally looking chest by repositioning or resizing the areola or nipple.

PseudoGynecomastia Treatment

  1. Cosmetic Procedures: For people who find it difficult to address stubborn fat in the chest region despite dieting and workouts, cosmetic or medical procedures like liposuction will help achieve a sculpted chest.
  2. Lifestyle Adjustments: Your doctor will help you achieve weight loss and fat loss by offering custom weight loss plan for a calorie deficit diet and physical activity to cut down chest fat.
Gynecomastia Return Surgery
19May

When planning to opt for a male breast reduction surgery, it’s natural for you to have a few concerns – Would Gynecomastia recur after the surgical procedure? Apart from going under the knife to correct the enlarged breast issue, you might have to spend your money and time on recovery. While Gynecomastia surgery is very effective and transformative, it is essential to understand the factors that might trigger its recurrence. Keep reading to learn about the factors influencing the return of Gynecomastia, and identify the signs for better management to ensure long-term benefits.

Can Gynecomastia Come Back After Surgery? The Short Answer

Yes, Gynecomastia might return even after a male breast reduction procedure that is performed to eliminate enlarged breast tissue. However, such instances are rare. Almost all surgeons specializing in Gynecomastia surgery would nod in unison that a few factors like hormone fluctuations or underlying health issues might lead to its recurrence [1]. In 2017, the result of a study on Gynecomastia surgery recurrence was published in the Aesthetic Plastic Surgery Journal. It showed that just 12.5% of the participants faced recurrence after Gynecomastia surgery only after 10 years. It also revealed that about 90% of the study participants did not face the return of Gynecomastia after the procedure [2].

Reasons Gynecomastia May Recur After Surgery

Before you undergo Gynecomastia surgery, it is essential to stay aware of the factors that can cause the return of your man boobs. Make a note of these major reasons that can affect the long-term benefits of your Gynecomastia procedure to prevent its recurrence.

1. Increase in Body Weight

While your surgeon would do a good job of removing the unwanted enlarged breast tissue, an increase in your body weight will enlarge the fat cells in your chest [3]. It can affect the contoured look of the chest achieved through the Gynecomastia procedure. So, maintain your ideal body weight after your procedure for Gynecomastia to flaunt a well-defined chest even after several years. Follow a consistent workout regime along with a balanced diet to put the recurrence of Gynecomastia at bay.

2. Underlying Health Condition

Enlargement of the breast tissue might recur due to an underlying health issue referred to as pseudogynecomastia [4]. It develops owing to the formation of excess fat in the chest area while true Gynecomastia occurs due to excess skin and glandular breast tissue. It can be eliminated through liposuction to remove excess fat rather than removing the glandular tissue or loose skin in the chest area.

3. Consuming Marijuana

Using marijuana is a major reason behind the recurrence of Gynecomastia, especially among males within the age group of 10 to 35 years [5]. Marijuana use kindles estrogen production hormone that takes care of the growth of breast tissue while depleting the androgen hormone levels [6]. Such hormonal imbalance can lead to the return of Gynecomastia. If you wish to keep the results of Gynecomastia surgery intact, stay away from marijuana.

4. Taking Specific Medications

Some of your medications might cause a spike in estrogen levels while lowering the amount of testosterone in your body. It includes anti-androgen medications taken for treating prostate cancer and enlarged prostate condition [7].

5. Using Performance-Enhancement Drugs

These drugs can influence the return of Gynecomastia even after the procedure [8]. Such drugs can be stimulants, human growth hormones, diuretics, creatine, anabolic steroids, and androstenedione. Avoid using performance-enhancement drugs to prevent breast tissue enlargement condition.

6. Poor Diet

Following a well-balanced diet with nutritious ingredients is essential to prevent Gynecomastia recurrence. Avoiding foods like dairy products, canned foods, fat-rich fried foods, and soy products will help you achieve toned chest look after the procedure in the long run.

7. Consumption of Alcohol

High intake of alcoholic drinks will harm the level of testosterone production in your body, which can cause your breast tissue to get enlarged. It is important to stay away from alcohol to maintain the results of the Gynecomastia procedure.

8. No Workouts

Your surgeon would advise you to perform chest strengthening exercises 6 weeks after male breast reduction surgery. Chest workouts will help in regaining the taut chest appearance and not following a regular exercise routine will lead to Gynecomastia.

9. Seroma Build-up

Your surgeon would advise you to wear a compression garment for a couple of weeks soon after Gynecomastia procedure [9]. It applies pressure consistently on the surgical site to provide support and prevent swelling. However, if you fail to wear the compression garment until the prescribed period, the chance of seroma buildup is very high [10]. In such cases, you might have to consult your surgeon to drain the fluid through a simple procedure.

10. Incomplete Glandular Tissue Removal

If your surgeon is inexperienced, he might not remove the enlarged glandular tissue completely, which can cause its regrowth after surgery. If you have severe Gynecomastia, incomplete glandular tissue removal might make it recur within a few months of the procedure.

Gynecomastia Recurrence: Key Statistics & Contributing Factors

Aspect Details
Long-Term Recurrence Rate Approximately 12.5% over a decade post-surgery – Source
Recurrence in Lipomatous Gynecomastia 62.5% recurrence rate observed in long-term follow-up – Source
Recurrence in Glandular Gynecomastia 12.5% recurrence rate observed in long-term follow-up – Source
Common Causes of Recurrence
  • Hormonal imbalances (e.g., increased estrogen levels)
  • Significant weight gain leading to fat accumulation
  • Use of substances like marijuana, steroids, or certain medications
  • Underlying health conditions (e.g., liver disease, thyroid disorders)
Preventive Measures
  • Maintain a stable, healthy weight through diet and exercise
  • Avoid substances known to affect hormone levels
  • Regular medical check-ups to monitor hormonal balance
  • Consult healthcare providers before starting new medications

Note: Individual outcomes might vary. Follow post-operative care instructions and maintain a healthy lifestyle to minimize the risk of recurrence.

Signs of Recurrence of Gynecomastia: What to Watch For

If you are facing any one or more of the following signs that indicate the return of Gynecomastia, it is essential to consult your surgeon immediately to treat it.

  • Growth or Lump It is one of the common signs indicating the recurrence of Gynecomastia. You might feel a small lump or slight growth just below your nipple. Seek the advice of your surgeon to decide the next step to treat it.
  • Feeling Pain in the Chest You might feel tenderness or mild pain in the chest, which indicates breast tissue enlargement after Gynecomastia. Sometimes, your nipple might be sore or painful especially when fabric rubs against it.
  • Discharge from Nipples In rare cases, people might see discharge from their nipples in milky white or clear shade. It might also indicate the return of breast tissue enlargement.
  • Asymmetric Look One of your breasts might look larger than the other after a couple of months after Gynecomastia. It indicates the recurrence of enlarged glandular tissue due to uneven distribution of breast tissue in the chest.
  • Psychological Changes Sometimes, you might feel anxiety or emotional distress regularly, which is another tell-tale sign of Gynecomastia recurrence.

How to Prevent Gynecomastia From Coming Back

To prevent the recurrence of Gynecomastia after the surgical procedure, it is essential to follow a healthy lifestyle that incorporates a nutritional diet, regular workouts, and not taking performance drugs, steroids, and alcohol. It is also important to follow these tips to avoid Gynecomastia recurrence.

  1. Stay within Ideal Body Weight Range As Gynecomastia can also occur due to excess body fat, it is essential to maintain the ideal body weight range. Ensure you perform workouts every day followed by a balanced diet to avoid it from recurring.
  2. Keep Your Chest Fit Don’t forget to indulge in regular workouts including chest exercises to keep it stronger and sculpted. Workouts help eliminate the recurrence of enlarged glandular tissue, burn fat and stay fit for a longer time.
  3. Consume Hormone Balancing Foods Eating foods that are non-processed, low in sugar and fat, and loaded with nutrients will help keep Gynecomastia away. Stay away from foods with high phytoestrogens like liquorice, legumes and soy foods for regulating hormone levels.
  4. Limit Substance Intake Refrain from taking anabolic steroids, recreational drugs, and alcohol after the surgery. These substances can cause fluctuations in hormone levels and lead to the return of Gynecomastia.
  5. Pay Attention to Medication Intake Always discuss the medications that you take for any health issue with your Gynecomastia surgeon. Some medicines might spike the level of estrogen, which might cause enlarged breast tissue.
  6. Follow Post-Surgery Care Instructions Follow your surgeon’s advice after the Gynecomastia surgery to lower risks like recurrence and quicken the healing process. Don’t miss the follow-up appointments with your surgeon to monitor the healing process.

What to Do If You Notice Signs of Gynecomastia Recurrence

  • Fix an Appointment with Your Surgeon If you notice any sign related to Gynecomastia recurrence, consult your surgeon immediately.
  • Examination and Tests Your surgeon might perform a chest examination and might suggest hormone tests to check for any imbalance. He might also suggest a few tests to rule out the presence of any chronic medical issues.
  • Medication Alternatives You can also discuss the alternatives for your current medications that might cause the return of Gynecomastia.
  • Discuss Treatment Options Based on the factors triggering Gynecomastia return and its severity, your doctor would discuss surgical intervention or adjust medications for better results.

Why Choosing the Right Clinic Matters for Permanent Results

Choosing a renowned clinic with a best plastic surgeon for Gynecomastia surgery ensures permanent and satisfying results. This clinic in Hyderabad has a team of surgeons specializing in performing Gynecomastia surgeries while offering customized pre-operative assessments and post-surgery care instructions. They also ensure that you stay educated about the lifestyle modifications and chest exercises you need to perform after the healing period to avoid recurrence. You can also discuss the ways to avoid Gynecomastia return and the signs you need to look out for to detect its recurrence early.

Gynaecomastia Symptoms
19May

Gynecomastia is a term that many men might have never heard before, but this condition is surprisingly common. If you have noticed that your chest looks unusually puffy or felt self-conscious when looking at the mirror, you are not alone. Most adult males and about 60% of adolescent boys are affected by Gynecomastia. Recognizing its early symptoms while it is benign would help avoid discomfort and prevent serious conditions in the long run. Let’s dig deeper to better understand Gynecomastia, the symptoms and signs to watch out for, the progression of the condition, and when to see a doctor.

Understanding Gynecomastia before It Progresses

Gynecomastia occurs when male glandular tissue becomes enlarged. It occurs when an imbalance is caused by a female hormone called estrogen and a male hormone called testosterone. Though men’s body naturally has low levels of estrogen, a spike in their level would lead to testosterone decline, leading to enlargement of breast tissue. Some people might think that obesity is the sole reason behind the development of Gynecomastia. However, though being overweight might cause your chest to appear bigger due to excess fat, the actual reason is the enlarged glandular breast tissue. It is a common medical condition that affects millions of men across the globe and causes emotional stress and discomfort. If you or your loved one has Gynecomastia, it is important to understand it better to seek medical attention at the earliest.

Gynecomastia affects men at different stages of life in varying age groups

  • Adult Men: Gynecomastia is common among adult men peopulation aged between 50 and 69 years. As the production of testosterone hormone becomes less as one ages, the level of estrogen will increase leading to this condition. About 65% of the adult men develop this condition at some point of time[1].
  • Adolescent Kids: Teenagers and adolescent kids might develop Gynecomastia during their puberty. About 70% of teenagers are estimated to face glandular tissue enlargement during the transition stage when the hormone levels keep fluctuating.
  • Newborn Males: About 90% of newborn males will have enlarged breast tissue due to the high estrogen levels passed from their mothers. This tends to resolve naturally after a couple of weeks of delivery.

Most Common Symptoms of Gynecomastia in Men

You can recognize Gynecomastia by the visual difference in your chest region, even though the symptoms might vary depending on its severity.

  • Enlarged Glandular Tissue: It is one of the common symptoms that indicate the occurrence of Gynecomastia. You might have extra glandular tissue in one or both breasts, which may cause slight swelling.
  • Sensitivity / Tenderness: Some of you might feel pain or tenderness in the chest area. You might feel sore upon pressing or touching the chest with Gynecomastia.
  • Firm / Rubbery Lump: The extra breast tissue formation due to Gynecomastia will be firmer to touch than regular fat. You might also notice a tiny lump just below the nipple with a rubbery texture.
  • Visible Changes in Nipple: You might notice some changes in nipples, such as swollen, puffy, or raised. Some men might even have wider and darker areola around the nipple.
  • Breast Misshape: Gynecomastia can affect one breast, making it bigger and growing out of shape, causing an asymmetric look.

Early vs. Advanced Signs: How It Progresses Over Time

Gynecomastia tends to progress from one stage to the other with symptoms becoming worse and more severe, making it much more visible as it advances to the next stage. Knowing which stage of Gynecomastia you are at will help in identifying the right treatment option. It is important to seek treatment for Gynecomastia during the initial stage to prevent it from becoming serious. Keep reading to learn more about the signs of 4 stages of Gynecomastia [2] to get treated accordingly.

1st Stage Gynecomastia: Early Stage

During this early stage of Gynecomastia, you might experience mild symptoms, as there would be slight glandular tissue enlargement. The key signs of this stage are:

  • Slight Tissue Enlargement: Mild tissue enlargement in either or one breast.
  • Small Lump: A tiny disc-like lump below the nipple that is firm yet rubbery to touch. The lump might be visible upon lying down and might move slightly upon touching.
  • Nipple Sensitivity: You might experience sensitivity or tenderness in the nipple.
  • Discoloration: The area around your nipples will have discolouration and nipples will have a cone-like appearance.

2nd Stage Gynecomastia: Intermediate Stage

This stage will have more tissue enlargement in one or both breasts, making it look bigger. This stage is perfect for Gynecomastia surgery to derive positive outcomes. Major signs include:

  • Prominent Tissue Overgrowth: Your breast will appear bigger as the glandular tissue growth increases and becomes firm.
  • Changes in Nipple: Your nipple will have a protruded look, making it visible even through clothing. The diameter of the areola will increase and look darker.
  • Stretch Marks Appear: The chest area will have more stretch marks as the breast tissue continues to increase in size.

3rd Stage Gynecomastia: Moderate Advanced Stage

During this stage, the breast appears to look bigger and fuller causing psychological and emotional distress, as it becomes noticeable even after wearing clothes. Other prominent signs are:

  • Enlarged Breast: As you advance into the 3rd stage of Gynecomastia, the chest area becomes prominent due to the rise in adipose / fatty tissue and glandular tissue.
  • Droopy and Protruding Breast: Your breasts become noticeable as they will droop and looks protruded due to an increase in glandular tissue.
  • Seek Medical Advice: You must fix an appointment with your physician to regulate hormones and cut down tissue growth in chest. He might prescribe aromatase inhibitors, or SERMs or selective estrogen receptor modulators to inhibit glandular growth and regulate hormones.

4th Stage Gynecomastia: Highly Advanced Stage

The traits of this Gynecomastia stage are the development of excess fatty tissue and glandular tissue in the chest area. So, naturally, the breast looks bigger and fuller. The only solution to treat 4th grade Gynecomastia is opting for a surgical procedure. Other noticeable signs are:

  • Pain and Discomfort: You might feel difficulties, pain and discomfort when performing daily activities due to the heaviness and size change of the breasts.
  • Skin Issues: The severity of Gynecomastia will cause skin ulceration, irritation and itchiness.
  • Psychological Issues: Your mental health might be affected as you grow conscious of puffy breasts leading to stress, anxiety and psychological distress.

Gynecomastia or Just Fat? How to Tell the Difference

You can schedule an appointment with your surgeon for a breast examination to determine the cause of the enlarged breast. However, you can also make an evaluation based on these factors.

  • Level of Pain: If your chest is affected by Gynecomastia, you might feel mild to severe pain. If it’s just chest fat, you wouldn’t feel pain or discomfort.
  • Touch and Feel The Fat: Your chest fat will usually be soft when you touch while Gynecomastia due to enlarged breast tissue will be firmer. You might also feel a tiny lump that has a rubber-like feel or hard to touch when you perform a pinch test.
  • Chest Appearance: If you have Gynecomastia, your chest will appear rounder with a protruding nipple. Your chest fat will look puffy, droopy, and saggy without any shape.
  • Body’s Response to Diet and Workouts: When following an exercise plus diet regime, chest fat will reduce quickly and have a well-defined look. With Gynecomastia, you might not notice any changes, and the glandular tissue will be prominent when you lose weight.

What Causes These Symptoms? Underlying Triggers to Know

Gynecomastia symptoms might be triggered by a few factors such as:

  • Imbalance in Hormones: A high estrogen level or a low testosterone level will cause excess glandular tissue growth. It might be common among adolescents and the elderly[3].
  • Medical Issues: If you have thyroid disorders, liver issues, kidney disease, testicular condition, or hypogonadism, then it can affect your hormone production leading to Gynecomastia.
  • Certain Medications: If you are talking chemotherapy drugs[4], anabolic steroids, ACE inhibitors or channel blockers, it can cause Gynecomastia[5].
  • Drug Consumption: Using alcohol, marijuana, amphetamines and heroin can disrupt the hormone levels and lead to Gynecomastia[6].
  • Other Factors: Factors like genetic predisposition and obesity might also trigger Gynecomastia[7].

When to See a Doctor for Gynecomastia Symptoms

You must see a doctor as soon as you notice one or more symptoms related to Gynecomastia like discharge from the nipple, hard or rubbery lump, swelling in chest, pain or nipple tenderness. Such symptoms of Gynecomastia must not be taken lightly and might indicate the presence of an underlying health issue. Remember, you must consult the doctor if you are uncomfortable or feel embarrassed about your enlarged breast even when wearing loose clothing. Consult a best plastic surgeon today to find the right treatment option and get relief from symptoms.

How Safe Is Gynecomastia Surgery
13May

Flaunting a well-defined and contoured chest is every man’s wish, as it enhances their masculine appeal. However, some of you might have saggy and enlarged breasts, which is known as Gynecomastia. Though it is a common condition, enlarged breasts might affect your self-esteem and confidence levels [1]. Gynecomastia might also make it impossible for you to go shirtless or wear slim-fit shirts. The good news is, a simple procedure called Gynecomastia surgery can help treat this enlarged breast condition [2]. Keep reading to learn more about the Gynecomastia procedure to make a well-informed decision and flaunt a chiselled, shapely chest.

What is Gynecomastia?

Gynecomastia occurs when the breast tissue in men gets enlarged and looks similar to a female chest. It can affect males of all age groups [3] and can be found on one or both breasts. The breast tissue enlargement is mostly triggered by an imbalance in sex hormones like testosterone and estrogen.

Types of Gynecomastia

There are two types of Gynecomastia:

  • Bilateral or two-sided Gynecomastia
  • Unilateral or single-sided Gynecomastia

Why Does Gynecomastia Happen?

Several factors like obesity, hormonal changes, lifestyle factors, specific medications, or underlying medical issues, might cause Gynecomastia.

  1. Changes in Hormones: Changes in sex hormones during ageing and puberty will lead to Gynecomastia.[4]
  2. Bad Lifestyle: Using drugs like amphetamines or marijuana and drinking too much alcohol will cause enlarged breasts.
  3. Underlying Conditions: Health conditions like liver disease, kidney failure, or hypothyroidism might cause enlargement of breast tissue.
  4. Specific Medicines: If you are taking certain medications or drugs like antidepressants, anti-anxiety medicines, or anabolic steroids, the chances of breast enlargement will be high. Specific medications to treat prostate cancer might also cause Gynecomastia.

Whatever the causes might be, Gynecomastia surgery is effective in addressing the enlarged breast tissue to prevent embarrassment and low self-esteem [5].
Gynaecomastia Surgery Safety

How Safe is Gynecomastia Surgery? Medical Facts You Should Know

Gynecomastia Surgery is a safe procedure for male breast reduction that is performed by a well-qualified and skilled surgeon. It is a routine cosmetic procedure known to have an excellent success rate with minimal complications. However, it is essential to follow post-operative care and pre-operative evaluation for best breast reduction results.

Key Medical Facts About Gynecomastia Surgery

  • Gynecomastia Surgery Types: Your surgeon might customize Gynecomastia Surgery after assessing your breast tissue appearance. The common Gynecomastia Surgery types include:
  • Liposuction Procedure: [6] It is performed when there is too much fat accumulation rather than overgrown tissue. The fat would be sucked using a cannula tube after making a tiny incision.
  • Excision Surgical Procedure: It is performed to remove the excess glandular tissue in the breast and the excess skin in the region.
  • Nipple Reposition: Your surgeon would perform tissue removal and might reposition your nipple to make it look natural.
  • Combination Procedure: Your surgeon would combine both excision surgery and liposuction procedures to derive the best results with less scarring.
  • Anaesthesia: Gynecomastia procedure will be performed either with general anaesthesia, sedation or local anaesthesia based on patient needs.
  • Duration of Gynecomastia Procedure: It will be performed in a couple of hours as Gynecomastia Surgery is a short procedure. You will be discharged the same day after the male breast reduction surgery.
  • No Risks: There aren’t any long-term complications after Gynecomastia surgery. Plus, this procedure for breast reduction will not affect your fertility, hormone level or muscle growth.

What Makes Gynecomastia Surgery Safe?

  • Gynecomastia Surgery is a safe procedure when performed by an expert surgeon along with perfect post-operative care.
  • As the patient is chosen for Gynecomastia Surgery through a thorough assessment of ideal body weight and overall health, there are no chances of developing risky complications.
  • Pre-surgical assessment to identify underlying health issues, breast examination, and blood work helps in determining the suitable patient for this procedure.
  • Gynecomastia Surgery is a minimally invasive procedure involving tiny incisions made during liposuction. So, there are no risks like scarring, and healing is quicker.
  • As the male breast reduction surgery is performed using advanced techniques, you can recover within a very short time.
  • An experienced surgeon performing a Gynecomastia procedure will ensure there are minimal risks, no trauma, and quick recovery.

Gynecomastia Surgery Safety & Complication Statistics

Metric Statistic
Overall Surgical Complication Rate 1.9% in adults; 3.9% in minors
Source
Medical Complication Rate (30-day) 0.3% in adults; 0.0% in minors
Source
Most Common Complication Hematoma (5.8%)
Source
Other Common Complications Seroma (2.4%), Nipple sensation changes (3–19.2%), Contour irregularities (9.2%)
Source
Outpatient Surgery Rate 95% of procedures
Source
Average Operative Time Adults: 56.7 minutes; Minors: 111.3 minutes
Revision Surgery Rate 0% to 14.1%, depending on technique
Average Complication Rate (All Grades) Approximately 15.5%; highest in Grade I cases (21.6%)
Source

Note: Data varies based on source and surgical technique. Always consult a certified surgeon for personalized advice.

Common Myths and Fears about Gynecomastia Surgery

Let’s debunk some of the prevalent myths and fears about Gynecomastia Surgery and understand the reality to stay well-informed.

Myth#1: Gynecomastia Procedure Is Performed For Cosmetic Needs

Fact: Even though Gynecomastia surgery can enhance the look of a man’s chest, it is not just a cosmetic surgery [7].

Explanation: Gynecomastia can make you experience emotional distress, low self-esteem, social anxiety and discomfort. This breast reduction procedure focuses on restoring a contoured chest to address such concerns.

Myth#2: Gynecomastia Surgery Is A High-Risk Procedure

Fact: It is a relatively safe procedure that helps in alleviating Gynecomastia without any major risks or complications.

Explanation: Despite being minimally invasive, the Gynecomastia surgery is safe. Like any other surgical method, it also has a few rare complications like bleeding, nipple sensation changes or scarring [8]. You can consult the surgeon to assess the complication to get immediate relief.

Myth#3: Gynecomastia Surgery is Only For Obese Males

Fact: Gynecomastia can affect both healthy and obese men. Men with different types of body and age groups might develop enlarged breasts [9].

Explanation: Gynecomastia can occur due to medications, genetics, an imbalance in hormones or due to an underlying chronic health issue. Even if you are undergoing weight loss, it will not help in cutting down the enlarged breast tissue and a surgical procedure might be needed.

Myth#4: Gynecomastia Surgery is Not Needed for Enlarged Breast in Men

Fact: It is a common misconception about Gynecomastia, as many believe chest exercises can help in lowering excess fat. As Gynecomastia is caused by glandular tissue enlargement, it requires surgery.

Explanation: Chest workouts will help strengthen your muscles but will not have a positive effect on enlarged glandular tissue. As this surgical procedure removes glandular tissue as well as unwanted fat, it helps in achieving a chiselled look.

Myth#5: Gynecomastia Surgery Will Leave Visibly Huge Scars

Fact: Gynecomastia Surgery is performed by making tiny incisions, which rule out the possibility of scarring.

Explanation: Gynecomastia Surgery is performed with advanced and latest techniques like liposuction and excision surgery. Your surgeon will make incisions in skin creases and less noticeable areas, making them invisible after healing. The small incisions leave minimal scars that are nearly invisible.

Myth#6: The Recovery Period after Gynecomastia Surgery Is Painful and Longer

Fact: As Gynecomastia Surgery is a short procedure and minimally invasive, it has a quick and pain-free recovery period.

Explanation: As Gynecomastia Surgery will be performed by a skilled surgeon, the recovery process will take less than a week. You can resume your everyday tasks within a week after the breast reduction procedure with the right post-operative care.

Side Effects and Recovery: What to Expect Post-Surgery

Even though Gynecomastia surgery is very safe, some side effects might occur like any other surgical procedure.

  • Bruising and Inflammation: These temporary side effects after Gynecomastia surgery are common and might last for a few days. Swelling is a sign of your body adjusting to the changes after surgery, and bruising is due to the breakage of tiny blood vessels. You can apply an ice pack and lie down with your chest elevated for better relief.
  • Discomfort / Pain: It is a common side effect of Gynecomastia surgery, which can be managed with prescription pain medications. Take enough rest to heal quickly and relieve pain or discomfort.
  • Numb Feeling: Some people might feel that their chest area is numb, which is caused by nerve disruptions during the breast reduction procedure. It is temporary and will improve as soon as the incision heals.
  • Scarring: As the incisions are made in discrete places near the chest, there will be small scars. Follow aftercare suggestions regularly and use the prescribed scar creams to avoid scarring.
  • Infection: Some people might develop infections like discharge on the surgical site or redness. To avoid infection risk, keep the surgical area dry and clean and take antibiotics.

Who is an Ideal Candidate for Gynecomastia Surgery?

  • Your surgeon would check your eligibility for Gynecomastia Surgery after assessing various factors.
  • If you are within the ideal body weight range, then you will be the perfect candidate for male breast reduction surgery.
  • Your overall health will be assessed to ensure there are no underlying conditions like diabetes or heart issues to prevent complications after Gynecomastia.
  • You must not smoke before and after Gynecomastia Surgery, as it can hinder the healing process.

Why Choose Akruti for Gynecomastia Surgery in Hyderabad?

Best plastic surgeons at a renowned facility in Hyderabad specialize in performing Gynecomastia surgery for males of different age groups. This ISO-certified premier facility with a team of well-qualified surgeons is rated as one of the best three cosmetic and plastic surgery facilities in Hyderabad. Avail personalized Gynecomastia surgical solutions coupled with top safety standards to regain your lost confidence in a few weeks.

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