Author
Celebrity Cosmetic Surgeon Dr Milan Doshi
Indian Board Certified Plastic SurgeonM.CH, MS
MUHS -faculty aesthetic surgery
ISAPS Mentor
11000+ Cosmetic Surgery
1400+ Gynecomastia Surgery
Male Chest Correction Surgery: Shape your Chest, Shape your Confidence
Indian Board Certified Plastic SurgeonM.CH, MS
MUHS -faculty aesthetic surgery
ISAPS Mentor
11000+ Cosmetic Surgery
1400+ Gynecomastia Surgery
What is Gynecomastia?
DEFINITION: Benign breast development in males is called gynecomastia.
It can be a just little conical protrusion called a puffy nipple to a fully developed breast like a female, to severely enlarged gynecomastia.
Mostly it is bilateral but can be unilateral gynecomastia or asymmetrical gynecomastia.
the incidence of excess breast tissue in males is 25% among men; more recent studies have reported an overall incidence of 32% to 36.
Prevalence of symptomatic gynecomastia is markedly lower than symptomatic Gynecomastia is seen in 64.6% of adolescent boys and is also common at old age.
The feeling of having a feminine look might disrupt one’s self-esteem. It often puts one in a very embarrassing situation and can harm the quality of life.
No wonder gynecomastia is one of the most common cosmetic surgery today. In 2020, the world over 210,737 and in India 22474 male boobs reduction surgery done.
- Gynecomastia 282,997 procedures in 2021 (+34.3% increase compared to 2020)
- 31,104 Gynecomastia surgeries have been performed in India(+8.4% increase compared to 2020)
Other Links: Breast Augmentation | Breast Reduction | Breast Lift Surgery
Cosmetic surgeon, Dr. Milan Doshi at Allure Medspa in Mumbai does gynecomastia surgery as daycare surgery. He does male breast reduction under local anesthesia, where he combines advanced Laser and Vaser liposuction with gland excision, it is practically bloodless, painless, stitch-less male boobs reduction surgery. It gives scarless recovery and permanent male breast reduction result.
CPT Code and Description about Gynecomastia Surgery
| CPT Code | CPT Description | ICD -10 Procedure |
| 19300 | Surgical removal of Glandular breast tissue in Male | N62 |
Gynecomastia Cost
Gynecomastia Before After Images
Cost In Mumbai
Video Testimonial
Surgery Video
Rating: 4.8
Reviews: 369
Rating: 4.8
Reviews: 100
Dr Milan Doshi and his staff are very professional and committed as the centre is highly equipped with advanced technology and the technique the doctor uses is world-class. I had closed rhinoplasty 4 months back and I’m seeing the results as to how it becomes successful.
Every one in the term was very awesome when ever you need them they were right in front of you Doctors are very humble and ready to listen all your problems I feel I made a right choice for my problem
Dr Milan Doshi is a magician. He is a great doctor who will give all the real explanation and the best treatment. He answers all the queries inspite he being so busy. You can trust him for any treatment. His staff is very polite and supportive. I had a great experience for the surgery done by him. Thank you Doctor...
a. Idiopathic
Idiopathic (90%) means A DEFINITE cause of male breast development is elusive.
- Stimulation of breast tissue by excess circulating estrogens or estrogen-like substances
- Decreases in the androgen-to-estrogen ratio
- defect in androgen receptors.
b. Developmental/Physiological Gynecomastia
Neonatal: In newborn baby because of maternal circulating hormone. It is self limiting condition. Go by itself in few months
Pubertal: More than 2/3 of the adolecent boys have small to severe gynaecomastia relative excess of plasma estradiol compared with testosterone is believed as the cause of pubertal gynecomastia
Aging: With aging,plasma testosterone levels decline and peripheral conversion of testosterone to estrogen (peripheral aromatization) occurs,Increasing the plasma estrogen-to-androgen ratio at old age leads to breast enlargement
- Hypogonadism(decreased androgen synthesis or increased androgen resistance):
- Primary
- Acquired (trauma, infection, torsion,radiation exposure, mumps, chemo therapy)
- Congenital
- Secondary
- Hypogonadotropic hypogonadism
- Kallmann’s syndrome
- Pituitary failure (infarction, infection, neoplasm)
c. Tumors
(increased estrogen production):
- Steroid-producing (adrenal, testis)
- HCG-producing (testis and others)
- Aromatase-producing (testis)
- Bronchogenic carcinoma
d. Systemic:
- Thyrotoxicosis (altered testosterone/estrogen binding)
- Renal failure (acquired testicular failure)
- Cirrhosis (increased substrate for peripheral aromatization)
- Adrenal (ACTH deficiency or congenital adrenal hyperplasia)
e. Congenital Disorders:
- Klinefelter’s syndrome
- Enzyme defects of testosterone synthesis (may be late onset)
- Vanishing testis syndrome (anorchia)
- Androgen resistance syndromes
- True hermaphrodism and related conditions
- Increased peripheral tissue aromatase
f. Malnutrition
When your body is deprived of adequate nutrition, testosterone levels drop, but estrogen levels remain constant, causing a hormonal imbalance.
- Herpes zoster infection
- Cystic fibrosis
- Alcoholism
- Myotonic dystrophy
g. Medications
These include antidepressants, cancer treatment, antibiotics, AIDS medications substance abuse like alcohol or drugs and many more. While consulting with the physician, it is important to discuss the usage of the medicine so that the doctor can provide accurate treatment.
f. Health Conditions
- Hypothyroidism
- Hyper thyroidism/ thyrotoxicosis
- kidney disease
- liver failure and cirrhosis
- Adrenal dysfunction
Note: Medical treatment of associated condition is necessary buy they hardly succeed to reduce developed male breast. Only surgery is the definitive solution for gynaecomastia.
h. HIV
i. Chest wall trauma
j. Psychological stress
k. Spinal cord injury
Pseudogynecomastia differ from gynecomastia as it doesnt contain breast gland.
Consistancy Of Gynecomastia
- Gynecomastia contain glandular tissue and fatty tissue in various proportion. Usually gland is felt as soft rubbery mass beneath areola.
- When glandular tissue is predominant, it is hard. called glandular gynecomastia.
- when fat is predominant it is soft. when practically no gland and gynecomastia is composed of fat only it is called pseudogynecomastia.
- Psedogynecomastia
- caused by overweight and obesity
- symptontomatically seen as male breast
- diagnosed with radiological examination like ultrasonography.
- treatment is diet and exercise and weight loss.
Many studies reviewing males with gynecomastia have demonstrated no increased risk of breast cancer compared with the normal male population.
One percent of all breast cancer occurs in males. The occurrence of male breast cancer is 1 in 400 to 1 in 1000. However, patients with klinefelter’s Syndrome have up to a 60 times greater risk of developing breast cancer. Thus in all non-klinefelter’s patients it is reasonable to Treat gynecomastia surgically with both liposuction and excisional techniques.
Among various gynecomastia classifications, Simons and Rohrich’s classifications are commonly used in day-to-day practice.
A. Simon’s Classification
Grade 1 Small enlargement, no skin excess
Grade 2a Moderate enlargement, no skin excess
Grade 2b Moderate enlargement with extra skin
Grade 3 Marked enlargement with extra skin
B. Rohrich Classification
This Classification, it takes into consideration of the amount of extra skin compared to chest
Grade 1: Minimal Hypertrophy, (less than 250g of tissue) without ptosis
1a: Primarily glandular
1b: Primary fibrous
Grade 2: moderate hypertrophy (250-500g of breast tissue) without ptosis
2a: Primarily glandular
2b: Primary fibrous
Grade 3: Severe hypertrophy (>500g of breast tissue with grade 1 ptosis glandular or fibrous)
Grade 4: Severe hypertrophy with grade 2 or 3 ptosis glandular or fibrous
If gland and tissue are enlarged just below the areola and nipple is protruding. Is called puffy nipple male breast can develop really very large and form sever gynaecomastia.
There are different types of gynecomastia as mention below
Gynecomastia According to Symmetry:
- 1. Bilateral
- 2. Asymmetric
- 3. unilateral
Gynecomastia According to Size:
- 1. Puffy Nipple
- 2. Severe
- 3. Various Gradations as mentioned above
Gynecomastia According to Content:
- 1. Pseudo
- 2. Pure Glandular
- 3. Mix
Gynecomastia According to Age:
-
- 1. Neonatal
-
- 2. Adolescent
-
- 3. Adult
Male breast reduction have psychological and physical benefit. Gynaecomastia is not a health hazard. It is an emotional concern. Benefits of the male breast reduction surgery are:
Psychological Benefit
1. To wear well fitted cloths.
2. Go to gym or swimming
3. Socialize. No more embarrassment and better socialising to
–Meet friends. No more taunting
–Go freely in business meetings
—Go for marriage
Physical Benefit
1. Improve your appearance
2. Improve hunch back appearance -people with gynecomastia bends forward unconsciously to hide enlarged moobs giving a hunchback look.
3. Fitness-a reduced chest will help you to indulge in physical activities of your choice and keep yourself fit.
You are right candidate for male breast reduction surgery the breast growth is more than 12 months.
- Male breast is persisting after age of 18
- Have persistent male boobs for last 12 months
- Are unable to lose male breast in spite of exercise and diet
- Enlargement of the breast has become a cause of concern
- Have realistic expectations from the abdominoplasty surgery
- You are mentally prepared for surgery and recovery
- Healthy individuals, who have good health or do not have any serious illness that impairs healing,
- Non-smokers (stop smoking) and non-drug user
- It is very necessary to maintain a healthy lifestyle to maintain the results of the procedure
Free online consultation is incomplete to take major decision.
Consultation is an opportunity to get personalised information about your gynaecomastia grade and composition;surgery preparation,result, recovery, and cost: it is an opportunity to know your comfort level with cosmetic surgeon, staff and the center
- To get best from your gynecomastia surgery consultation
It is good to make a list of important questions before proceeding for the consultation step. So you won’t miss addressing any of your concerns.
You should give a brief your cosmetic surgeon about:
- Your concerns
- What result you expect as you can take representative photographs
- Your family history
- Your weight gain, weight loss history
- Your lifestyle including diet habit and physical activity
- Any medical conditions& medical treatments
- Any supplements such as vitamins, fat burner, herbal treatments or nutritional supplements
- Alcohol, smoking, tobacco, and drug uses
- Drug allergies
- Previous surgeries, particularly weight loss surgery
Your Gynecomastia surgeon will evaluate the following:
- gynecomastia grade
- Composition:Fat and glandular
- Under lying chest muscle built up and tone
- Skin quality
- Your general health status and any pre-existing health conditions or risk factors
You come to know about:
- Do you have gynaecomastia or pseudo gynecomastia?
- Your grade of gynecomastia and its composition
- Cause of your male breast development
- Is gynaecomatia surgery will benefit you or not?
- What is there specifically for you in terms of gynaecomastia surgery type, duration of surgery?
- Is it safe for you?
- The realistic goal and achievable outcomes of the your surgery
- Gynaecomastia surgery risk & recovery
- Preoperative preparation and post-operative care for the gynaecomastia surgery.
- Total cost of your gynaecomastia surgery.
- What is your comfort level with the cosmetic surgeon?
Cosmetic surgeon will discuss:
Your surgery options, which is best surgery to achieve your goal.
May mark on your body to explain the extent of the gynecomastia surgery. Like area of liposuction, amount of gland to be removed amount of skin will be removed or not , expected length of scar and its location
1. Pre-operative Preparation
The medical general fitness assessment is done.
Any associated medical condition is controlled before surgery.
2. At the time of admission
General preoperative preparation will be done
Gynecomasta surgeon will discuss your goal and plan with you.
Photographs will be taken and marking is done.
3. Anesthesia
Man boobs Reduction surgery is done under local anesthesia. If you are anxious, have higher grade gynecomastia or it is a part of many area in one go than general anaesthesia will be given.
4. Gynecomastia surgery
During gynecomastia surgery, fat and gland both removed.It gives permanent and better male breast reduction result .Now gynaecomastia surgery is practically painless, bloodless, stichless, scarless.
1. Liposuction Technique
Sometime gynaecomastia have prominent fat component, particularly in obese patient.
Only liposuction will do the work.
Liposuction is done by making a small tiny hole at the periareolar border. If gynecomastia is grade 3 or 4, rarely, the second puncture is done at the inframammary line.
2. Excision Technique
Patient with hormone supplement or after weight loss have prominent gland/ fibrous component. Glandular tissue is excised through the same tiny periareolar incision. In puffy nipple only gland removal is enough.
3. Combination of Liposuction & Excision Techniques
Fat and gland both are removed.
Vaser liposuction and gland excision is done. As the gland is removed practically, it is permanent result of male breast reduction surgery
4. Excision of skin
After massive weight loss or large gynecomastia, male breast ptosis is there. One may think to need skin excision at first sight.
The combination of laser & vaser gives better skin tightening. One can see improved skin tightening up to 6 to 8 months. Skin excision and additional scarring can be avoided most of the time. Which is rarely needed in only grade 4 or severe gynecomastia.
See the Gynecomastia Surgery related video:-
Gynaecomastia surgery result is seen immediate after surgery.Major improvement will be seen within a month, as the swelling goes. The final result will be visible within 6-8 months.
What are the Gynecomastia Surgery Results?
Male breast reduction surgery result is permanent and scarless.Gynaecomastia surgery result depends on grade of gynecomastia, surgical expertise, technology and technique used and goal of surgery.
As a result you can get
- Normal looking chest
- 3 D sculpting, when chest muscle are highlighted
- 4 D sculpting, when after 3 d sculpting fat is injected to highlight pectoral muscle
In sever or higher grade gynecomastia with extra skin, vaser liposuction leads to skin tightens over 6 to 8 months. Rarely one needs to excise the skin.
Gynecomastia surgery recovery is very smooth and fast. Gynecomastia surgery recovery time line is as follows:
1. Local care: After the procedure is completed, dressings or bandages will be applied to your incisions. You will be taught how to do dressing at home
2. Discharge: You will be discharged on same day and
3. Diet: There is no dietary restriction after surgery
4. Bathing: after 2 days. Do fresh dressing as advise by doctor.
5. Physical activity:
you can
– Resume an office job in a day or 2.
– Drive in 3 to 4 days .
– Cardio like activity after a week .
– Gym can be started after 2 weeks’ time.
6. Pressure garments: An elastic band or support garment is used to fasten recovery and mold the chest shape
– Initial 2-3 weeks 24 hours
– More 2-3 weeks 8-10 hours
7. Fly back: 2 to 3 days.
Gynecomastia surgery has same complication and risk like any other surgery. Although very rare, surgery specific and anesthesia related risk are mentioned below. Gynecomastia under local anaesthesia with Vaser liposuction has reduced the complication risk.
1. Gynecomastia Surgery specific risk and complications
- Bleeding: it is very rare as, blunt cannula is used for liposuction.
- Fluid accumulation: Accumulation of fluid is called a seroma. Small seroma gets absorbed by itself. This fluid may need to be drained with a needle. Open drainage technique reduces seroma.
- Infection: Surgical site infection is rare but possible. A severe skin infection may be life-threatening.
- Creater deformity: When excess tissue removed below nipple areola. Proper combination of liposuction and gland excision practically eliminate crater deformity.
- Contour irregularities: Skin may look irregular, bumpy, or wavy due to uneven fat removal, poor healing, or thinly stretched skin. These changes may be permanent. Even difficult to reduce with revision.
- Recurrence of gynecomastia: rare as gland and fat both are removed. Unless you put on large weight, take hormones or have hormonal imbalance.
- Skin necrosis/ loss of skin
- Spot/ Pigmentation: Skin may appear spotted, but rarely does it become permanent.
- Numbness: One may have temporary or permanent numbness in the operative hyperesthesia due to temporary nerve irritation is also possible.
- Fat embolism: Again, very rare, can happen with mega liposuction. Broken fat may travel through the blood and gather in the lungs or to the brain. A fat embolism is a medical emergency.
- Lidocaine toxicity: Lidocaine is an anesthetic drug in infiltration fluid. Although it is safe, in a rare circumstance, lidocaine toxicity can occur, causing serious heart and central nervous system problems.
Internal puncture: It is extremely rare. A cannula can go too deep, may puncture an internal organ. This may require emergency surgical repair
2. Anesthesia related complications
Small reaction to major reaction or fluid imbalance can happen. And it is rarest, rare death can happen.
3. Factors that reduce the risk & complications
There are 2 most important factors that reduced the risk and complications:
1. Expert liposuction surgeon and
2. Accredited cosmetic surgery center with advance lifesaving facility
Dr. Milan Doshi is an expert Gynecomastia Surgeon:
Dr. Milan Doshi, M Ch (plastic surgery), is an Indian board-certified plastic cosmetic surgeon with 25+ years of experience in cosmetic surgery.
He has a credit for performing more than 1400+ gynecomastia surgeries in his career.
He regularly performs puffy nipple and various grade of male breast reduction surgery in local anesthesia.
He performs surgery through single tiny hole. Which gives scar less flat chest. He is expert to highlight chest muscle and known for male chest sculpting with 4d or vaser assisted high definition liposculpting.
He has a credit for many presentations for gynecomastia or moobs reduction at various national & international conferences.
Allure MedSpa is the one-stop destination for gynecomastia treatment. We have two centers in MUMBAI with state-of-the-art facilities; the cosmetic surgery clinic at Andheri West is for the non-surgical procedure where one can get pre-procedure consultation and post-procedure follow-ups. The Andheri West centre of Allure Medspa is a prime attraction for celebrity people as it is a hotspot destination for production houses and their offices.
The cosmetic surgery hospital/centre in Goregaon West are ISO 9000:2008 and NABH certified with night stay facility.
The two separate modern operation theatre, advanced patient’s monitoring system during operation and post-operative care add to the safety of procedure.
We are all updated with the latest technology. We recommend the particular option of the technology/method of the procedure according to the patient’s need, expectation and desired goal of cosmetic surgery.
Due to the facilities of equipment such as an ultrasonic cleaner, ETO-sterilization, autoclave, fumigation and stringent protocols we ranked highest in the safety and hygiene measure.
With an indoor overnight facility one can find the best ambiance in our centre where the patient’s comfort is kept in mind with in-suit bathrooms & rooms are equipped with all the necessary things such as microwave, refrigerator, LCD TV, landline phone, etc. and make a homely feeling for the patients during their hospital stay.
The staffs at Allure Medspa take all precautions to make your journey of fine to fabulous a pleasant experience. One can have a homely feeling even with cosmetic surgery.
Our cosmetic surgery centre is committed to providing exceptional care, standard facilities, and advanced measure for the surgery and all under a single roof.
We have the most priority for the patient’s PRIVACY and CONFIDENTIALITY!
1.Gynecomastia surgery cost at Allure Medspa, Mumbai India is:
| Types | Cost (INR) |
| Puffy Nipple | 35,000 to 45,000 |
| Liposuction Plus Gland Excision | 50,000 to 1,00,000 |
| Liposuction+ Gland Excision+ Skin Excision | 80,000 to 1,30,000 |
Note: 18% GST by GOVT of India on all cosmetic surgery.
2. The Male Breast Reduction surgery cost includes:
- Cosmetic Surgeon’s Fee
- Anesthesiologist fees
- Medicines/consumables and pressure garment during surgery
- Cosmetic Surgery centre
- Technology used
- Immediate post-operative follow-ups
3. Factors NOT included in Gynecomastia (Male Breast Reduction) surgery
- Preoperative fitness test
- Post-operative medications (to be taken at home) After the Reduction surgery
- Rare and unforeseen health circumstances experienced by the patients
- Insurance doesn’t cover the Gynecomastia surgery cost as the finance service provider doesn’t assist you in planning cosmetic surgeries.
4. How Various Factors affect the cost of Gynecomastia Surgery?
- Patient’s Profile:The patient’s profile includes the need for Gynecomastia, type of surgery used to correct the concern, as well as the body structure, general health of the patient and the goal of surgery.
- Cosmetic Surgeon: Cosmetic surgeon must be an Indian board-certified surgeon, especially the Male boobs Reduction surgery. Who has expertise in performing the Gynecomastia surgery and recognized by various national & international cosmetic surgery organization, i.e., ASPS, ISAPS, Surgeon performance for giving consistently good result weigh the cost of Gynecomastia Surgery
- Anesthesiologist Charge:Anesthesiologist makes your surgery painless and monitors your vital parameters during surgery and his expertise is important for the safety of the surgery.
- The Cosmetic Surgery centre: It is always important to choose the accredited centre rather than the daycare centers as it can assure you about safe and successful Gynecomastia surgery. NABH accredited centre is counted as the best centre/clinic that confirms the safety & hygiene associated with the surgical procedure. Operation theater monitoring equipment, level of sterilization, a used instrument for special purposes.
- Hospital Stay:The facilities of in-suite room, cleanliness & hygiene as well as 24/7 staff support system.
- Medicines:Medicines include anesthesia, surgical medicine, disposable and consumables.
- Follow-ups:The required session of post-op follow-ups may enhance the cost of the procedure.
Most health insurance plans do not cover surgery or its complications, but many plastic surgeons offer patient financing plans, so be sure to ask. The cost of Gynecomastia surgery generally ranges from 50,000 to 100000 INR.
Q: What is gynecomastia surgery?
A: Gynecomastia surgery, also known as male breast reduction surgery. Surgical removal of breast glands and associated fat is the permanent solution for male breast reduction.
Q: How to get rid of gynecomastia?
A: Gynecomastia surgery is one of the permanent solutions to get rid of gynecomastia. If your gynecomastia is persistent for more than 2 years, no medicine, any non-surgical method, or weight loss will be able to get rid of gynecomastia.
Q: Is gynecomastia surgery safe?
A: Yes, gynecomastia is one of the safest surgeries. Gynecomastia is done under local anesthesia with the help of advanced technology like VASER liposuction, it is now practically painless, bloodless, stitchless and scarless day care surgery.
Q: Is it worth getting gynecomastia surgery?
A: Yes, gynecomastia surgery is worth spending your time and money on. Gynecomastia is an emotional concern; thus male breast reduction can boost your confidence and improve the quality of your life.
Q: Is gynecomastia surgery painful?
A: Practically speaking, gynecomastia is a painless surgery. With the help of advanced technologies, this surgery can be done under local anesthesia as well. This fastens your recovery. With the help of a simple painkiller, you can join your office in a day or two after getting your gynecomastia surgery.
Q: Can gynecomastia grow back after surgery?
A: Gynecomastia very rarely can grow back after your surgery. In advance technique fat and gland both are removed so practically gynaecomastia doesn’t recurre. This can happen if you gain a significant amount of weight or develop a hormonal imbalance.
Q: How long does gyno surgery take?
A: Normally gyno surgery takes around 1-2 hours, depending on your body structure, grade of gynecomastia you have, experience of your cosmetic surgeon, and the technology used for your surgery. You should look for a safe and smooth recovery with good results over time taken.
Q: Do I have gynecomastia or just fat?
A: Gynecomastia or just fat (pseudo gynecomastia) needs an accurate diagnosis and conclusions, which are best left in the hands of a qualified doctor.
You can look out for gland as a hard lump that can be palpated or felt under your nipple/areola region. This lump generally is firmer than belly fat (pinch your belly) and may also be painful or sensitive to the touch.
Q: Can you get rid of gynecomastia without surgery?
A: You cannot get rid of gynecomastia without surgery. There is no amount of exercise, weight loss regime, or medical treatment that can help you in getting rid of your gynecomastia.
Q: Is there a pill for gynecomastia?
A: There is no pill or medicine that can reduce gynecomastia permanently. Some doctors may prescribe medicines like tamoxifen which can temporarily reduce your gynecomastia. Once you stop taking this anti-estrogen medicine, your gynecomastia will recur with many side effects.
Q: How can I reduce gynecomastia?
A: You can get rid of gynecomastia only with surgery. Other methods like diet, exercise, and medicines will not help you permanently and may cause side effects also.
Q: Can gynecomastia go away with exercise?
A: Gynecomastia will not go away by just exercise. Gynecomastia is caused by glandular tissues of your chest, which will not go away by exercising.
Q: Are you awake during gynecomastia surgery?
A: If you wish to be awake during your gynecomastia surgery, you can do that. Due to availability of advanced VASER liposuction technology, gynecomastia surgery can be done under local anesthesia too. Traditionally gynecomastia surgery was performed under general anesthesia, keeping you asleep during the whole surgery.
Q: Can you shower after gynecomastia surgery?
A: You can shower 2 days after having your gynecomastia surgery. Earlier it used to take a long time to recover, but due to advanced technologies, now this surgery is done through a tiny puncture. These punctures need simple dressing after each shower.
Q: Will losing weight get rid of gynecomastia?
A: Losing weight will give you some reduction in the size of your gynecomastia, but it will still be noticeable as gland will not reduce in size with weight loss. Surgery is the only permanent solution for getting rid of gynecomastia.
Q: What are the side effects of gynecomastia surgery?
A: Practically speaking, there is no long-term side effect after having your gynecomastia surgery. However, very rarely, like every surgery, gynecomastia surgery may have some complications like bleeding, infection, scarring, irregularity of your skin, etc.
Q: How long do I have to sleep on my back after gynecomastia surgery?
A: There is no compulsion to sleep on your back after having your gynecomastia surgery. You can sleep on your side immediately after your surgery. After 3 to 4 days of having your gynecomastia surgery, you can sleep in a prone position, depending on your recovery.
Q: Do you need a drain after gyno surgery?
A: Mostly you do not need any drains after having your gynecomastia surgery. If your gynecomastia is of high grade, then you might need a drain for a day or two.
Q: What are the disadvantages of gynecomastia?
A: The primary disadvantages of gynecomastia are more psychological. Having man boobs in some men takes a toll on their mental health and significantly affects their confidence. In some cases where hormonal disturbances are major, gynecomastia may rarely cause breast cancer in men too.
Q: What is the best treatment for gynecomastia?
A: Surgery is the best treatment for permanent reduction of gynecomastia. The surgery is painless, bloodless, stitchless and scarless daycare surgery. These features make this surgery extremely safe and reliable. It is therefore essential to pick a highly trained, board-certified plastic cosmetic surgeon to get your desired results for safe and smooth recovery.
Q: What are the stages of gynecomastia?
A: There are 4 stages of gynecomastia. They are:
– Grade I: Small enlargement without skin excess.
– Grade IIa: Moderate enlargement without skin excess.
– Grade IIb: Moderate enlargement with minor skin excess.
– Grade III: Marked enlargement with excess skin, mimicking female breast ptosis.
Q: How to reduce man boobs?
A: Surgery is the only solution to reduce man boobs. Weight reduction reduces man boobs a little but not completely. Any medicine or any non-invasive procedure can not reduce man boobs.
Q: How to reduce chest fat for males?
A: Permanent reduction of chest fat or gynecomastia can be achieved only with the surgery. Diet, exercise, or weight loss will have minimal effect. No medicine will give permanent chest fat reduction.
Q: What causes man boobs?
A: More than 90 percent of times genetics or hereditary is the cause of gynecomastia.
Natural hormone changes, certain medications, illegal drugs, obesity, certain health conditions, some herbal products, etc. are commonly associated with causing man boobs.
The basic mechanism in other causes is, Gynecomastia is triggered by a decrease in the amount of the hormone testosterone compared with estrogen. The decrease can be caused by conditions that block the effects of testosterone, reduce testosterone, or increase your estrogen level.
Q: How to identify gynecomastia?
A: One can identify the signs of gynecomastia by:
– Swollen breast tissue
If one were to tighten their chest muscle, they should feel hard. Now you can identify gynecomastia as soft and mobile tissue over the chest muscle. You may feel the breast gland as a bunch of fibers, soft rubbery mass below the nipple-areola complex.
Q: Do I have gynecomastia or just fat?
A: Fat accumulates in excess around the chest area is called as pseudo gynecomastia.
If one were to tighten their chest muscle, they should feel hard. Now you can identify gynecomastia as soft and mobile tissue over the chest muscle. You may feel the breast gland as a bunch of fibers, soft rubbery mass below the nipple-areola complex.
Q: Does gynecomastia surgery work?
A: Only surgery works for permanent removal of gynecomastia.
Q: How to remove gynecomastia?
A: Permanent removal of gynecomastia can be done only with surgery. Now with the help of advanced technologies, gynecomastia surgery is done as a daycare surgery in local anesthesia. Practically it is stitchless scarless surgery.
Q: How to shape the chest after gynecomastia surgery?
A: Chest shaping and muscle can be highlighted by an expert plastic surgeon during gynecomastia surgery. The surgeon can inject fat into the chest muscle to make them more prominent, it is called as 4-D sculpting.
Q: How much does a gynecomastia surgery cost in India?
A: A gynecomastia surgery in India could cost you around 60,000 to 10,0000 INR. The expertise of cosmetic surgeons and accreditation/ quality of the hospital set up and type of technology used are major and most important gynecomastia surgery cost factors. The final cost depends on the gradation of the gynecomastia surgery and your goals of the surgery like 3-D or 4-D chest sculpting.
Q: What is the average cost of gynecomastia surgery?
A: Average cost of Gynecomastia surgery in India is 60,000 to 100,000 INR. Gynecomastia surgery cost in India is almost one third that of western countries. Metro city and the prime location of the clinic will have more cost for gynecomastia surgery.
You should weigh the expertise of a board-certified plastic surgeon and accredited hospital set up to get the safe and best result of gynecomastia surgery. The extent and goal of gynecomastia surgery are also important cost factors.
Q: Is gynecomastia always associated with low testosterone blood levels?
A: No. Many patients seen at Allure Medspa had testosterone levels checked that are well within the “normal” range. There could be many other reasons like the ingestion of drugs or medical ailment like kidney issues. If other secondary sexual characteristics are normal, probably the hormone level will be normal.
Q: Why gynecomastia is seen in Infancy?
A: No, breast enlargement occurs quite often in both male and female babies in the first month or so of life. The reason behind this could be the presence of maternal estrogen, which crosses the placenta prior to birth. This ’neonatal gynecomastia’ seen in male babies generally goes away in 4-6 weeks of birth. Interestingly, ‘neonatal gynecomastia’ does not occur in children who are born prematurely.
Q: What’s the Best Age for Gynecomastia Surgery?
A: The cosmetic surgery is allowed to perform after 18 years of age and who considered a right candidate if they are physically and mentally fit to undergo surgery. However, if a person is below 18 and feeling embarrassment, theprocedure can be done with parental consent.
Q: Does nipple piercing interfere with gynecomastia surgery?
A: Patients need to rest and let the body heal immediately after the surgery. Indulging in rigorous exercise could lead to large blood or fluid collections which can lead to infection or contour irregularities, ruining a great result. One should try avoiding repetitive arm and chest motions, heavy lifting, and straining or excessive trunk motion for 2 weeks following surgery.
Q: Can gynecomastia surgery be done at the same time as another procedure?
A: Yes, other cosmetic procedure can be done with Gynecomastia surgery. There is an added advantage that the recovery period is same and a single anesthesia is enough to administer.
Q: Will the scars be visible in gynecomastia surgery?
A: The scars for the liposuction and gland excision are 4-5mm long and placed right in the peri areolar area or at the inframammary fold, armpit crease, so they are not visible once healed. To avoid an obvious ‘operated on’ look, these scars are purposely placed asymmetrically.
Q: Can gynecomastia turn into cancer?
A: There is no written proof of a gynecomastia and male breast cancer. It is a known fact that excess estrogen compared to androgens increases the risk of both benign (gynecomastia) and malignant (cancer) growth of male breast tissue. Examples of risk factors for such abnormal growth of male chest tissue would include aging, obesity, alcoholism, liver disease, and estrogen treatment for prostate cancer &Klinefelter’s syndrome.
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Note: The author of this content is Dr. Milan Doshi, An Indian board-certified plastic & cosmetic Surgeon wholly & solely confirms the authenticity of the information & knowledge delivered by this write-up.