Almost every man desires a firm and muscular chest. These days more and more people want to get into shape and the men who have excess fat on their chest are facing difficulty. For those who are overweight, simply losing weight can solve their problem, but those who can not get rid of their man boobs even after exercise or diet may require some different measures.
What is Gynecomastia?
Gynecomastia is a medical condition, which leads to protruding large breasts among men, due to enlargement of gland tissues in the breast. It usually results from a natural hormonal imbalance of oestrogen (a female hormone also present in men). Men have a natural presence of oestrogen in their body, but when it exceeds the normal range, it leads to enlargement of breasts. This condition can also affect middle-aged men as well. However, this can be triggered due to various other factors, which are as follows:
It can occur as a side effect of different medicines and other forms of medical treatment like using antibiotics, antidepressants, steroids, antiandrogens, AIDS patients undergoing highly active antiretroviral therapy (HAART), chemotherapy, etc.
- Prolong exposure to harmful drugs like marijuana, heroin, etc.
- Due to various medical conditions such as thyroid, tumour, etc
Under this condition, various men suffer from social and emotional insecurities which lead to low self-esteem. They usually have a lack of confidence in themselves and often avoid physical intimacy and various other outdoor activities which can reveal their physical condition and can cause embarrassment in public.
This condition can affect male of any age, and according to various research, it affects about one-third of the total male population across the globe.
Symptoms of Gynecomastia
In gynecomastia, usually, a person develops following symptoms, which are as follows:
- Tender breasts
- Swollen breast with sheath of rubbery mass
- Nipple discharge (in severe case of Gynaecomastia)
- Painful lumps
Other than these symptoms, if you rule out following symptoms like blood discharge from nipples, the period of enlargement of breasts (whether it has started from an onset of puberty), if there is a development of any other secondary sexual characteristics, lowered libido or erectile dysfunction, do visit the doctor at the earliest.
Diagnosis of Gynecomastia
To rule out the underlying causes of gynecomastia, your doctor can do a physical examination of your body to check the initial symptoms of gynecomastia. He can ask for your medical history, where he can ask you about age, the onset of the first symptom and prolong it was, whether you are suffering from low libido as it indicates towards low testosterone level.
He can also ask you to undergo following tests for further treatment procedure:
- Blood tests to check for free or total testosterone, luteinizing hormone (LH), estradiol, and dehydroepiandrosterone sulphate levels
- Thyroid-stimulating hormone (TSH) test
Computerised tomography (CT) scans
- Magnetic resonance imaging (MRI) scans
- Testicular ultrasounds
- Tissue biopsy
Treatment of Gynecomastia
In Male Gynecomastia, a significant weight-loss can lessen the enlargement of the breasts, but in severe cases, breast reduction surgery is the ultimate option to get rid of this problem.
Preparation before a Surgery
Choosing an expert Cosmetic Surgeon– Male breast reduction surgery can give remarkable results if done by a certified cosmetic surgeon. Therefore, before you proceed further, make sure you do a complete research about the surgeon you are going to consider for your surgery. If required, go through past case studies of his patients and then go ahead only, if you are satisfied with his work.
Choosing an ABCS certified surgeon- Choosing a certified cosmetic surgeon is one of the crucial aspects of your surgery. American Board of Cosmetic Surgery (ABCS) certified surgeons are the ones who have expertise in chest contouring along with liposuction and mastectomy, which is entirely different from being an ordinary plastic surgeon.
Your comfort level with your surgeon- This is very important that you feel comfortable in front of your surgeon, as his expertise and your collaboration to adhere to all guidelines during the entire procedure will make the surgery successful.
Types of Breast Reduction Surgery
- Tissue Excision
What is Liposuction?
In Liposuction, the local anaesthesia or general anesthesia are used for the patient. During this process, two incisions are done on two sides of his chest. Based on the severity of gynecomastia, your cosmetic surgeon can make an incision near the areola. Then, through those incisions, the surgeon removes excess fats and glandular tissues and restores the original look by chest contouring.
The recovery after this procedure is usually comfortable. Your cosmetic surgeon may advise you to stay away from any form of physical activities for three weeks and then you can get back to your routine. However, recovery time differs from individual to individual, so strictly adhere to the guidelines given by your surgeon.
What is Tissue Excision?
This procedure is performed only in severe cases of male gynecomastia. Patients having sagging skin around their breasts can achieve a desirable result after this surgery. Tissue excision is a day care procedure performed under local anaesthesia.
In Tissue Excision, the cosmetic surgeon makes an incision around areola or creases of the chest based on the severity of the condition and removes extra fats and glandular tissues which cannot be corrected by liposuction.
The recovery time after this surgery is quite similar to that of liposuction; the only difference is that the pain and swelling continue for a longer period. A patient can get back to work after one week and can resume physical activities after few weeks.
What to expect after breast reduction surgery?
The advantage of a breast reduction surgery is that it gives you a long-lasting effect if not permanent. You can consult your cosmetic surgeon for all those lifestyle changes you need to adopt and maintain the result for a prolonged period.
After the surgery, it can enhance your self-confidence to a great extent, and you can easily indulge in those activities, which you are reluctant to do previously.
If you are conscious about your physical appearance, then this surgery can be considered as the ultimate remedy. Dr. Priti Shukla helps you understand the best ways to get back in shape with a gynecomastia surgery.
About The Doctor
Dr. Priti Shukla is the best female cosmetic surgeons in Hyderabad. She has 18 years of experience in cosmetic plastic surgery and thousands of satisfied patients. Ambrosia Clinic is leading skin plastic surgery clinic of Hyderabad since 2009. Our team of dermatologist and Plastic surgeons at Ambrosia clinic offer services like hair transplantation, laser, skin care and plastic surgery.