About Gynecomastia

Male Breast Surgery / Gynecomastia

Gynecomastia, or male breast enlargement, is a common condition that affects 60-70% of males at some point during their teenage years. The term “gynecomastia” comes from the Greek words meaning “women-like breasts.” In most cases, these breast enlargements are small and tend to resolve on their own within a few years, usually without causing any issues. Male breast enlargement occurs either due to the overgrowth of breast tissue, fat accumulation, or a combination of both.

Gynecomastia is classified into four different grades:

  • Grade 1: Involves enlargement and pointiness of the nipple, typically seen in men with a normal body weight (BMI). This occurs due to the growth of glandular tissue beneath the nipple. A simple gland excision procedure under local anesthesia can restore a normal chest appearance.
  • Grade 2: Both glandular tissue and fat spread across the chest, covering the pectoral muscle and obscuring its natural contours. This is the most common form of gynecomastia.
  • Grade 3: The chest takes on the appearance of a fully developed female breast, making it difficult to conceal even under clothing.
  • Grade 4: The chest resembles a sagging female breast, often seen in obese men or those who have undergone significant weight loss or bariatric surgery.
  • In most cases, gynecomastia has no known cause and is not linked to any underlying health problems. There is no effective medical treatment for gynecomastia, and exercises or weight loss do not resolve the condition. Surgery is considered the best option for treatment. The types of surgeries performed to correct gynecomastia include gynecomastia surgery, chest liposuction, and gland excision.

Gynecomastia Grade

You may be a candidate for male breast reduction surgery if gynecomastia becomes a source of discomfort:

  • Your breasts or pointy nipples are noticeable through clothing.
  • You feel embarrassed wearing gym attire, swimming trunks, or going shirtless.
  • The condition causes emotional distress.
  • At Dr. G.S. Satish Kumar’s Advanced Surgical & Plastic Surgery in Guntur, high-definition gynecomastia surgery is performed with safety and comfort in mind. Our expert team of plastic surgeons not only ensures a flat, scarless chest but also creates a natural-looking result. We guarantee complete empathy, utmost care, and total privacy throughout and after the procedure.

Here’s a brief overview of what to expect from the procedure:

Anaesthesia: General/Local tumescent

Duration of Surgery: 1-2 hour

Hospital Stay: Daycare, discharged same evening

How is it done at Dr. G.S. Satish Kumar’s Advanced Surgical & Plastic Surgery in Guntur?

Gynecomastia or Male Breast Reduction surgery is typically combined with chest liposuction to achieve a balanced and aesthetically pleasing contour. A tumescent solution is first injected into the breast, followed by liposuction to remove the fatty tissue. This involves suctioning out fat in liquid form through small, hidden incisions using hollow metal tubes. However, liposuction alone is often insufficient to fully treat gynecomastia because hardened glandular and fibrous tissues cannot be removed through suction. Therefore, after liposuction, any remaining tissue is excised through a semicircular incision along the lower margin of the areola (the darker area around the nipple). This ensures complete removal of the excess tissue, allowing the skin to flatten against the muscle. The stitches used are self-absorbable. In Grade I and II gynecomastia, the excess skin usually shrinks, but for larger Grade III cases, additional incisions may be required to remove excess fat or skin. After the procedure, a compressive vest is worn 24 hours a day for a month. Recovery time varies depending on individual healing.

Recovery Timeline for Male Breast Reduction Surgery

9
Same Day

Self-Care Activities: Getting dressed, combing hair, and walking.

8
Next Day

Self-Care: Engage in moderate activities, such as taking a shower.
Activities: Writing and using the computer.

9
1 Week

Activities: Driving and returning to work.

8
2 Weeks

Exercise: Using the treadmill.

9
1 Month

Exercise: Weightlifting

Frequently Asked Questions

What leads to male breast development (man boobs)?

Both male and female fetuses develop breast buds in the uterus. In females, breast glands grow due to the influence of female hormones during puberty, pregnancy, and breastfeeding. In males, the breast gland remains underdeveloped because they produce male hormones and very few female hormones. During puberty, if the delicate balance of male and female hormones is disrupted, the male breast gland can enlarge and resemble a female breast. Often, blood hormone levels do not indicate an imbalance; instead, the breast glands may be overly sensitive to normal hormone levels. This is why most men with gynecomastia do not exhibit other signs of feminization and are generally healthy, with the condition being primarily a cosmetic concern.

Are there various types of gynecomastia?

“True gynecomastia” occurs in men with a normal weight and consists of a mixture of glandular tissue, tough fibrous tissue, and some fat. In contrast, “pseudo gynecomastia,” typically seen in obese individuals, is characterized primarily by excess fat. Gynecomastia is categorized into grades I to III, with Grade III representing large, sagging breasts that closely resemble female breasts.

Are any tests necessary to diagnose gynecomastia?

If gynecomastia is the sole concern, no additional tests are needed apart from the routine tests performed prior to surgery.

What is the ideal age for undergoing gynecomastia surgery?

Surgery can be safely performed at any age if gynecomastia is causing psychological distress. However, if an individual feels comfortable, they may choose to wait until they are 18, as there is a possibility that the condition may resolve on its own.

Can losing weight or exercising help resolve gynecomastia?

In true gynecomastia, individuals are typically of normal weight, and breast enlargement results from glandular overgrowth, making weight loss ineffective. In cases where obesity is a factor, losing weight may slightly reduce breast size, but it usually doesn’t completely resolve the issue. Additionally, exercising the pectoral muscles can sometimes accentuate the appearance of the breast gland.

Can gynecomastia come back after surgery?

Surgery provides a permanent solution for gynecomastia, with one exception: in some obese individuals who underwent liposuction to treat their condition. If they do not maintain their weight, fat can reaccumulate in the chest area.

Is it essential to wear a compression garment following surgery?

After surgery, swelling in the operated area is common. A compression garment aids in reducing this swelling more quickly and assists in skin redraping, especially in cases of larger gynecomastia. The garment offers firm yet elastic compression and should be worn 24 hours a day, except during bathing, for one month. It’s advisable to have an extra garment available for washing.

How long is the hospital stay after gynecomastia surgery?

Since it’s a daycare procedure, you can leave the hospital six hours after surgery. Like other daycare surgeries, you must have someone accompany you for the next 24 hours to assist if needed. If you don’t have anyone to stay with you, you may opt to remain in the hospital for 24 hours.

What are the potential risks associated with gynecomastia surgery?

Sometimes, patients may experience numbness or reduced sensation that can last for up to a year. Rare complications can include infection, damage to the nipple, fluid buildup, bleeding, scarring, or changes in pigmentation. While uncommon, postoperative asymmetry may occur, which could necessitate a second procedure to remove extra tissue. Additionally, as with any surgery, there is a slight risk associated with anesthesia that should be considered.

Can gynecomastia surgery be performed under local anesthesia?

Yes, in some cases where gynecomastia is minor, local anesthesia is sufficient for the procedure.

What Our patients Say

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pavan sowripavan sowri
01:11 22 Sep 24
My son suffering from a skin infection on his head . We consult Dr.GS satish kumar garu ,he gave treatment to my son and he did a surgery. The hospital ambience was good ,they treat the patient with love and care. now is recovering . thank you so much to Dr.GS satish kumar garu and the nursing staff.
Mohammad HafsaMohammad Hafsa
06:33 14 Sep 24
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Mukhesh VutukuriMukhesh Vutukuri
08:39 26 Aug 24
My friend was suffering from Gynaecomastia and he undergone a surgery by Dr.satish kumar sir.The hospital ambience and treatment by satish kumar sir was excellent and the patient care from nursing staff was top notch.Fully satisfied with care and treatment from the hospital👌.
Pandit VenkateshPandit Venkatesh
07:21 30 Jul 24
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esmart srideviesmart sridevi
09:54 25 Jun 24
Nice, Excellent & Advanced treatment....Dr.Satish kumar sir was having too patience towards the patients...Sir & Nurses all were created a good positive, friendly atmosphere around the patients...
manoj ravipatimanoj ravipati
18:19 20 Apr 24
Visited Dr. Gs Satish Kumar for lipoma removal ; Removed lipoma with ease and efficiency! Their affordable pricing and exceptional care made the entire experience stress-free. I received top-notch service from start to finish. Highly recommend for anyone seeking a skilled and compassionate doctor!
Samba Siva reddySamba Siva reddy
07:17 28 Mar 24
very good doctor. Everything is highly professional. He will give sufficient time to the patient. He studies the patient and disease meticulously. After surgery there is no pain or discomfort and incredibly quickly. We can freely interact with the doctor.
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