Gynecomastia, informally known as “man boobs”, is a common condition in men and boys. The breasts swell and become abnormally large. Gynecomastia is more common in newborn males, boys during puberty, and older men. The word Gynecomastia is derived from the Greek words gyne, meaning woman, and mastos, meaning breast.
The treatment of gynecomastia or male boob surgery male is safely done by gynecomastia specialist surgeon by a minimal invasive procedure which involves VASER liposuction and gland excision to completely cure the gynecomastia
At Dezire clinic , the experienced gynecomastia plastic surgeon Dr Prashant Yadav, who perform the gynecomastia surgery at his center regularly to achieve proper male chest contouring by using latest and advanced technique .
Generally, gynecomastia or men breast enlargement is a cosmetic problem, it’s not a serious problem but it can cause social problem and very embarrassing. Men and boys with gynecomastia can have pain in their breasts and may feel embarrassed due to female like breast. The physical deformation necessitates behavioral modifications that have numerous implications in the lives of the patients who are affected. Patients wear loose clothing and often avoid exposure in showers and swimming pools. Patients in high school and college are reticent to participate in any athletic activity that may directly or inadvertently require removal of one’s shirt, exposing the chest. The cure of gynecomastia by male boob surgery is definte and result.
What is the cause of gynecomastia in men ?
A Hormone imbalance between the sex hormones testosterone and estrogen. Estrogen, the “female” hormone, makes breast tissue grow, while testosterone, the “male” hormone, has inhibitory effects at the breast tissue level (it stops estrogen from making breast tissue grow).
The male breast enlargement is triggered by a decrease in the amount of the hormone testosterone compared with estrogen. The cause of this decrease can be conditions that block the effects of or reduce testosterone or a condition that increases your estrogen level
The male breast or man boobs consists of two main components:
- Glandular tissue – which is firm and dense.
- Fatty tissue – which is soft.
- The ratio of glandular to fatty tissue varies from patient to patient. In individuals with
- gynecomastia there may be too much of both types of tissue.
Gynecomastia may be present unilaterally (one breast) or bilaterally (both breasts) as a puffy nipple appearance in male.
Gynecomastia occurs physiologically in two thirds of normal males at puberty and may persist into adolescence. This transient breast enlargement usually subsides spontaneously, but it may persist in adolescence or adulthood due to a real hypertrophy of breast tissue, fat excess, or a combination of both.
Gynecomastia is of two types
True gynecomastia is due to proliferation of ducts and periductal tissues.
Pseudogynaecomastia is due to deposition of adipose tissue or to the presence of an excessive amount of skin.
How do I know that I have gynecomastia?
The enlarged breast can present as puffy nipple in male. The puffy nipple treatment in male is definite by minimal invasive procedure.
The symptoms of gynecomastia are
- The breast gland tissue swells.
- The breast becomes tender.
- The diameter of the areola increases, or the chest tissue becomes asymmetrical. The areola is the ring of pigmented skin surrounding the nipple.
The most common symptom of the patient with gynecomastia is being self-conscious about the appearance of his enlarged breasts. The common complaints are embarrassment, concern about outward appearance (body image), and occasionally tenderness or even pain
Treatment of gynecomastia
Gynecomastia surgery procedure (VASER LIPOSUCTION & GLAND EXCISION)
The gynecomastia treatment in male also known by various name
- Male boobs surgery, male boob reduction, male breast treatment.
- Men gynecomastia surgery, men boob gynecomastia reduction surgery, man boob surgery, man boob reduction, men boob reduction surgery
- Male breast reduction surgery, puffy nipple treatment in men
- Gynecomastia liposuction, gynecomastia removal
- Gynecomastia surgery, gynecomastia reduction, gynecomastia operation
- Gynocomastia surgery
First marking is done on the chest and all the area from where the excess fat deposition and glandular breast tissue is present is marked in consultation with the patient .The anesthesia is administered and tumescent solution is infiltrated in the entire area. Through the small stab incision given around the nipple areolar region ( periareolar incision ) .First with the VASER probe the tough fat and fibrous tissues is broken down by ultrasonic cavitation effect for proper contouring of the whole marked area of the chest, then the special liposuction cannula is moved back and forth in a controlled motion to loosen the excess fat, which is then removed from the body by high negative vacuum suction machine. Suction is stopped when aspiration shows no fat coming out from the desired area. The chest skin is assessed by diminution in contour and by the pinch test.
The excess glandular breast tissue is removed through the same site by enlarging the incision . Sometime the areola is reduced if excess in size and skin excision is done if excessive loose skin is present in higher grade of gynecomastia .Most of the time there won’t be any loosening of skin after the VASER liposuction has been done as most of the skin retraction occurs with vaser.
While most incision lines are concealed within natural contours, there will be fine small scar which fades over a period of time
- After surgery, a small dressing is done over the chest and pressure garment is applied to minimize swelling and support your new chest contour as it heals.
- You can take bath next day after the procedure and after that no dressing is applied.
- The sutures will be removed around 10 to 14 days.
- You will be prescribed 7 days course of antibiotics and analgesics after the procedure.
- You can resume normal activity once you are comfortable to do movements. Mostly 1 or 2 days rest is enough to recover.
- You can start exercise after 1 or 2 weeks once you are comfortable.
- Avoid driving for first 24 hrs and if possible accompany a person with you.
- The final results of breast reduction in men are long lasting.
- There will be very fine scar which is placed as such it won’t be visible much.
- All the scars improves over time and within 6 months they fade.
- You will start appreciating the change in shape after 10 days and within a month when most of the swelling subsides noticeable changes in the shape and reduction in size will be seen.
- Your improved upper body will likely enhance your self-image and confidence, whether you are wearing shirt or any clothes. The confidence a patient gains after surgery becomes a life-changing event.
Safety and risks of gynecomastia surgery
The procedure is completely safe and there are no chance of coming back again .The side effects after the gynecomastia procedure include
- Bruising at some part of the chest
- Pain and Discomfort
These are the main side effects of the procedure. These are temporary and will resolve within 7 to 10 days after the procedure.
To reduce these side effects you have to wear compression garments for first 2 months.
Cost of Gynecomastia
The cost of gynecomastia surgery varies according to the severity of gynecomastia and the technique to be used for the procedure. The exact cost can be told after examination of your grade of gynecomastia. You can schedule free consultation at our clinic to know more details about the cost of gynecomastia surgery and other details. To book an appointment kindly call us on 0922122122 or mail us email@example.com
Am I a candidate for male breast reduction?
- The most important question you should ask yourself is: does the condition bother you both psychologically and physically?
- In general, the best candidates for breast reduction are:
- Mature enough to fully understand the procedure.
- Experiencing embarrassment and/or social inhibition due to breast enlargement.
- Knowledgeable about the procedure.
- Having good skin elasticity.
- In good physical and psychological health.
- Wanting to improve their appearance and/or comfort.
- Realistic in their expectations.
- Willing to attempt diet and exercise as first options.
- Non-smokers or able to stop smoking during the healing process.
- Not heavy user of alcohol.
Am I too young to have gynecomastia surgery?
In general, we recommend you wait until the age of 18 years. There are some circumstances where a person should consider it earlier.
What results can I expect?
The result of gynecomastia surgery is definite. The more you maintain yourself by taking care of diet and exercise the better and early you will appreciate the change in the shape.As we are totally liposuction with vaser technique which target only the fat we are able to give total sculpted chest with gland removal .
What are the surgical risks?
There are no life threatening risks or complication with the men boob reduction surgery or gynecomastia surgery. The side effects are temporary which get resolved within 7-10 days. These include bruises, swelling, altered sensation and discomfort in the chest area
What kind of scar should I expect?
Usually a, scar in the lower part of the areola that is generally inconspicuous.the surgery of gynecomastia doesn’t leave any major visible scar after complete healing of the incision site .
Will I have pain that will require medication?
Usually pain is minimal after men boob surgery , but since we want to make sure you will be comfortable, we do provide you with a prescription for pain medication.
How much time should I take off from work or school?
This depends on the type of work you do and the extent of the male breast reduction procedure . Usually it’s between 2 to 3 days, but healing time varies for each individual and should be discussed with your surgeon.
What types of anesthesia do you offer?
The treatment of gynecomastia is done under local anesthesia with some light sedation. After the procedure you will slightly drowsy for first 2 hrs then you can start orally first sips of water and then some liquids. You can have light food in the night.
How should I prepare for the surgery?
Pre-operative tests which are normal blood test are mandatory. Shaving of underam and chest hair need to be done .Do not eat or drink eight 6 hours prior to surgery. Arrive on the day of surgery in comfortable clothing that is not tight or confining. Have a responsible person accompany you.
What type of dressing will I have?
A small dressing is done around the chest area after your men boob reduction procedure which can be removed after 2 day. You can take shower after removal of the dressing and thereafter no dressing is needed.
Will I have a drain?
No drain is kept for the gynecomastia surgical procedure.
What can cause gynecomastia?
Gynecomastia or male boob enlargement can be caused by drugs, steroids as well as other factors. These should be discontinued prior to surgery to minimize recurrence.
Is the surgery really that painful?
Judging pain following surgery is very difficult since everyone’s threshold for pain is different. Most patients comment that the gynecomastia surgery was nowhere near as painful or uncomfortable as they thought it would be. Most patients do not have severe pain following vaser liposuction and surgical excision. The pain is most often described as minor or moderate in nature and severity. Yes you’ll have a prescription for a pain medication strong enough to relieve your postoperative discomforts.
What will my chest look like when the dressings are removed?
When the dressing is removed you’ll be in for a surprise. There is often bruising, swelling, molding from the dressing and perhaps your incision may leak a few drops of blood.
Please do not be concerned. Healing is never quite the same when surgery is performed on both breasts. Healing takes time and patience. Just follow the instructions regarding what you’re allowed to do and when, and you’ll see them evolve over the postoperative period into the desired shape and size.
Does it really take 3 months to see the final result?
Yes the final result will appeared after 3 months. The improvement in shape and size will be noticeable around 1 month time and thereafter the improvement continues.
When can I return to normal sports, exercise or driving a car?
If you’re healing is proceeding as expected you can return to your normal exercise and sporting activities by 1 week following your surgery. Always remember that a slow, progressive return to normal to optimal for proper healing and pain control. Most patients can resume driving within a few days following their procedure.
If my nipples feel differently after the surgery, what can be done?
Most cases of altered nipple sensation gradually return to normal. Some go back to normal within a few weeks and other cases may take a few months. Other than waiting, there is no surgery or medication that can improve the sensation in the nipple-areola region.
How long does the surgery take?
Generally, the procedure usually takes one and a half to two hours and once you are comfortable then we will discharge on the same day
Do I have to stay in the hospital?
The male breast reduction is a day care procedure so no admission or stay is required in the gynecomastia clinic . We prefer to use local anesthesia with sedation, in which case you’ll sleep through the entire operation. You may be allowed to return home within a few hours of the surgery, and spend the night in the comfort of your own home
Will the gynecomastia come back?
The glandular component will not return unless you stimulate the tissue with steroids or other drugs, in which case it can become enlarged again. The surgery removes most, but not all, of the glandular tissue. We surgically excise the gland and fibrofatty tissue to achieve the best cosmetic result.
Can liposuction be done alone?
Yes, liposuction alone can produce a good result, but only if you have pseudogynecomastia. As mentioned earlier, liposuction does not remove glandular tissue and as such is not the most effective approach
Can I drive myself home?
No, you cannot drive yourself home after surgery. You will need assistance for the first 24 hours.
Why do I have to wear a vest after surgery?
The vest creates compression for the “dead space” created by the removal of the glandular and fibrofatty tissue. The skin will adhere to the underlying tissue and the swelling will be greatly reduced. It is extremely important to follow instructions regarding wearing the vest after surgery.
Do I need to lose weight before I have the procedure?
No, your weight may be a concern of yours, but it will not affect the surgery. If you have pseudogynecomastia (“fatty tissue”), then this will naturally reduce with weight loss.
How old do I need to be?
Each case is individually evaluated. There is no set minimum or maximum age requirement for this procedure. I have operated on adolescents as young as 15 years of age, but each case was carefully evaluated and discussed among multiple physicians. I have also operated on men in their 60s and older. Age is not a factor if you are in good health.
If I want other procedures, such as liposuction of the abdomen or flanks, is it possible to have them done at the same time?
Yes, we commonly perform multiple procedures at the same time and the gynecomastia surgery can be combined with vaser liposuction of other parts simultaneously