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Gynecomastia Surgery | Man Boobs Reduction

Do you feel that your chest is increasing in size and look more like female breasts? These symptoms may indicate gynecomastia (man boobs) and the condition can be bothersome for males. If you have enlarged breasts, you can get in touch with Pristyn Care and get advanced Gynecomastia Surgery from the best plastic surgeons in India. Book a consultation with our gynecomastia surgeons and plan the treatment.

Do you feel that your chest is increasing in size and look more ... Read More

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    Dr. Devidutta Mohanty (Qx2Ggxqwz2)

    Dr. Devidutta Mohanty

    MBBS,MS, M. Ch- Plastic Surgery
    20 Yrs.Exp.

    4.5/5

    20 Years Experience

    location icon Pristyn Care Clinic, Banjara Hills, Hyderabad
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    6366-528-521
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    Dr. Sasikumar T (iHimXgDvNW)

    Dr. Sasikumar T

    MBBS, MS-GENERAL SURGERY, DNB-PLASTIC SURGERY
    18 Yrs.Exp.

    4.7/5

    18 Years Experience

    location icon Pristyn Care Clinic, Chennai, Tamil Nadu
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    Dr. M Ram Prabhu (bNoNbBGGix)

    Dr. M Ram Prabhu

    MBBS, DNB-Plastic Surgery
    15 Yrs.Exp.

    4.6/5

    15 Years Experience

    location icon Pristyn Care Clinic, Hyderabad
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    Dr. Sree Kanth Matcha (8VEuoSlP1a)

    Dr. Sree Kanth Matcha

    MBBS, MS
    15 Yrs.Exp.

    4.5/5

    15 Years Experience

    location icon Pristyn Care Clinic, Venkojipalem, Visakhapatnam
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  • What is Gynecomastia?

    Gynecomastia, also known as man boobs or enlarged breasts, is a condition in which breast tissues start to develop in males due to hormonal imbalance or higher levels of estrogen. These overdeveloped glandular tissues can cause social and personal distress in males, making them feel uncomfortable or self-conscious.

    Gynecomastia progresses gradually in four grades- 

    • Grade 1 Gynecomastia: Only minor enlargement is present, and a localized lump can be felt beneath the nipple or around the areola. 
    • Grade 2 Gynecomastia: Breast tissues expand to the chest width and cover the pectoral muscles. The enlargement may still not be prominent. 
    • Grade 3 Gynecomastia: Moderate enlargement of breasts, which is clearly visible through clothes. The tissues also become firm. 
    • Grade 4 Gynecomastia: This is the most severe grade of gynecomastia, in which the chest appears like breasts and causes physical and psychological issues. 

    Besides the above classifications, gynecomastia is also divided into true and pseudo-gynecomastia. In true gynecomastia, only breast glandular tissues are present. Unlike this, in pseudo gynecomastia, only fat tissues are present in the chest, giving the appearance of female breasts. Generally, when gynecomastia presents, the individual often has both glandular and fat tissues. 

    • Disease name

    Enlarged Male Breasts (Man boobs)

    • Surgery name

    Gynecomastia (Male Breast Reduction Surgery)

    • Duration

    1 - 2 Hours

    • Treated by

    Plastic surgeon

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    Gynecomastia Diagnosis

    To identify gynecomastia and differentiate between true and pseudo-gynecomastia, the doctor may do the following:

    • Medical History: The doctor will ask the patient about the symptoms, medical history, and any medications or substances that he may be taking that could contribute to the condition. Certain medications, such as anabolic steroids, anti-androgens, or medications containing estrogen, can lead to gynecomastia.
    • Physical Exam: The doctor will first do a physical exam to assess the abnormal growth of tissues, including the shape, size, and consistency of breast tissues which are generally different from fat tissues. The test is called the pinch test. During the gynecomastia pinch test, the examiner will pinch the breast tissue using his/her thumb and fingers to look for any abnormal lump or mass. The physical exam may help to distinguish it, but the exam may also be inconclusive. If so, further testing will be recommended for the individual. 
    • Blood Test: A complete blood panel test may be ordered by the doctor to evaluate the hormone levels. 
    • Imaging Test: To identify the extent of growth and rule out the possibility of breast cancer, the doctor may recommend mammography, CT scan, MRI scan, or ultrasound. 
    • Biopsy: A biopsy test may be suggested by the doctor if he/she suspects that the breast tissue growth is cancerous. 

    These tests aid the plastic surgeon in determining the safest approach for gynecomastia Surgery. 

    Are you going through any of these symptoms?

    Gynecomastia Treatment Options

    Most cases of gynecomastia in children, teenagers, and adults, often resolve on their own without intervention. However, in some cases, gynecomastia persists even after hormonal levels are balanced. Furthermore, once the breast tissues grow in males, the growth cannot be reversed. As a result, surgical treatment may be required to remove the tissues. 

    The treatment options for gynecomastia may include the following:

    • Lifestyle Modifications: Initially, lifestyle changes may be recommended to manage gynecomastia This will include weight loss, avoiding certain medications or substances that can be the potential cause of gynecomastia, and exercising. 
    • Watchful Waiting: If gynecomastia is triggered due to age-related hormonal changes, the doctor may recommend a period of observation to see if the growth stops after some time. During this period, the doctor will regularly monitor the condition. 
    • Medications: Though specific medications are not available to treat gynecomastia, certain medications are prescribed to address the underlying hormonal imbalance. For instance, selective estrogen receptor modulators (SERMs) like tamoxifen or raloxifene may be used to block estrogen effects on the male body. 
    • Surgical Intervention: In case gynecomastia continues and the breast tissues cause physical and psychological distress, the doctor may suggest surgery. Typically, male breast reduction surgery, also known as gynecomastia surgery, is recommended for the patient, which is a combination of liposuction and gland excision techniques. This is an effective solution for gynecomastia. 

    The most suitable method for gynecomastia Surgery is chosen by the doctor based on individual circumstances. 

    Gynecomastia Surgery or Male Breast Reduction Surgery

    The standard and effective solution for gynecomastia is the surgical removal of overgrown breast tissues in males. The procedure involves removing the breast glandular tissues and fat to improve the chest contours. Gynecomastia surgery is performed on an outpatient basis and takes around 45-60 minutes approx. 

    The surgery involves administering general anesthesia and making a small incision around the areola to access the internal structures. A scalpel is used to excise the breast tissues, and the liposuction cannula is used to break down and remove the fat tissues. Once the required contours are achieved, the incision is closed with stitches (usually dissolvable) or left open to heal. The wound is covered with a bandage, and the patient is kept under observation for a few hours until the effects of anesthesia wear off.

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    Benefits of Gynecomastia Surgery

    Here are the top advantages of choosing male breast reduction surgery to reduce enlarged breasts over other treatment options.

    • Enhanced masculine shape- The first advantage of choosing gynecomastia surgery is that it removes excess tissue from the chest and results in a flattened and muscular body shape.
    • Uplifts confidence and self-esteem- Gynecomastia dampens the patient’s confidence and self-esteem as they develop women-like breasts. After gynecomastia surgery, people have high spirits and boosted self-confidence.
    • Better posture- Due to the added weight of the extra fat and tissue on the chest, the patient’s posture is disfigured. Subsequently, the patient’s core strength is compromised. This is also resolved with the surgery. 
    • Easier to do physical activity- Several activities, such as running, skipping, swimming, etc., make it difficult for gynecomastia patients to perform. After the gynecomastia surgery, the patient can flaunt the chest without any discomfort during any physical activity.
    • No more social embarrassment– The individual doesn’t have to feel ashamed anymore or embarrassed in social gatherings after the gynecomastia surgery. The flattened chest contour helps the patients experience a better quality of relief and relieves them of any emotional baggage.

    Gynecomastia Surgery Recovery Time

    The recovery after gynecomastia Surgery will take around 2 to 4 weeks. The exact duration will vary for each patient depending on the extent of surgery and the patient’s healing abilities. 

    • Immediately after the surgery, there will be bruising, redness, and swelling in the treated area, and it’ll be covered with bandages and a compression garment. The compression garment supports the chest muscles and helps to reduce swelling. 
    • In the first few days after surgery, it’s normal to experience significant swelling, bruising, and discomfort. Painkillers, antibiotics, and anti-inflammatory medications will help to manage the pain and prevent infection during this period. 
    • After one week, the side effects of surgery will start to dissipate gradually, and the patient will be able to perform regular activities. The compression garment still needs to be worn 24×7 or as advised by the doctor. And the patient is strictly advised to avoid strenuous activities or heavy lifting. 
    • Within 2-3 weeks, the incision will be almost healed, and the swelling and bruising will also subside. The results of gynecomastia surgery may start to appear at this point. 

    The healing process will continue in the upcoming weeks, and the patient may need to take several precautions until the final results become apparent. 

    Gynecomastia Risk Factors

    Typically, gynecomastia surgery is safe and has minimal risks. Still, there are some potential risks of the procedure, and some complications may arise during or after the surgery. These common risks and complications may include the following:

    • Infection in the wound may occur due to poor hygiene or care. 
    • Hematoma or blood accumulation, which may require drainage. 
    • Seroma or fluid accumulation, which may or may not be absorbed by the body. 
    • Significant scarring (keloid scars), which may be clearly visible. 
    • Changes in sensations due to temporary or permanent nerve damage. 
    • Asymmetry or contour irregularities in the results, which may require further intervention. 
    • Allergic reaction to anesthesia, which may cause respiratory distress or other issues. 

    There may be other side effects of gynecomastia Surgery, such as swelling, bruising, inflammation, redness, etc., which are temporary and often resolve on their own without intervention. However, if these side effects persist for a long time, it may indicate infection or other complications. Therefore, it’ll be best to consult the doctor. 

    Post - Gynecomastia Surgery Self-Care Tips

    After male breast reduction surgery, the patient is advised to follow several guidelines for a smooth and successful recovery. 

    Diet 

    Immediately after the surgery, the patient will be on a liquid diet. The doctor will recommend switching to a solid diet gradually. The patient needs to eat healthy foods and drink plenty of water to provide the necessary nutrients. It’s also important to avoid drinking alcohol and smoking after the surgery for at least a month to get the desired results. 

    Physical Activities 

    For the first 24 hours after surgery, the patient is advised to get plenty of rest. After that, restrain from performing any type of strenuous activity such as driving, operating machinery, or lifting heavy weights. The patient doesn’t have to stay in bed all the time and is free to walk and climb stairs. But it’s important not to push the body’s limits. As the body heals, the patient will be able to resume all activities without any hassle. 

    Wound Care 

    To ensure that the chest tissues stay in place and swelling subsides quickly, the doctor will suggest wearing compression garments for at least 2-3 weeks throughout the day. Over time, the patient can limit the usage of the garment up to 12 hours. 

    Medication 

    Throughout the recovery process, the patient will have to avoid taking medications like ibuprofen, aspirin, etc. These medicines can interfere with the blood clotting system and increase the risk of complications. If the patient needs to take other medicines on a regular basis, those should also be cleared by the surgeon.

    Gynecomastia Surgery Cost

    On average, the gynecomastia surgery cost varies for each patient due to the following factors:

    • The surgeon’s fee 
    • Anesthesia charges 
    • Hospital or surgical facility expenses 
    • Technique used 
    • Prescribed medications 
    • Diagnostic tests and evaluations 
    • Post-surgery care and follow-ups 

    It’s important to note that cost should not be the only determining factor for gynecomastia Surgery. The patient should consider the quality of care at the surgical facility and the experience of the plastic surgeon. These factors will affect the overall surgery experience and also determine the success rate of the treatment procedure.

    Is Gynecomastia Surgery Covered by Insurance?

    The insurance coverage for gynecomastia surgery in India can vary depending on several factors, including the insurance provider, the specific policy, and the individual’s circumstances. If gynecomastia surgery is performed for cosmetic purposes, the treatment expenses will not be covered by the insurance provider under any circumstance. 

    In general, gynecomastia surgery is covered by insurance when it’s deemed medically necessary. And even in this scenario, the patient must submit clinical evidence stating the symptoms and other medical concerns signed by a certified doctor. Without enough evidence, the insurance company may still deny the insurance coverage.

    Furthermore, there may be other terms and conditions regarding the insurance coverage, such as co-pays, deductibles, capping, waiting period, etc., associated with a specific treatment. Therefore, it’ll be best to talk to the insurance provider to get a better understanding of gynecomastia Surgery coverage under insurance. 

    Gynecomastia Treatment Without Surgery

    While surgery is often considered the most effective treatment for significant cases of gynecomastia, there are non-surgical options that may help reduce its appearance or alleviate symptoms.

    However, it should be noted that the effectiveness of these methods can vary depending on the individual and the severity of the condition. 

    These management options are considered an alternative to gynecomastia surgery. But these methods only halt the progression of gynecomastia, but the effects won’t be reversed. Some common options are given below: 

    • Medications: There are no FDA-approved gynecomastia treatment pills. However, the doctor may prescribe tamoxifen for gynecomastia to address the underlying hormonal imbalance. Besides this medicine, the doctor may recommend other drugs, such as aromatase inhibitors (anastrozole or letrozole) which inhibit the conversion of androgen to estrogen. 
    • Hormone Replacement Therapy- In some cases, hormone replacement therapy is also suggested to restore the hormonal balance in males. It involves replacing the estrogen hormone with testosterone. But it usually works when the hormonal imbalance is caused due to hypogonadism. 
    • Termination of Causative Drugs– Various drugs induce hormonal imbalance in the body. So, the first thing to do is either stop those drugs or ask the doctor for alternative drugs that don’t have any side effects. 
    • Exercise– Though exercise doesn’t have any impact on the breast tissues, it can help to tighten the pectoral muscles underneath the breasts. This will improve the appearance of the chest region. 

    It’ll be best to discuss these options with the doctor and avoid taking over-the-counter medications without approval. 

    What happens if gynecomastia is not treated on time?

    Leaving gynecomastia untreated usually has both physical and psychological impacts on the individual.

    Physical Impact

    • The individual will start to slouch to hide the breast tissues, which affects the posture.
    • Due to the weight of the breasts, the individual may experience severe back pain.
    • Over time, the patient may get spinal deformity.

    Psychological Impact

    • The individual may feel self-conscious among their peers and may get teased.
    • The individual may become self-conscious and lose his confidence due to physical changes in appearance.
    • Due to the teasing and taunting, the individual may get into depression and face other emotional problems.

    FAQs Around Gynecomastia Surgery

    Which doctor to consult for gynecomastia Surgery?

    To get proper gynecomastia Surgery, it’ll be best to consult a plastic or cosmetic surgeon. They will take a minimally invasive approach to gynecomastia Surgery to ensure that the surgery doesn’t have any aesthetic downside.

    How can I get in touch with Pristyn Care doctors for gynecomastia Surgery?

    To get in touch with plastic surgeons of Pristyn Care, you can give us a call or fill out the appointment form. Our coordinators will discuss your schedule and book an appointment at a date and time at your convenience.

    How long does gynecomastia last?

    The duration of gynecomastia can vary from person to person. In some cases, gynecomastia may resolve on its own within a few months to a year. However, for some individuals, the condition may persist for a longer period, and surgical intervention may be required to address it effectively

    Can gynecomastia go away with exercise?

    Exercise alone is generally not sufficient to eliminate gynecomastia. While regular exercise and a healthy lifestyle can help reduce overall body fat and improve chest muscle tone, they may not eliminate the underlying glandular tissue enlargement associated with gynecomastia. Surgical options, such as male breast reduction surgery, are often necessary to remove the excess breast tissue and achieve the desired outcome.

    Does homeopathic medicine for gynecomastia work?

    The effectiveness of homeopathic medicine for gynecomastia is not supported by scientific evidence. Gynecomastia is primarily caused by hormonal imbalances or other underlying medical conditions, and homeopathic remedies have not been proven to address these root causes effectively.

    Is gynecomastia surgery safe?

    Gynecomastia surgery is generally considered safe when performed by a skilled and experienced plastic surgeon. As with any surgical procedure, there are potential risks and complications, which can be minimized by choosing a qualified surgeon and following post-operative care instructions.

    What is the best medicine for gynecomastia?

    There is no specific medicine or medication that is universally considered the best for gynecomastia Surgery. Treatment options vary depending on the underlying cause and individual circumstances. Medications such as selective estrogen receptor modulators (SERMs) or aromatase inhibitors may be prescribed in some cases, but their use should be determined by the doctor.

    Is gynecomastia surgery painful?

    No, gynecomastia surgery is performed after administering general anesthesia, which puts the patient to sleep and numbs the body. Thus, the patient doesn’t feel kind of pain or discomfort during the surgery. Once the anesthesia effects wear off, the patient may feel mild to moderate pain and discomfort, which will be managed by pain medications.

    How long should I wear a compression vest after gynecomastia surgery?

    The duration of wearing a compression vest or garment after gynecomastia surgery can vary depending on the surgeon’s recommendations and individual healing progress.

    Typically, the compression garment is worn continuously for a few weeks to support the healing process, reduce swelling, and provide optimal results. Your surgeon will provide specific instructions on how long to wear the compression vest and when it can be removed.

    Does gynecomastia surgery leave scars?

    Gynecomastia surgery does involve incisions, and therefore, it may leave scars. However, skilled plastic surgeons make efforts to minimize scarring and place incisions in discreet locations such as the edge of the areola or in the natural chest creases. Moreover, as the scar heals, it will fade over time, and the doctor may recommend using scar reduction cream or other techniques to improve its appearance.

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    Content Reviewed By
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    Dr. Devidutta Mohanty
    20 Years Experience Overall
    Last Updated : September 26, 2024

    Different Grades of Gynecomastia

    Grade I

    This grade has only a minor level of enlargement in the breasts. A localized button of tissue starts to grow around the areola. The chest will only be slightly swollen, and it won’t be noticeable when you are wearing clothes. Thus, treatment is usually not required at this grade.

    Grade II

    At this grade, the male breast tissues expand to the width of the chest. The pectoral muscles are almost completely covered with the breast tissues, but the edges are still less prominent. At this grade, the doctors prescribe a diet to reduce the estrogen levels in the body. Surgery can also be done if the patient feels concerned.

    Grade III

    It is a moderate stage of breast development at which the breast tissues become completely visible through clothes. The excess skin continues to grow and become more prominent. The breasts also have more firmness at this stage. The patient can opt for surgical treatment at this stage too.

    Grade IV

    At this grade, the development of breasts is almost complete. It is the most severe stage as there is a large amount of excess skin. At this stage, the condition becomes a major obstacle in the man’s social life as the chest looks like breasts. Thus, the doctor recommends undergoing male breast reduction surgery.

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      Hello Jawahar from Coimbatore is this person. My gynecomastia surgery was performed.I had a really positive experience. They were very careful. In particular, Dr. Lohit Sai performed a straightforward procedure with ease. Though not uncomfortable, the pre- and post-operative procedures went really well, and now

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      Gynecomastia surgery done at pristyncare Good treatment, and excellent behavior stood out. Recommend choosing him.Suggest Alok schedules appointments based on the doctor's availability for better patient experience.

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      Dr. Vicky Ghewarchand Jain is a highly qualified expert in his field. He is a perfectionist and will only perform procedures which will make you the best version of yourself. I believe he is more interested in improving you than improving his bank balance. The entire clinic and its team is professional and clean and offers state of the art treatments. I will be returning for his services during my next visit to India and feel both lucky and privileged to be on this journey to the best version of me.

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      In terms of gynecomastia surgery, Dr. Saurav Sethia Pristyncare Clinic in Kolkata is a true expert. I am very hapier with the outcome. Thank you for your extraordinary attention and skill, Saurav Sethia.

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      Mamata Kalita

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      After waiting a long time, I finally found a fantastic surgeon—Dr. Jagadish Kiran—to do my gynecomastia surgery. Because of the good feedback I had heard from my brother, who had had the same procedure performed by Dr. Jagadish, I flew from Kolkata to Hyderabad to have the operation done by him.

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